Hiren Patel, MD
NPI 1225042831 · Infectious Disease Physician · Greeneville, TN
Enrolled with Medicare as Practitioner - Infectious Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hiren Patel, MD is a Infectious Disease Physician provider in Greeneville, TN (NPI 1225042831).
Provider details
- NPI number
- 1225042831
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 37711 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
449 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 271 | $74 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 91 | $162 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 46 | $111 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 27 | $62 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 14 | $91 |
Typical Medicare-allowed amounts for these services range $62–$162 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cefdinir | 93 | 59 |
| Ceftriaxone Sodiumbrand: Ceftriaxone | 75 | 18 |
| Minocycline Hcl | 73 | 32 |
| Daptomycin | 60 | 11 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 47 | 34 |
| Amoxicillin | 40 | 17 |
| Cephalexin | 38 | 14 |
| Sulfamethoxazole/Trimethoprim |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$196 across 9 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 1 Medical Park BlvdBristol, TN 37620-7430Phone: (423) 844-1121
- 2000 Brookside Dr Fl 4Kingsport, TN 37660-4627Phone: (423) 857-7000
- 130 W Ravine RdKingsport, TN 37660-3837Phone: (423) 224-4000Fax: (423) 224-4000
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Frequently asked questions
- What is Hiren Patel's NPI number?
- Hiren Patel's National Provider Identifier (NPI) is 1225042831, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hiren Patel's specialty?
- Hiren Patel is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Hiren Patel located?
- Hiren Patel's practice location on file with NPPES is 1420 Tusculum Blvd, Greeneville, TN 37745-4279.
- What is Hiren Patel's phone number?
- The practice phone number listed in the NPPES registry for Hiren Patel is (423) 783-6400.
- Does Hiren Patel accept Medicare?
- Hiren Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hiren Patel's NPI active?
- Yes — Hiren Patel's NPI (1225042831) is active in the NPPES registry as of the last update on 2026-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.