Pradeep Patel, MD
NPI 1255534343 · Family Medicine Physician · Monroe, NC
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pradeep Patel, MD is a Family Medicine Physician provider in Monroe, NC (NPI 1255534343).
Provider details
- NPI number
- 1255534343
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- DR.0068412 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
8 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
927 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 Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 408 | $105 |
| Initial Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, 50 Minutes Or More99306 | 214 | $178 |
| Advance Care Planning, First 30 Minutes99497 | 179 | $74 |
| Subsequent Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, at Least 45 Minutes99310 | 126 | $149 |
Typical Medicare-allowed amounts for these services range $74–$178 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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 · 114 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Apixabanbrand: Eliquis | 328 | 44 |
| Atorvastatin Calcium | 261 | 75 |
| Gabapentin | 179 | 48 |
| Amlodipine Besylate | 156 | 45 |
| Furosemide | 133 | 43 |
| Trazodone Hcl | 127 | 27 |
| Levothyroxine Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$33 across 2 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 (7)
- 1501 E 3rd StDelta, CO 81416-2815Phone: (970) 874-7681
- 12230 Lioness WayParker, CO 80134-5603Phone: (720) 644-9355
- 2001 Vail AveCharlotte, NC 28207-1248Phone: (704) 304-6070
- 8800 N Tryon StCharlotte, NC 28262-3300Phone: (704) 863-6241
- 1000 Blythe BlvdCharlotte, NC 28203-5812Phone: (704) 355-0720
- 10628 Park RdCharlotte, NC 28210-8407Phone: (704) 667-7070
- 1787 Allendale Fairfax HwyFairfax, SC 29827-9133Phone: (303) 390-1940
Registry dates
- Enumerated
- 2007-06-07
- Last updated
- 2026-05-01
- Certified
- 2026-05-01
Frequently asked questions
- What is Pradeep Patel's NPI number?
- Pradeep Patel's National Provider Identifier (NPI) is 1255534343, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pradeep Patel's specialty?
- Pradeep Patel is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pradeep Patel located?
- Pradeep Patel's practice location on file with NPPES is 600 Hospital Dr, Monroe, NC 28112-6000.
- What is Pradeep Patel's phone number?
- The practice phone number listed in the NPPES registry for Pradeep Patel is (704) 993-2240.
- Does Pradeep Patel accept Medicare?
- Pradeep Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pradeep Patel's NPI active?
- Yes — Pradeep Patel's NPI (1255534343) is active in the NPPES registry as of the last update on 2026-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.