Priyal Patel, MD
NPI 1275022469 · Emergency Medicine Physician · Columbia, SC
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priyal Patel, MD is a Emergency Medicine Physician provider in Columbia, SC (NPI 1275022469).
Provider details
- NPI number
- 1275022469
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- LL52216 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
261 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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 185 | $194 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 54 | $135 |
| Critical Care, First 30-74 Minutes99291 | 22 | $236 |
Typical Medicare-allowed amounts for these services range $135–$236 (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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$16 across 1 record (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
Registry dates
- Enumerated
- 2018-05-03
- Last updated
- 2018-05-03
Frequently asked questions
- What is Priyal Patel's NPI number?
- Priyal Patel's National Provider Identifier (NPI) is 1275022469, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priyal Patel's specialty?
- Priyal Patel is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Priyal Patel located?
- Priyal Patel's practice location on file with NPPES is Emergency Medicine Department, Columbia, SC 29203.
- What is Priyal Patel's phone number?
- The practice phone number listed in the NPPES registry for Priyal Patel is (803) 434-7088.
- Does Priyal Patel accept Medicare?
- Priyal Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priyal Patel's NPI active?
- Yes — Priyal Patel's NPI (1275022469) is active in the NPPES registry as of the last update on 2018-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.