Hiral Patel, MD
NPI 1285888016 · Surgery Physician · Falls Church, VA
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hiral Patel, MD is a Surgery Physician provider in Falls Church, VA (NPI 1285888016).
Provider details
- NPI number
- 1285888016
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 57015676 (OH)
Specialties & taxonomies
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
17 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
287 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) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 48 | $185 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 46 | $101 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 43 | $140 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 43 | $84 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 37 | $177 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 30 | 30 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,191 across 8 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)
- 2501 Parkers LnAlexandria, VA 22306-3209Phone: (703) 664-7000Fax: (703) 664-7666
- 4320 Seminary RdAlexandria, VA 22304-1535Phone: (703) 504-3000Fax: (703) 504-3388
- 1800 N Beauregard St Ste 40Alexandria, VA 22311-1735Phone: (703) 359-8640Fax: (703) 591-6105
- 3620 Joseph Siewick DrSuite 406Fairfax, VA 22033-1756Phone: (703) 359-8640Fax: (703) 591-6105
- 3600 Joseph Siewick DrFairfax, VA 22033-1709Phone: (703) 391-3600Fax: (703) 391-3414
- 6565 Arlington Blvd Ste 500Falls Church, VA 22042-3018Phone: (703) 237-7895
- 7601 Lewinsville Rd Ste 440Mc Lean, VA 22102-2834Phone: (703) 663-1440Fax: (703) 752-1105
Registry dates
- Enumerated
- 2008-11-06
- Last updated
- 2021-09-01
- Certified
- 2021-09-01
Frequently asked questions
- What is Hiral Patel's NPI number?
- Hiral Patel's National Provider Identifier (NPI) is 1285888016, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hiral Patel's specialty?
- Hiral Patel is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Hiral Patel located?
- Hiral Patel's practice location on file with NPPES is 3300 Gallows Rd, Falls Church, VA 22042-3307.
- What is Hiral Patel's phone number?
- The practice phone number listed in the NPPES registry for Hiral Patel is (703) 776-4001.
- Does Hiral Patel accept Medicare?
- Hiral Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hiral Patel's NPI active?
- Yes — Hiral Patel's NPI (1285888016) is active in the NPPES registry as of the last update on 2021-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.