Gnanesh Patel, MD
NPI 1316238298 · Rheumatology Physician · Wilkes Barre, PA
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gnanesh Patel, MD is a Rheumatology Physician provider in Wilkes Barre, PA (NPI 1316238298).
Provider details
- NPI number
- 1316238298
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD449967 (PA)
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
15 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
3,585 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 1,119 | $86 |
| Administration of Chemotherapy Into Vein, 1 Hour Or Less96413 | 976 | $118 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 489 | $13 |
| Administration of Non-Hormonal Anti-Neoplastic Chemotherapy Under Skin Or Into Muscle96401 | 413 | $66 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 304 | $120 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methotrexate Sodiumbrand: Methotrexate | 901 | 212 |
| Hydroxychloroquine Sulfate | 786 | 144 |
| Prednisone | 608 | 227 |
| Allopurinol | 166 | 40 |
| Alendronate Sodium | 136 | 36 |
| Leflunomide | 109 | 23 |
| Denosumabbrand: Prolia | 74 | 44 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,663 across 150 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
Registry dates
- Enumerated
- 2011-04-26
- Last updated
- 2014-04-10
Frequently asked questions
- What is Gnanesh Patel's NPI number?
- Gnanesh Patel's National Provider Identifier (NPI) is 1316238298, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gnanesh Patel's specialty?
- Gnanesh Patel is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Gnanesh Patel located?
- Gnanesh Patel's practice location on file with NPPES is 150 Mundy St, Wilkes Barre, PA 18702-6830.
- What is Gnanesh Patel's phone number?
- The practice phone number listed in the NPPES registry for Gnanesh Patel is (570) 824-7117.
- Does Gnanesh Patel accept Medicare?
- Gnanesh Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gnanesh Patel's NPI active?
- Yes — Gnanesh Patel's NPI (1316238298) is active in the NPPES registry as of the last update on 2014-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.