Ketan Patel, M.D.
NPI 1316320864 · Pain Medicine Physician · Fullerton, CA
Enrolled with Medicare as Practitioner - Physical Medicine and Rehabilitation · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ketan Patel, M.D. is a Pain Medicine Physician provider in Fullerton, CA (NPI 1316320864).
Provider details
- NPI number
- 1316320864
- Entity type
- Individual
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- A184155 (CA)
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
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
4,659 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 | 2,956 | $114 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 506 | $139 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 313 | $17 |
| Initial Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, 50 Minutes Or More99306 | 196 | $190 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 152 | $179 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 52 | 23 |
| Gabapentin | 41 | 22 |
| Tramadol Hcl | 29 | 16 |
| Acetaminophen With Codeinebrand: Acetaminophen-Codeine | 21 | — |
| Tizanidine Hcl | 19 | 13 |
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 , 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.
$423 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 (1)
- 2141 Route 88 Ste 3Brick, NJ 08724-3268Phone: (732) 898-7050Fax: (732) 898-7051
Registry dates
- Enumerated
- 2015-07-01
- Last updated
- 2023-10-02
- Certified
- 2023-10-02
Frequently asked questions
- What is Ketan Patel's NPI number?
- Ketan Patel's National Provider Identifier (NPI) is 1316320864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ketan Patel's specialty?
- Ketan Patel is listed in the NPPES registry with a primary specialty of Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ketan Patel located?
- Ketan Patel's practice location on file with NPPES is 2720 N Harbor Blvd Ste 210, Fullerton, CA 92835-2626.
- What is Ketan Patel's phone number?
- The practice phone number listed in the NPPES registry for Ketan Patel is (714) 446-5192.
- Does Ketan Patel accept Medicare?
- Ketan Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ketan Patel's NPI active?
- Yes — Ketan Patel's NPI (1316320864) is active in the NPPES registry as of the last update on 2023-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.