Pravinchandra Patel, M.D.
NPI 1326055609 · Gastroenterology Physician · Columbus, GA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pravinchandra Patel, M.D. is a Gastroenterology Physician provider in Columbus, GA (NPI 1326055609).
Provider details
- NPI number
- 1326055609
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 027888 (GA)
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
19 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
1,047 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 181 | $119 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 162 | $85 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 160 | $248 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 114 | $103 |
| Stool Analysis for Blood, By Peroxidase Activity82272 | 60 | $4 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 23 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 514 | 232 |
| Linaclotidebrand: Linzess | 160 | 60 |
| Omeprazole | 151 | 74 |
| Sucralfate | 129 | 52 |
| Sodium Chloride/Nahco3/Kcl/Pegbrand: Peg 3350-Electrolyte | 120 | 108 |
| Dicyclomine Hcl | 41 | 18 |
| Esomeprazole Magnesium | 37 | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,386 across 66 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
- 2006-08-01
- Last updated
- 2007-07-08
Frequently asked questions
- What is Pravinchandra Patel's NPI number?
- Pravinchandra Patel's National Provider Identifier (NPI) is 1326055609, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pravinchandra Patel's specialty?
- Pravinchandra Patel is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Pravinchandra Patel located?
- Pravinchandra Patel's practice location on file with NPPES is 1130 Talbotton Rd, Columbus, GA 31904-8749.
- What is Pravinchandra Patel's phone number?
- The practice phone number listed in the NPPES registry for Pravinchandra Patel is (706) 327-0700.
- Does Pravinchandra Patel accept Medicare?
- Pravinchandra Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pravinchandra Patel's NPI active?
- Yes — Pravinchandra Patel's NPI (1326055609) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.