Ketan Hirapara, MD
NPI 1346602562 · Pain Medicine Physician · Edison, NJ
Provider details
- NPI number
- 1346602562
- Entity type
- Individual
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA10736900 (NJ)
Specialties & taxonomies
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
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
3,064 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 | 886 | $134 |
| Care Management Services for Behavioral Health Conditions, 20 Minutes Or More Clinical Staff Time Directed By Health Care Professional99484 | 415 | $58 |
| 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 | 390 | $17 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 346 | $98 |
| Psychotherapy With Evaluation and Management Visit, 30 Minutes90833 | 290 | $72 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$998 across 56 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 (2)
- 2500 Morris Ave Ste 220Union, NJ 07083-5675Phone: (732) 906-9600Fax: (732) 906-9300
- 2500 Morris Ave Ste 220Union, NJ 07083-5675Phone: (732) 906-9600Fax: (732) 377-0393
Registry dates
- Enumerated
- 2016-03-26
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.