Sunay Patel, DO
NPI 1417511858 · Interventional Pain Medicine Physician · Lawrenceville, GA
Enrolled with Medicare as Practitioner - Interventional Pain Management · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sunay Patel, DO is a Interventional Pain Medicine Physician provider in Lawrenceville, GA (NPI 1417511858).
Provider details
- NPI number
- 1417511858
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 101619 (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
7 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
197 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 | 129 | $81 |
| Drug Test(s), Definitive, Utilizing (1) Drug Identification Methods Able to Identify Individual Drugs and Distinguish Between Structural Isomers (but Not Necessarily Stereoisomers), Including, But Not Limited to Gc/Ms (any Type, Single Or Tandem) and Lc/MsG0480 | 39 | $112 |
| Testing for Presence of Drug, Read By Direct Observation80305 | 29 | $12 |
Typical Medicare-allowed amounts for these services range $12–$112 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
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 |
|---|---|---|
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 323 | 222 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 285 | 213 |
| Oxycodone Hcl | 110 | 74 |
| Pregabalin | 106 | 81 |
| Gabapentin | 71 | 57 |
| Buprenorphine | 59 | 44 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,152 across 20 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)
- 658 N Chase St Ste 101Athens, GA 30601-1960Phone: (770) 962-3642Fax: (770) 962-3643
Registry dates
- Enumerated
- 2019-04-30
- Last updated
- 2024-09-26
- Certified
- 2024-09-26
Frequently asked questions
- What is Sunay Patel's NPI number?
- Sunay Patel's National Provider Identifier (NPI) is 1417511858, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sunay Patel's specialty?
- Sunay Patel is listed in the NPPES registry with a primary specialty of Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sunay Patel located?
- Sunay Patel's practice location on file with NPPES is 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768.
- What is Sunay Patel's phone number?
- The practice phone number listed in the NPPES registry for Sunay Patel is (770) 962-3642.
- Does Sunay Patel accept Medicare?
- Sunay Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sunay Patel's NPI active?
- Yes — Sunay Patel's NPI (1417511858) is active in the NPPES registry as of the last update on 2024-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.