Priya Patel
NPI 1497384747 · Foot & Ankle Surgery Podiatrist · West Orange, NJ
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priya Patel is a Foot & Ankle Surgery Podiatrist provider in West Orange, NJ (NPI 1497384747).
Provider details
- NPI number
- 1497384747
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 25MD00374400 (NJ)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
6 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
311 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 | 112 | $98 |
| Removal of Fingernails Or Toenails, 6 Or More Nails11721 | 51 | $49 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less11042 | 48 | $130 |
| X-Ray of Foot, Minimum of 3 Views73630 | 42 | $39 |
| Simple Or Single Drainage of Skin Abscess10060 | 36 | $130 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 22 | $122 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 15 | 11 |
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 no Part D record, 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.
$889 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)
- 1505 W Sherman AveVineland, NJ 08360-7059Phone: (856) 641-8000
Registry dates
- Enumerated
- 2020-04-07
- Last updated
- 2023-07-25
- Certified
- 2023-07-25
Frequently asked questions
- What is Priya Patel's NPI number?
- Priya Patel's National Provider Identifier (NPI) is 1497384747, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priya Patel's specialty?
- Priya Patel is listed in the NPPES registry with a primary specialty of Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Priya Patel located?
- Priya Patel's practice location on file with NPPES is 1500 Pleasant Valley Way Ste 204, West Orange, NJ 07052-2955.
- What is Priya Patel's phone number?
- The practice phone number listed in the NPPES registry for Priya Patel is (973) 731-1266.
- Does Priya Patel accept Medicare?
- Priya Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priya Patel's NPI active?
- Yes — Priya Patel's NPI (1497384747) is active in the NPPES registry as of the last update on 2023-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.