Utpal Patel, MD
NPI 1558332551 · Pain Medicine (Anesthesiology) Physician · Pembroke, NC
Enrolled with Medicare as Practitioner - Anesthesiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Utpal Patel, MD is a Pain Medicine (Anesthesiology) Physician provider in Pembroke, NC (NPI 1558332551).
Provider details
- NPI number
- 1558332551
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036115510 (IL)
Specialties & taxonomies
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
20 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
937 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 | 548 | $118 |
| Testing for Presence of Drug, Read By Direct Observation80305 | 171 | $11 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 40 | $156 |
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 39 | $233 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Each Additional Facet Joint64636 | 38 | $217 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 654 | 81 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 587 | 111 |
| Gabapentin | 236 | 55 |
| Tramadol Hcl | 174 | 42 |
| Oxycodone Hcl | 160 | 23 |
| Pregabalin | 110 | 20 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$133 across 10 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)
- 5511 Raeford Rd Ste 100Fayetteville, NC 28304-2056Phone: (910) 561-9727Fax: (866) 950-0218
Registry dates
- Enumerated
- 2006-01-28
- Last updated
- 2021-12-09
- Certified
- 2021-12-04
Frequently asked questions
- What is Utpal Patel's NPI number?
- Utpal Patel's National Provider Identifier (NPI) is 1558332551, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Utpal Patel's specialty?
- Utpal Patel is listed in the NPPES registry with a primary specialty of Pain Medicine (Anesthesiology) Physician (Allopathic & Osteopathic Physicians).
- Where is Utpal Patel located?
- Utpal Patel's practice location on file with NPPES is 812 Candy Park Rd Ste 6103, Pembroke, NC 28372-9121.
- What is Utpal Patel's phone number?
- The practice phone number listed in the NPPES registry for Utpal Patel is (910) 561-9727.
- Does Utpal Patel accept Medicare?
- Utpal Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Utpal Patel's NPI active?
- Yes — Utpal Patel's NPI (1558332551) is active in the NPPES registry as of the last update on 2021-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.