Hetal Patel, M.D.
NPI 1689991481 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Lexington, KY
Enrolled with Medicare as Practitioner - Thoracic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hetal Patel, M.D. is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider in Lexington, KY (NPI 1689991481).
Provider details
- NPI number
- 1689991481
- Entity type
- Individual
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 48363 (KY)
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
16 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
261 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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 60 | $204 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 34 | $156 |
| Coronary Artery Bypass Using Artery Graft, 1 Graft33533 | 33 | $1,552 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 28 | $120 |
| Harvest of Vein Using an Endoscope33508 | 24 | $14 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 |
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 |
|---|---|---|
| Mupirocin | 26 | 26 |
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.
$352 across 24 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
- 2010-05-03
- Last updated
- 2015-08-30
Frequently asked questions
- What is Hetal Patel's NPI number?
- Hetal Patel's National Provider Identifier (NPI) is 1689991481, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hetal Patel's specialty?
- Hetal Patel is listed in the NPPES registry with a primary specialty of Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Hetal Patel located?
- Hetal Patel's practice location on file with NPPES is 740 S Limestone, Lexington, KY 40536-0293.
- What is Hetal Patel's phone number?
- The practice phone number listed in the NPPES registry for Hetal Patel is (859) 323-5057.
- Does Hetal Patel accept Medicare?
- Hetal Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hetal Patel's NPI active?
- Yes — Hetal Patel's NPI (1689991481) is active in the NPPES registry as of the last update on 2015-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.