Hetal Patel, M.D.
NPI 1851684617 · Otolaryngology Physician · Peoria, IL
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hetal Patel, M.D. is a Otolaryngology Physician provider in Peoria, IL (NPI 1851684617).
Provider details
- NPI number
- 1851684617
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- ME128163 (FL)
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
15 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
608 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 | 193 | $120 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 139 | $85 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 114 | $156 |
| Diagnostic Exam of Nasal Passages Using an Endoscope31231 | 84 | $169 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 24 | $119 |
| Incision of Fluid Canal of Inner Ear With Infusion of Drugs69801 | 20 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone Propionate | 63 | 26 |
| Ipratropium Bromide | 33 | 14 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 30 | 26 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 25 | 25 |
| Fluocinolone Acetonide Oil | 19 | 16 |
| Omeprazole | 18 | 15 |
| Dupilumab |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$468 across 14 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
- 2011-05-25
- Last updated
- 2017-10-02
Frequently asked questions
- What is Hetal Patel's NPI number?
- Hetal Patel's National Provider Identifier (NPI) is 1851684617, 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 Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Hetal Patel located?
- Hetal Patel's practice location on file with NPPES is 7301 Knoxville Ave, Peoria, IL 61614.
- What is Hetal Patel's phone number?
- The practice phone number listed in the NPPES registry for Hetal Patel is (309) 589-5900.
- 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 (1851684617) is active in the NPPES registry as of the last update on 2017-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.