Medicare Enrolled

Dr. Ketul Patel, M.D.

Gastroenterology · Port Orange, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
3635 S CLYDE MORRIS BLVD, Port Orange, FL 32129
3867881242
In practice since 2007 (19 years)
NPI: 1336262146 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Patel from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Patel? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Patel

Dr. Ketul Patel is a gastroenterology in Port Orange, FL, with 19 years in practice. Based on federal Medicare data, Dr. Patel performed 1,156 Medicare services across 1,097 unique beneficiaries.

Between the years covered by Open Payments, Dr. Patel received a total of $5,097 from 39 pharmaceutical and/or device companies across 167 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Patel is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice▲ Top 27% volume in FL$ $5,097 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,156
Medicare services
Top 27% in FL for gastroenterology
1,097
Unique beneficiaries
$120
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~61 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

ProcedureVolumeAvg. paidAvg. submitted
Upper GI endoscopy with biopsy249$49$650
Removal of polyps or growths of large bowel using an endoscope with mechanical snare124$206$1,210
Hospital follow-up visit, high complexity122$96$250
New patient office visit (45-59 min)118$120$400
Initial hospital admission, high complexity105$138$400
Colorectal cancer screening; colonoscopy on individual at high risk75$185$800
Colonoscopy with biopsy66$98$850
Office visit, established patient (30-39 min)66$96$275
Insertion of guide wire with dilation of esophagus using a flexible endoscope63$101$636
New patient office visit (30-44 min)36$69$300
Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope32$167$669
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope28$108$1,547
Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope26$186$883
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk22$181$786
Removal of large bowel tissue using a flexible endoscope13$271$1,265
Insertion of stent into pancreatic or bile duct using a flexible endoscope11$373$1,536
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
1.0% high complexity
40.7% medium
58.4% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$5,097
Total received (2018-2024)
Avg $728/year across 7 years
Top 34% in FL for gastroenterology
39
Companies
167
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,097 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$617
2023
$432
2022
$223
2021
$663
2020
$137
2019
$1,629
2018
$1,396

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Olympus Corporation of the Americas
$1,877
ABBVIE INC.
$426
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$323
AbbVie Inc.
$303
Phathom Pharmaceuticals, Inc.
$252
AbbVie, Inc.
$214
Boston Scientific Corporation
$211
Janssen Biotech, Inc.
$191
Aries Pharmaceuticals, Inc.
$168
Nestle HealthCare Nutrition Inc.
$135
GI Supply, Inc.
$103
Celgene Corporation
$99
Takeda Pharmaceuticals U.S.A., Inc.
$77
Ardelyx, Inc.
$76
Allergan Inc.
$55
Ironwood Pharmaceuticals, Inc
$53
Medtronic, Inc.
$46
Ipsen Biopharmaceuticals, Inc
$45
Daiichi Sankyo Inc.
$43
GENZYME CORPORATION
$39
Gilead Sciences, Inc.
$37
Regeneron Healthcare Solutions, Inc.
$30
Olympus America Inc.
$30
Synergy Pharmaceuticals Inc
$30
BOSTON SCIENTIFIC CORPORATION
$21
VIVUS, Inc.
$20
Braintree Laboratories, Inc.
$20
UCB, Inc.
$18
PENTAX of America, Inc.
$18
Intercept Pharmaceuticals, Inc.
$16
Otsuka America Pharmaceutical, Inc.
$16
Apollo Endosurgery US Inc
$15
Allergan, Inc.
$15
Ethicon US, LLC
$15
Shire North American Group Inc
$14
Merck Sharp & Dohme Corporation
$14
NESTLE HEALTHCARE NUTRITION INC.
$13
INTERCEPT PHARMACEUTICALS, INC.
$12
Romark Laboratories, LC
$7
Top 3 companies account for 51.5% of total payments
Associated products mentioned in payments ›
ACQUIRE · Alinia Tablets 500mg 30 count bottle · Amitiza · BREATHTEK · C2 CryoBalloon · CREON · Cimzia · Creon · DIFICID · DUPIXENT · ELEVIEW · ENTYVIO · EndoClot PHS · GATTEX · GENERAL BILIARY DEVICES · GI Genius · HUMIRA · Humira · IBSRELA · INJECTAFER · IQIRVO · LINX Reflux Management System · LINZESS · Linzess · MAVYRET · Mavyret · OCALIVA · Olympus EMR & ESD Devices · Orbera · QSYMIA · RELISTOR · REMICADE · RINVOQ · SINGLE USE LIGATING DEVICE · SKYRIZI · SPYGLASS · STELARA · SUTAB · Trulance · VIBERZI · VOQUEZNA · XIFAXAN · XIFIXAN · ZENPEP · ZEPOSIA
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $441 per 100 Medicare services performed
Looking for a gastroenterology in Port Orange?
Compare gastroenterologys in the Port Orange area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Gastroenterologys within 10 mi
31
Per 100K population
5.5
County median income
$66,581
Nearest hospital
HALIFAX HEALTH MEDICAL CENTER
4.1 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Patel is a clinical cardiology specialist, with above-average Medicare volume (top 27% in FL), and low-engagement industry engagement, with 19 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Patel experienced with upper gi endoscopy with biopsy?
Based on Medicare claims data, Dr. Patel performed 249 upper gi endoscopy with biopsy services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Patel receive payments from pharmaceutical companies?
Yes. Dr. Patel received a total of $5,097 from 39 companies across 167 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Patel's costs compare to other gastroenterologys in Port Orange?
Dr. Patel's average Medicare payment per service is $120. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Patel) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →