Medicare Enrolled

Dr. Piyush Patel, M.D.

Family Medicine · Columbus, GA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
5363 VETERANS PKWY, Columbus, GA 31904
7065075441
In practice since 2006 (20 years)
NPI: 1629011283 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. Piyush Patel is a family medicine specialist in Columbus, GA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Patel performed 8,820 Medicare services across 2,730 unique beneficiaries.

Between the years covered by Open Payments, Dr. Patel received a total of $11,582 from 53 pharmaceutical and/or device companies across 534 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice ▲ Top 2% volume in GA $11,582 industry payments

Medicare Practice Summary

Medicare Utilization ↗
8,820
Medicare services
Top 2% in GA for family medicine
2,730
Unique beneficiaries
$57
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~441 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.

Procedure Volume Avg. paid Avg. submitted
Nursing facility visit, moderate complexity
A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes.
2,400 $79 $228
Chronic care management, first 20 min/month
This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions.
1,493 $45 $103
Remote patient monitoring management, 20 min/month
Management based on results from remote vital sign monitoring for the first 20 minutes per calendar month.
1,454 $32 $104
Remote patient monitoring device, 30 days
Initial setup of devices for remote monitoring of body functions with daily data transmission or alerts. This service covers the first 30 days of the monitoring period.
1,164 $32 $102
Home visit, established patient, moderate complexity
A home visit for an established patient involving moderate medical decision making. The visit requires at least 40 minutes of time if time is used to determine the level of service.
414 $96 $323
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
259 $80 $328
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
221 $120 $334
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
183 $53 $231
Behavioral health care management, 20+ minutes
This service involves clinical staff time directed by a healthcare professional to manage behavioral health conditions. It requires at least 20 minutes of dedicated clinical staff time.
176 $32 $117
Home health plan of care re-certification
A physician reviews the patient's status and contacts the home health agency to re-certify the plan of care without the patient being present.
146 $28 $104
Blood glucose test using hand-held instrument
A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels.
120 $3 $35
Home health plan of care certification
Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians.
103 $35 $133
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 102 $175 $707
Advance care planning consultation, first 30 min
A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion.
91 $74 $215
Chronic care management, additional 20 min/month
This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month.
84 $35 $94
Annual depression screening 72 $17 $47
Drug injection, under skin or into muscle
A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle.
71 $8 $47
Home visit, new patient, moderate complexity
A home visit for a new patient involving moderate medical decision making, lasting at least 60 minutes.
31 $98 $453
Nursing facility visit, low complexity
A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care.
29 $56 $173
Drug test with direct observation
A drug screening test performed under direct observation to ensure the sample is provided correctly. This method is used to verify the integrity of the specimen collection process.
27 $12 $25
Quadrivalent influenza vaccine, cell culture-derived
A flu shot that protects against four strains of the influenza virus. It is produced using cell culture technology rather than traditional egg-based methods.
26 $32 $35
Flu vaccine administration
This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient.
26 $29 $45
Home visit, established patient, straightforward decision making
A home visit for an established patient involving straightforward medical decision making. The visit lasts at least 15 minutes when time is used to determine the level of service.
23 $34 $137
Chronic care management services
Comprehensive assessment and care planning for patients requiring ongoing chronic care management.
23 $34 $154
Home visit, established patient, low complexity
A physician visits an existing patient at their residence to provide care involving a low level of medical decision making. The visit lasts at least 30 minutes.
20 $55 $209
Transitional care management, high complexity
Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem.
17 $195 $704
Transitional care management services, moderate complexity
Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity.
16 $151 $520
Initial nursing facility care, moderate complexity
Initial care provided to a patient in a nursing facility with moderate medical decision making, taking at least 35 minutes.
15 $101 $324
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
14 $98 $425
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$11,582
Total received (2018-2024)
Avg $1,655/year across 7 years
Top 4% in GA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
53
Companies
534
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
$9,152 (79.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,430 (21.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$644
2023
$1,161
2022
$1,113
2021
$1,515
2020
$1,322
2019
$3,876
2018
$1,951

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$179
Bayer Healthcare Pharmaceuticals Inc.
$124
GlaxoSmithKline, LLC.
$109
Novo Nordisk Inc
$47
Lundbeck LLC
$35
ACADIA Pharmaceuticals Inc
$31
Boehringer Ingelheim Pharmaceuticals, Inc.
$30
Lilly USA, LLC
$29
Exact Sciences Corporation
$17
ABBVIE INC.
$15
Otsuka America Pharmaceutical, Inc.
$14
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$14
Top 3 companies account for 64.0% of 2024 payments
All-time payments by company (2018-2024) ›
Allergan, Inc.
$2,453
AstraZeneca Pharmaceuticals LP
$1,371
Sunovion Pharmaceuticals Inc.
$1,040
GlaxoSmithKline, LLC.
$930
Bayer HealthCare Pharmaceuticals Inc.
$488
Boehringer Ingelheim Pharmaceuticals, Inc.
$463
Janssen Pharmaceuticals, Inc
$426
Lilly USA, LLC
$406
PFIZER INC.
$356
SANOFI-AVENTIS U.S. LLC
$288
Bayer Healthcare Pharmaceuticals Inc.
$275
Novartis Pharmaceuticals Corporation
$268
Otsuka America Pharmaceutical, Inc.
$262
Novo Nordisk Inc
$221
Valeritas, Inc.
$187
Amarin Pharma Inc.
$159
Sumitomo Pharma America, Inc.
$155
ACADIA Pharmaceuticals Inc
$150
Gilead Sciences, Inc.
$143
ATRICURE, INC.
$126
AbbVie Inc.
$126
Merck Sharp & Dohme Corporation
$121
Avanir Pharmaceuticals, Inc.
$119
Eisai Inc.
$109
Astellas Pharma US Inc
$83
Teva Pharmaceuticals USA, Inc.
$73
Ironwood Pharmaceuticals, Inc
$65
Neurelis, Inc.
$56
Lundbeck LLC
$51
ABBVIE INC.
$50
Purdue Pharma L.P.
$49
Exact Sciences Corporation
$47
Alkermes, Inc.
$42
CMP Pharma, Inc.
$41
Abbott Laboratories
$39
Allergan Inc.
$33
EISAI INC.
$32
Esperion Therapeutics, Inc.
$31
Biohaven Pharmaceutical Holding Company Ltd.
$29
UCB, Inc.
$27
Edwards Lifesciences Corporation
$23
Corium, LLC
$22
UROVANT SCIENCES INC
$16
Mylan Specialty L.P.
$15
Aytu BioScience, Inc
$14
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$14
Shire North American Group Inc
$14
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$14
Kowa Pharmaceuticals America, Inc.
$14
Ironshore Pharmaceuticals Inc.
$13
IRONWOOD PHARMACEUTICALS, INC
$12
Genentech USA, Inc.
$11
Vertical Pharmaceuticals, LLC
$11
Top 3 companies account for 42.0% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AMYVID · ANORO · ANORO ELLIPTA · APTIOM · AREXVY · ARISTADA · AUSTEDO · Adlarity · BASAGLAR · BEVESPI AEROSPHERE · BREO · BREZTRI · BREZTRI AEROSPHERE · Briviact · CAPLYTA · CHANTIX · COLOGUARD · CaroSpir · Carospir · Cologuard Collection Kit · DUZALLO · Dayvigo · EMGALITY · ENTRESTO · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FARXIGA · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · Fycompa · GEMTESA · INVOKANA · JANUVIA · JARDIANCE · JORNAY PM · KYNMOBI · Kerendia · LEQVIO · LINZESS · LOKELMA · LYBALVI · LYRICA · Linzess · MOUNJARO · MYDAYIS · Myrbetriq · NEXLETOL · NUEDEXTA · NUPLAZID · NURTEC ODT · Nuedexta · OXYCONTIN · Ozempic · PREMARIN · PREVNAR 20 · QULIPTA · RELEXXII · REXULTI · Ranexa · Rybelsus · SEGLENTIS · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · SYMPROIC · TOUJEO · TRELEGY ELLIPTA · TRULICITY · Tuzistra XR · UBRELVY · V-GO · VALTOCO · VESICARE · VIBERZI · VRAYLAR · Vascepa · XARELTO · XIFAXAN · Xofluza · Yupelri
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 (79%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for family medicine in GA.

Looking for a family medicine specialist in Columbus?
Compare family medicine physicians in the Columbus area by procedure volume, costs, and industry payment transparency.
Browse family medicine physicians nearby

Geographic Context

Family medicine physicians within 10 mi
246
Per 100K population
120.4
County median income
$56,622
Nearest hospital
JACK HUGHSTON MEMORIAL HOSPITAL
4.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Patel is a clinical cardiology specialist, with above-average Medicare volume (top 2% in GA), with low-engagement industry engagement in the top 4% of GA peers, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Patel experienced with nursing facility visit, moderate complexity?
Based on Medicare claims data, Dr. Patel performed 2,400 nursing facility visit, moderate complexity 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 $11,582 from 53 companies across 534 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 family medicine physicians in Columbus?
Dr. Patel's average Medicare payment per service is $57. 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. Data Coverage reflects 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 →