Medicare Enrolled

Dr. Kalpeshkumar Patel, MD

Family Medicine · Old Bridge, NJ
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
2 HOSPITAL PLZ STE 320, Old Bridge, NJ 08857
7326258200
In practice since 2007 (19 years)
NPI: 1922125038 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 →
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What this data tells you about Dr. Patel

Dr. Kalpeshkumar Patel is a family medicine specialist in Old Bridge, NJ, with 19 years of NPI registration. Based on federal Medicare data, Dr. Patel performed 519 Medicare services across 438 unique beneficiaries.

Between the years covered by Open Payments, Dr. Patel received a total of $2,965 from 21 pharmaceutical and/or device companies across 69 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.

✓ 19 years in practice ▲ 519 Medicare services $2,965 industry payments

Medicare Practice Summary

Medicare Utilization ↗
519
Medicare services
Bottom 44% in NJ for family medicine
438
Unique beneficiaries
$76
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~27 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
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.
 293 $73 $247
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
 111 $84 $362
Sleep study with heart rate and breathing monitoring
A sleep study that monitors heart rate, breathing patterns, and sleep duration. This test records physiological data while you sleep to assess your sleep quality and breathing function.
 49 $32 $172
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.
 40 $101 $368
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.
 26 $126 $551
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 ↗
$2,965
Total received (2018-2024)
Avg $593/year across 5 years
Top 17% in NJ for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
21
Companies
69
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
$2,790 (94.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$175 (5.9%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$951
2023
$284
2022
$1,593
2019
$28
2018
$109

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Avadel CNS Pharmaceuticals, LLC
$465
Inspire Medical Systems, Inc.
$105
Harmony Biosciences Llc
$97
JAZZ PHARMACEUTICALS INC.
$63
GlaxoSmithKline, LLC.
$57
Optinose US, Inc.
$45
HARMONY BIOSCIENCES LLC
$38
Takeda Pharmaceuticals U.S.A., Inc.
$18
AstraZeneca Pharmaceuticals LP
$17
Philips North America LLC
$16
GENZYME CORPORATION
$15
Mylan Specialty L.P.
$14
Top 3 companies account for 70.2% of 2024 payments
All-time payments by company (2018-2024) ›
Inspire Medical Systems, Inc.
$1,490
Avadel CNS Pharmaceuticals, LLC
$465
Harmony Biosciences LLC
$175
GlaxoSmithKline, LLC.
$133
Harmony Biosciences Llc
$97
Jazz Pharmaceuticals Inc.
$96
Mylan Specialty L.P.
$79
JAZZ PHARMACEUTICALS INC.
$63
AstraZeneca Pharmaceuticals LP
$60
Optinose US, Inc.
$45
HARMONY BIOSCIENCES LLC
$38
Amgen Inc.
$30
GENZYME CORPORATION
$30
Regeneron Healthcare Solutions, Inc.
$29
Genentech USA, Inc.
$28
Janssen Pharmaceuticals, Inc
$27
kaleo, Inc.
$19
Takeda Pharmaceuticals U.S.A., Inc.
$18
Philips North America LLC
$16
Boehringer Ingelheim Pharmaceuticals, Inc.
$14
PFIZER INC.
$12
Top 3 companies account for 71.9% of all-time payments
Associated products mentioned in payments ›
(AK6) Vest Therapy · AREXVY · AUVI-Q · DUPIXENT · ELIQUIS · FASENRA · GLASSIA · INSPIRE · Inspire Upper Airway Stimulation System · LUMRYZ · NUCALA · OFEV · SHINGRIX · TEZSPIRE · TRELEGY ELLIPTA · WAKIX · Wakix · XARELTO · XYWAV · Xhance · Xofluza · Xyrem · YUPELRI · 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 (94%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

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

Geographic Context

Family medicine physicians within 10 mi
1,140
Per 100K population
132.3
County median income
$109,028
Nearest hospital
BAYSHORE MEDICAL CENTER
8.3 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 moderate Medicare volume, with low-engagement industry engagement in the top 17% of NJ peers, with 19 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 office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Patel performed 293 office visit, established patient (20-29 min) 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 $2,965 from 21 companies across 69 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 Old Bridge?
Dr. Patel's average Medicare payment per service is $76. 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 →

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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 →