Medicare Enrolled
Dr. Nileshkumar Patel, MD
Family Medicine · Patchogue, NY
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
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. Nileshkumar Patel is a family medicine specialist in Patchogue, NY, with 19 years of NPI registration. Based on federal Medicare data, Dr. Patel performed 11,717 Medicare services across 6,798 unique beneficiaries.
Between the years covered by Open Payments, Dr. Patel received a total of $7,217 from 36 pharmaceutical and/or device companies across 389 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
▲ Top 1% volume in NY
$7,217 industry payments
Medicare Practice Summary
Medicare Utilization ↗11,717
Medicare services
Top 1% in NY for family medicine
6,798
Unique beneficiaries
$25
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~617 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 (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. |
991 | $111 | $250 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
567 | $8 | $15 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
501 | $10 | $60 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
497 | $8 | $60 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
492 | $13 | $40 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
492 | $16 | $30 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
491 | $9 | $25 |
| Total T3 thyroid hormone test A blood test that measures the total amount of triiodothyronine (T3) hormone in your body. T3 is a thyroid hormone that helps regulate metabolism and energy levels. |
491 | $14 | $30 |
| Iron level test | 490 | $6 | $15 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
490 | $9 | $35 |
| Lactate dehydrogenase (LDH) level test A blood test that measures the amount of lactate dehydrogenase, an enzyme found in many body tissues. It helps assess tissue damage or disease. |
490 | $6 | $40 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
490 | $7 | $13 |
| Phosphate level test A blood test that measures the amount of phosphate in your body. Phosphate is a mineral that helps keep bones and teeth strong. |
490 | $5 | $25 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
490 | $4 | $11 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
489 | $10 | $30 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
462 | $29 | $70 |
| Glutamyltransferase (GGT) level test A blood test that measures the level of the liver enzyme glutamyltransferase (GGT) to help evaluate liver health. |
446 | $7 | $40 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
436 | $30 | $100 |
| 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. |
317 | $77 | $125 |
| Annual intensive behavioral therapy for cardiovascular disease, 15 minutes A yearly, in-person session focused on intensive behavioral therapy to help manage cardiovascular disease. The session lasts for 15 minutes and is conducted with the patient individually. |
222 | $31 | $60 |
| 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. |
190 | $13 | $62 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
185 | $1 | $60 |
| Annual depression screening | 171 | $22 | $50 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
127 | $151 | $200 |
| PSA test (prostate cancer screening) | 120 | $18 | $40 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
118 | $17 | $75 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
94 | $15 | $30 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
93 | $13 | $35 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
93 | $14 | $35 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
88 | $12 | $65 |
| High-sensitivity C-reactive protein test A blood test that measures high-sensitivity C-reactive protein to detect infection or inflammation. |
83 | $13 | $25 |
| Rheumatoid factor level | 83 | $6 | $20 |
| Computerized hearing test with interpretation A hearing test that uses a probe to measure sound responses, followed by a professional review and written report of the results. |
74 | $17 | $125 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
62 | $36 | $45 |
| Free PSA test A blood test that measures the amount of unbound prostate-specific antigen in the blood. |
54 | $18 | $50 |
| Flu vaccine, quadrivalent A flu shot containing four strains of the influenza virus to help prevent seasonal influenza infection. |
53 | $76 | $80 |
| 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. |
43 | $188 | $355 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
42 | $25 | $50 |
| Respiratory virus test for SARS-CoV-2, influenza A/B, and RSV A laboratory test that detects the presence of SARS-CoV-2 (COVID-19), influenza A, influenza B, and respiratory syncytial virus (RSV) in an upper respiratory specimen. |
28 | $140 | $350 |
| 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. |
23 | $75 | $150 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
16 | $6 | $20 |
| 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. |
15 | $88 | $250 |
| 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. |
14 | $49 | $177 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
14 | $193 | $225 |
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 ↗$7,217
Total received (2018-2024)
Avg $1,031/year across 7 years
Top 8% in NY for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
36
Companies
389
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
$7,217 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$586
2023
$536
2022
$740
2021
$883
2020
$680
2019
$1,514
2018
$2,278
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$300
Exact Sciences Corporation
$52
Boehringer Ingelheim Pharmaceuticals, Inc.
$48
PFIZER INC.
$38
SANOFI-AVENTIS U.S. LLC
$25
Abbott Laboratories
$23
ABBVIE INC.
$22
GlaxoSmithKline, LLC.
$21
Novo Nordisk Inc
$20
Lilly USA, LLC
$19
Avvisto Therapeutics, LLC
$18
Top 3 companies account for 68.2% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$1,290
Lilly USA, LLC
$635
Boehringer Ingelheim Pharmaceuticals, Inc.
$609
PFIZER INC.
$538
Novo Nordisk Inc
$507
SANOFI-AVENTIS U.S. LLC
$466
Amgen Inc.
$381
Merck Sharp & Dohme Corporation
$290
AbbVie Inc.
$269
Janssen Pharmaceuticals, Inc
$242
Novartis Pharmaceuticals Corporation
$238
Medtronic Vascular, Inc.
$218
Avanir Pharmaceuticals, Inc.
$163
Exact Sciences Corporation
$144
Amarin Pharma Inc.
$142
Abbott Laboratories
$120
E.R. Squibb & Sons, L.L.C.
$112
ABIOMED
$107
Allergan Inc.
$104
Daiichi Sankyo Inc.
$102
GlaxoSmithKline, LLC.
$92
Merck Sharp & Dohme LLC
$63
Penumbra, Inc.
$61
Allergan, Inc.
$55
AbbVie, Inc.
$36
ARBOR PHARMACEUTICALS, INC.
$36
Takeda Pharmaceuticals U.S.A., Inc.
$29
Astellas Pharma US Inc
$28
Melinta Therapeutics, Inc.
$26
ABBVIE INC.
$22
CARDIVA MEDICAL, INC.
$19
Avvisto Therapeutics, LLC
$18
Kowa Pharmaceuticals America, Inc.
$16
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$15
SANOFI PASTEUR INC.
$15
Grifols USA, LLC
$11
Top 3 companies account for 35.1% of all-time payments
Associated products mentioned in payments ›
ADACEL · AIRSUPRA · ANORO · Aimovig · BASAGLAR · BELSOMRA · BREZTRI · BREZTRI AEROSPHERE · BYSTOLIC · Baxdela · CHANTIX · CREON · CYCLOSET · Cologuard Collection Kit · CoreValve Evolut · Creon · ELIQUIS · EMGALITY · ENTRESTO · Edarbi · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre · FreeStyle Libre 2 · GATTEX · INJECTAFER · Impella · Indigo · JANUVIA · JARDIANCE · LINZESS · LOKELMA · LYRICA · Livalo · MOUNJARO · NUEDEXTA · Ozempic · PNEUMOVAX 23 · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Perclose ProGlide suture mediated closure system · Prolastin-C Liquid · Prolia · QULIPTA · Repatha · SHINGRIX · SIVEXTRO · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · SYNJARDY · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · TZIELD · UBRELVY · VESICARE · VIBERZI · VRAYLAR · Vascepa · Vascular Closure Device · Victoza · XARELTO · XIFAXAN · Xultophy 100/3.6
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. Total industry engagement is in the top 8% for family medicine in NY.
Geographic Context
Family medicine physicians within 10 mi
470
Per 100K population
30.8
County median income
$128,329
Nearest hospital
LONG ISLAND COMMUNITY HOSPITAL
0.0 mi
0.0 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 mixed practice specialist, with above-average Medicare volume (top 1% in NY), with low-engagement industry engagement in the top 8% of NY 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 (30-39 min)?
Based on Medicare claims data, Dr. Patel performed 991 office visit, established patient (30-39 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 $7,217 from 36 companies across 389 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 Patchogue?
Dr. Patel's average Medicare payment per service is $25. 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.
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