Medicare Enrolled
Dr. Nilesh Patel, MD
Family Medicine · Audubon, PA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Nilesh Patel is a family medicine specialist in Audubon, PA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Patel performed 1,857 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Patel received a total of $21,268 from 48 pharmaceutical and/or device companies across 849 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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 of NPI registration
▲ Top 9% volume in PA
$21,268 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗1,857
Medicare services
Top 9% in PA for family medicine
Not available
Unique patients (not deduplicated)
$65
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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. |
507 | $65 | $150 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
439 | $8 | $15 |
| 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. |
431 | $98 | $200 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
133 | $32 | $50 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
119 | $72 | $100 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
114 | $134 | $200 |
| 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. |
33 | $227 | $350 |
| 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. |
17 | $11 | $70 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
15 | $32 | $50 |
| Influenza vaccine, quadrivalent, 0.5 ml dosage | 13 | $20 | $50 |
| 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. |
13 | $113 | $250 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
12 | $171 | $250 |
| Pneumococcal conjugate vaccine (PCV15) An intramuscular injection of the 15-valent pneumococcal conjugate vaccine. This vaccine protects against 15 types of pneumococcal bacteria. |
11 | $241 | $300 |
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. These counts do not measure clinical quality or years of experience.
Industry Payment Transparency
Open Payments through 2024 ↗$21,268
Total received (2018-2024)
Avg $3,038/year across 7 years
Top 2% in PA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
48
Companies
849
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,879
2023
$1,897
2022
$3,331
2021
$4,923
2020
$2,439
2019
$3,579
2018
$3,220
Payments by company (2024)
AstraZeneca Pharmaceuticals LP
$611
Lilly USA, LLC
$242
Bayer Healthcare Pharmaceuticals Inc.
$217
PFIZER INC.
$183
Abbott Laboratories
$177
Exact Sciences Corporation
$137
Amgen Inc.
$91
Novo Nordisk Inc
$80
GlaxoSmithKline, LLC.
$39
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$30
Boehringer Ingelheim Pharmaceuticals, Inc.
$26
Vertos Medical, Inc.
$20
Merck Sharp & Dohme LLC
$14
ABBVIE INC.
$13
Top 3 companies account for 57.0% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$3,629
PFIZER INC.
$2,261
Novo Nordisk Inc
$2,123
Amgen Inc.
$2,036
Biohaven Pharmaceuticals, Inc.
$1,510
Lilly USA, LLC
$1,451
GlaxoSmithKline, LLC.
$791
Boehringer Ingelheim Pharmaceuticals, Inc.
$765
Baxter Healthcare
$682
Welch Allyn
$682
Astellas Pharma US Inc
$678
Celgene Corporation
$607
Merck Sharp & Dohme Corporation
$557
Bayer Healthcare Pharmaceuticals Inc.
$441
ABBVIE INC.
$380
Abbott Laboratories
$293
Allergan Inc.
$280
Allergan, Inc.
$257
AbbVie Inc.
$240
Exact Sciences Corporation
$213
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$212
Bayer HealthCare Pharmaceuticals Inc.
$145
Amarin Pharma Inc.
$94
Biohaven Pharmaceutical Holding Company Ltd.
$88
AbbVie, Inc.
$82
Janssen Pharmaceuticals, Inc
$79
E.R. Squibb & Sons, L.L.C.
$71
Medtronic MiniMed, Inc.
$71
Merck Sharp & Dohme LLC
$68
Kowa Pharmaceuticals America, Inc.
$66
Novartis Pharmaceuticals Corporation
$54
Teva Pharmaceuticals USA, Inc.
$38
SANOFI PASTEUR INC.
$36
Optos, Inc.
$35
Takeda Pharmaceuticals U.S.A., Inc.
$26
Sun Pharmaceutical Industries Inc.
$26
VAXSERVE INC.
$25
VBI Vaccine (Delaware) Inc.
$20
Vertos Medical, Inc.
$20
Regeneron Healthcare Solutions, Inc.
$19
SANOFI-AVENTIS U.S. LLC
$16
Upsher-Smith Laboratories LLC
$16
Scilex Pharmaceuticals Inc.
$15
ARBOR PHARMACEUTICALS, INC.
$15
UPSHER-SMITH LABORATORIES LLC
$15
Seqirus USA Inc
$15
VistaPharm, Inc.
$14
Aytu BioScience, Inc
$12
Top 3 companies account for 37.7% of all-time payments
Associated products mentioned in payments ›
ADVAIR · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · AVYCAZ · Aimovig · AirDuo Digihaler · BELSOMRA · BEXSERO · BREO · BREZTRI · BREZTRI AEROSPHERE · BYDUREON · BYSTOLIC · CHANTIX · COMIRNATY · Cologuard Collection Kit · DALVANCE · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · Edarbi · FARXIGA · FASENRA · FLUZONE QUADRIVALENT · FLUZONE QUADRIVALENT NORTHERN HEMISPHERE · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · Fluad · FreeStyle Libre 2 · GARDASIL · GARDASIL 9 · ILUMYA · JANUVIA · JARDIANCE · Kerendia · LINZESS · LOKELMA · LYRICA · Livalo · MOUNJARO · MYRBETRIQ · Minimed 630G · Myrbetriq · NO PRODUCT DISCUSSED · NURTEC ODT · None · Otezla · Ozempic · P200DTx · PNEUMOVAX 23 · PRADAXA · PRALUENT ALIROCUMAB INJECTION · PREMARIN · PREVNAR 13 · PREVNAR 20 · PreHevbrio · Prolia · QULIPTA · RYBELSUS · Repatha · Rybelsus · SHINGRIX · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STEGLATRO · SYMBICORT · SYNTHROID · Saxenda · Synthroid · TEFLARO · TOSYMRA · TOSYMRA SUMATRIPTAN NASAL SPRAY · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · Thyquidity · Tresiba · Trintellix · Tuzistra XR · UBRELVY · VRAYLAR · Vascepa · Victoza · Wegovy · XARELTO · XIFAXAN · Xultophy 100/3.6 · ZENPEP · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · mild Device Kit
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Family medicine physicians in nearby ZIP areas
2,086
County median income
$111,521
Nearest hospital to ZIP centroid (approximate)
VALLEY FORGE MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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 9% in PA), 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 office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Patel performed 507 office visit, established patient (20-29 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Patel receive payments from pharmaceutical companies?
Yes. Dr. Patel received a total of $21,268 from 48 companies across 849 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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 Audubon?
Dr. Patel's average Medicare payment per service is $65. 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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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