Dr. Nilesh Patel, MD
1809 Brenner Ave Ste 202, Salisbury, NC 28144 • +1-238-555-6135
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Salisbury Percentiles
NPI #1053397562 • CBSA Regional • Pulmonary Disease
Operating out of Salisbury, NC (1809 Brenner Ave Ste 202), Pulmonary Disease clinician Dr. Nilesh Patel, MD (accredited MD/DO training, 2012) maintains a mid-cohort balanced caseload (50th Salisbury percentile) (97.8th NC percentile; Z-score +2.85σ across 38,099 documented services) with sub-specialty concentration in 57 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1053397562 highlights 15621 annual claims for 99214 (50th Salisbury percentile; $43–$60 self-pay corridor) plus 8763 encounters under 94060 and 6477 under 94729.
For out-of-network patients contacting +1-238-555-6135, Dr. Patel's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.55/5 composite reality score over 26 submissions).
Patients evaluating Dr. Nilesh Patel in ZIP 28144 note 14 years of post-doctoral tenure (null, 2012) alongside 67.7 annual CMS procedures per patient.
Compared against Salisbury, NC Pulmonary Disease peers
38,099 annual services across 563 beneficiaries
Standard deviations from NC Pulmonary Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Pulmonary, Asthma & COPD Management | 15,621 | 50th | $43 – $60 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 8,763 | 47th | $28 – $43 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 6,477 | 54th | $26 – $41 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 4,191 | 52th | $79 – $109 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 3,048 | 46th | $61 – $84 |
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Dr. Nilesh Patel, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Patel National Provider Identifier | NPI #1053397562 (MD) | CMS NPPES Registry (28144) |
| Dr. Patel Salisbury CMS Volume Rank | 50.00th Pct (38,099 CMS svcs; Z +2.850σ) | CMS Medicare Part B (NC Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Salisbury, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.96/5 Listening • 4.87/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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