Doctor profile · Federal record

Dr. Nilay Patel, MD

Sports Medicine (Orthopaedic Surgery) Physician (CMS: Orthopedic Surgery) · Hiram, GA

  • NPI 1356738108
  • Accepts Medicare
  • MIPS 90.2 / 100 · 2023
  • 11 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
2518 Jimmy Lee Smith Pkwy
Hiram, GA 301412068
(404) 321-9900
Additional location
148 Bill Carruth Pkwy Ste 120
Hiram, GA 301413756
(943) 202-7010
fax (470) 986-7005

Credentials & registration

NPPES · NUCC
NPI registered
April 2015 — 11 yrs on file
Profile last updated
November 14, 2022
Year of graduation
2015 — 11 yrs since
Specialty taxonomy
207XX0005X — NUCC code
State license (1)
Georgia #92481

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1356738108. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
976
Distinct HCPCS
10
Medicare allowed
$78,773
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 178 102 $89
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 151 54 $6
20610 Aspiration and/or injection of fluid from large joint 123 69 $69
99203 New patient office or other outpatient visit, 30-44 minutes 122 122 $111
99204 New patient office or other outpatient visit, 45-59 minutes 68 68 $165
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 64 17 $125
99214 Established patient office or other outpatient visit, 30-39 minutes 63 49 $126
73030 X-ray of shoulder, minimum of 2 views 45 35 $35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 31 31 $129
73562 X-ray of knee, 3 views 30 30 $41

In context: peer comparison

Among 1 peers in Hiram Sports Medicine (Orthopaedic Surgery) Physician, average services per provider: 65. This provider delivers 15× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$198
Transactions
5
Manufacturers
5
Payer (manufacturer) Industry Txns Amount
Stryker Corporation 1 $57.64
United Orthopedics LLC 1 $51.87
Bioventus LLC 1 $45.82
DePuy Synthes Sales INC. 1 $23.01
Anika Therapeutics, INC. 1 $19.90

By nature of payment

Food and Beverage
$198

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
298
Patients
151
Total drug cost
$2,233
Drug Type Claims Patients Total cost
Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) Brand 72 34 $751
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 61 28 $553
Meloxicam Generic 55 24 $365
Ibuprofen Generic 30 16 $173
Tramadol Hcl Generic 26 22 $78
Ondansetron Hcl Generic 15 15 $47
Cyclobenzaprine Hcl Generic 13 0 $36
Diclofenac Sodium Generic 13 0 $146
Methylprednisolone Generic 13 12 $84

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Nilay Patel's medical specialty?
Dr. Nilay Patel practices Sports Medicine (Orthopaedic Surgery) Physician in Hiram, GA.
Where does Dr. Nilay Patel practice?
Dr. Nilay Patel practices at 2518 Jimmy Lee Smith Pkwy, Hiram, GA 301412068. Office phone: 4043219900.
What is Dr. Nilay Patel's NPI?
Dr. Nilay Patel's National Provider Identifier (NPI) is 1356738108, issued by NPPES.
Does Dr. Nilay Patel accept Medicare assignment?
Yes. Dr. Nilay Patel accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nilay Patel commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS J0702); Aspiration and/or injection of fluid from large joint (HCPCS 20610). Source: CMS Medicare Physician & Other Practitioners file.