Doctor profile · Federal record
Dr. Krunal Patel, M.D.
Gastroenterology Physician (CMS: Gastroenterology) · Internal Medicine Physician · Worcester, MA
- NPI 1295056950
- Accepts Medicare
- MIPS 89.0 / 100 · 2023
- 16 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 6 locations .
- Primary practice
-
55 Lake Ave N
Worcester, MA 016550002
(508) 334-3068 - Additional location
-
157 Union St
Marlborough, MA 017521228
fax (774) 443-7028 - Additional location
-
159 Union St
Marlborough, MA 017521274
(508) 486-5454 - Additional location
-
21 Eastern Ave
Worcester, MA 016053094
(508) 334-8036
fax (508) 334-8437 - Additional location
-
210 Lincoln St
Worcester, MA 016052529
(508) 754-1956
fax (508) 793-2150 - Additional location
-
28 Newton St
Southborough, MA 017721215 - Mailing address
-
Po Box 415348
Boston, MA 022415348
Show 3 more locations
Credentials & registration
- NPI registered
- June 2010 — 16 yrs on file
- Profile last updated
- March 31, 2026
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Massachusetts #245527
- Medicaid
- MA #110125149A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1295056950. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
462
Distinct HCPCS
10
Medicare allowed
$56,091
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 51 | 50 | $133 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 50 | 50 | $256 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 44 | 44 | $84 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 40 | 40 | $109 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 31 | 28 | $81 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 29 | 29 | $116 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 28 | 28 | $129 | |
G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 28 | 27 | $5 | |
G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 24 | 24 | $5 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 23 | 21 | $93 |
In context: peer comparison
Among 20 peers in Worcester Gastroenterology Physician, average services per provider: 36. This provider delivers 13× the peer median.Open Payments
Industry payments received
All-time total
$310
Transactions
6
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Inari Medical, INC. | 1 | $128.48 | |
| Regeneron Healthcare Solutions, INC. | 1 | $71.48 | |
| Boston Scientific Corporation | 3 | $69.24 | |
| Medtronic, INC. | 1 | $40.66 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
339
Patients
224
Total drug cost
$187,031
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gavilyte-G (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 92 | 91 | $1,326 |
| Gavilyte-C (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 72 | 72 | $1,327 |
| Sodium Chloride (0.9 % Sodium Chloride) | Brand | 52 | 0 | $1,029 |
| Omeprazole | Generic | 41 | 18 | $984 |
| Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,Mag Sulfates) | Brand | 30 | 30 | $2,151 |
| Pantoprazole Sodium | Generic | 15 | 0 | $723 |
| Peg-3350 and Electrolytes (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 13 | 13 | $224 |
| Famotidine | Generic | 12 | 0 | $158 |
| Humira(Cf) (Adalimumab) | Brand | 12 | 0 | $179,109 |
Hospital affiliations
Frequently asked questions
What is Dr. Krunal Patel's medical specialty?
Dr. Krunal Patel practices Gastroenterology Physician in Worcester, MA.
Where does Dr. Krunal Patel practice?
Dr. Krunal Patel practices at 55 Lake Ave N, Worcester, MA 016550002. Office phone: 5083343068.
What is Dr. Krunal Patel's NPI?
Dr. Krunal Patel's National Provider Identifier (NPI) is 1295056950, issued by NPPES.
Does Dr. Krunal Patel accept Medicare assignment?
Yes. Dr. Krunal Patel accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Krunal Patel commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS 45385); Initial hospital care with straightforward or low level of medical decision making (HCPCS 99221). Source: CMS Medicare Physician & Other Practitioners file.