Doctor profile · Federal record
Dr. Gaurang Patel, M.D.
Pulmonary Disease Physician (CMS: Internal Medicine) · Critical Care Medicine (Internal Medicine) Physician · Denville, NJ
- NPI 1538123542
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 26 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
16 Pocono RD 217
Denville, NJ 078342907
(800) 750-8616
fax (845) 362-8474 - Mailing address
-
26 Firemans Memorial Drive, Suite 115
Pomona, NY 10970
Credentials & registration
- NPI registered
- April 2006 — 20 yrs on file
- Profile last updated
- June 14, 2023
- Year of graduation
- 2000 — 26 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- New Jersey #25MA07928600
- Medicaid
- NJ #0111619
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1538123542. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,953
Distinct HCPCS
10
Medicare allowed
$257,045
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99291 |
Critical care, first 30-74 minutes | 394 | 186 | $224 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 363 | 197 | $127 | |
94004 |
Nursing facility ventilation assistance and management | 360 | 20 | $51 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 256 | 197 | $140 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 158 | 146 | $186 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 115 | 87 | $84 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 75 | 73 | $100 | |
94003 |
Follow-up inpatient or observation ventilation assistance and management | 70 | 21 | $68 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 44 | 44 | $240 | |
99497 |
Advance care planning, first 30 minutes | 39 | 36 | $81 |
In context: peer comparison
Among 1 peers in Denville Pulmonary Disease Physician, average services per provider: 139. This provider delivers 14× the peer median.Open Payments
Industry payments received
All-time total
$63
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GlaxoSmithKline, LLC. | 2 | $33.41 | |
| Itamar Medical INC | 1 | $29.14 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,119
Patients
318
Total drug cost
$607,780
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 201 | 46 | $194,650 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 173 | 58 | $7,171 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 171 | 34 | $103,351 |
| Montelukast Sodium | Generic | 87 | 30 | $1,712 |
| Prednisone | Generic | 62 | 28 | $839 |
| Anoro Ellipta (Umeclidinium Brm/Vilanterol Tr) | Brand | 60 | 15 | $42,583 |
| Stiolto Respimat (Tiotropium Br/Olodaterol Hcl) | Brand | 56 | 11 | $39,337 |
| Fluticasone-Salmeterol (Fluticasone Propion/Salmeterol) | Brand | 52 | 17 | $16,210 |
| Spiriva Handihaler (Tiotropium Bromide) | Brand | 49 | 11 | $50,508 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 44 | 14 | $28,016 |
Hospital affiliations
Frequently asked questions
What is Dr. Gaurang Patel's medical specialty?
Dr. Gaurang Patel practices Pulmonary Disease Physician in Denville, NJ.
Where does Dr. Gaurang Patel practice?
Dr. Gaurang Patel practices at 16 Pocono RD 217, Denville, NJ 078342907. Office phone: 8007508616.
What is Dr. Gaurang Patel's NPI?
Dr. Gaurang Patel's National Provider Identifier (NPI) is 1538123542, issued by NPPES.
Does Dr. Gaurang Patel accept Medicare assignment?
Yes. Dr. Gaurang Patel accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Gaurang Patel commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Nursing facility ventilation assistance and management (HCPCS 94004). Source: CMS Medicare Physician & Other Practitioners file.