Doctor profile · Federal record
Dr. Nikunjkumar Patel
Endocrinology, Diabetes & Metabolism Physician (CMS: Endocrinology) · Internal Medicine Physician · Toms River, NJ
- NPI 1174039309
- 16 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
99 Rte 37 W
Toms River, NJ 087556423
(732) 781-6428 - Mailing address
-
1925 Pacific Ave
Atlantic City, NJ 084016713
Credentials & registration
- NPI registered
- December 2017 — 9 yrs on file
- Profile last updated
- July 7, 2023
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 207RE0101X — NUCC code
- State license (1)
- New Jersey #25MA10366100
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174039309. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,872
Distinct HCPCS
10
Medicare allowed
$276,012
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,945 | 441 | $79 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 335 | 299 | $129 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 163 | 100 | $124 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 101 | 74 | $129 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 89 | 87 | $177 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 82 | 82 | $169 | |
99239 |
Hospital discharge day management, more than 30 minutes | 51 | 51 | $120 | |
95251 |
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 46 | 32 | $34 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 38 | 38 | $115 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 22 | 22 | $182 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 281. This provider delivers 10× the peer median.Open Payments
Industry payments received
All-time total
$2,053
Transactions
78
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Becton, Dickinson and Company | 2 | $245.04 | |
| Lilly USA, LLC | 16 | $226.25 | |
| Novo Nordisk Inc | 15 | $224.57 | |
| Tandem Diabetes Care, Inc. | 5 | $184.22 | |
| SANOFI-AVENTIS U.S. LLC | 6 | $181.60 | |
| AstraZeneca Pharmaceuticals LP | 3 | $152.63 | |
| Madrigal Pharmaceuticals | 3 | $145.72 | |
| Medtronic, Inc. | 5 | $97.10 | |
| Amneal Pharmaceuticals LLC | 5 | $84.32 | |
| ABBVIE INC. | 4 | $64.68 | |
| CeQur Corporation | 1 | $63.13 | |
| Corcept Therapeutics | 4 | $59.38 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 3 | $52.98 | |
| Amgen Inc. | 3 | $51.70 | |
| Xeris Pharmaceuticals, Inc. | 3 | $44.07 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
480
Patients
229
Total drug cost
$190,960
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 86 | 44 | $1,581 |
| Metformin Hcl | Generic | 66 | 35 | $863 |
| Ozempic (Semaglutide) | Brand | 49 | 25 | $69,498 |
| Synthroid (Levothyroxine Sodium) | Brand | 49 | 20 | $5,095 |
| Nano 2nd Gen Pen Needle (Pen Needle, Diabetic) | Brand | 47 | 36 | $6,776 |
| Lantus Solostar (Insulin Glargine,hum.Rec.Anlog) | Brand | 45 | 33 | $23,998 |
| Humalog Kwikpen U-100 (Insulin Lispro) | Brand | 27 | 20 | $21,379 |
| Hydrocortisone | Generic | 19 | 0 | $512 |
| Novolog Flexpen (Insulin Aspart) | Brand | 19 | 16 | $15,472 |
| Januvia (Sitagliptin Phosphate) | Brand | 15 | 0 | $11,315 |
Hospital affiliations
Frequently asked questions
What is Dr. Nikunjkumar Patel's medical specialty?
Dr. Nikunjkumar Patel practices Endocrinology, Diabetes & Metabolism Physician in Toms River, NJ.
Where does Dr. Nikunjkumar Patel practice?
Dr. Nikunjkumar Patel practices at 99 Rte 37 W, Toms River, NJ 087556423. Office phone: 7327816428.
What is Dr. Nikunjkumar Patel's NPI?
Dr. Nikunjkumar Patel's National Provider Identifier (NPI) is 1174039309, issued by NPPES.
Does Dr. Nikunjkumar Patel accept Medicare assignment?
Dr. Nikunjkumar Patel does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Nikunjkumar Patel commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233). Source: CMS Medicare Physician & Other Practitioners file.