Doctor profile · Federal record
Dr. Nirav Pathak, M.D.
Hospitalist Physician (CMS: Hospitalist) · Family Medicine Physician · Sumter, SC
- NPI 1790795649
- Accepts Medicare
- MIPS 95.3 / 100 · 2023
- 33 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
129 N Washington St
Sumter, SC 291504949
(803) 774-9680
fax (803) 434-3955 - Additional location
-
14 Richland Medical Park Dr Ste 320
Columbia, SC 292036896
(803) 434-6771 - Additional location
-
2720 Sunset Blvd
West Columbia, SC 291694810
(803) 936-7372
fax (803) 936-4102 - Mailing address
-
300 E McBee Ave Fl 4
Greenville, SC 296012842
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- March 25, 2025
- Year of graduation
- 1993 — 33 yrs since
- Specialty taxonomy
- 208M00000X — NUCC code
- State license (1)
- South Carolina #26303
- Medicaid
- SC #263039
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790795649. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
465
Distinct HCPCS
5
Medicare allowed
$41,418
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 241 | 131 | $76 | |
99239 |
Hospital discharge day management, more than 30 minutes | 95 | 90 | $110 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 84 | 61 | $115 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 34 | 14 | $48 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 11 | 11 | $117 |
In context: peer comparison
Among 7 peers in Sumter Hospitalist Physician, average services per provider: 114. This provider delivers 4.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
223
Patients
64
Total drug cost
$3,535
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Famotidine | Generic | 45 | 28 | $236 |
| Atorvastatin Calcium | Generic | 29 | 12 | $140 |
| Gabapentin | Generic | 19 | 0 | $97 |
| Lokelma (Sodium Zirconium Cyclosilicate) | Brand | 19 | 0 | $2,178 |
| Sevelamer Carbonate | Generic | 19 | 0 | $248 |
| Venlafaxine Hcl ER (Venlafaxine Hcl) | Brand | 19 | 0 | $100 |
| Risperidone | Generic | 18 | 0 | $64 |
| Topiramate | Generic | 18 | 0 | $179 |
| Carvedilol | Generic | 13 | 13 | $52 |
| Baclofen | Generic | 12 | 0 | $145 |
Hospital affiliations
Frequently asked questions
What is Dr. Nirav Pathak's medical specialty?
Dr. Nirav Pathak practices Hospitalist Physician in Sumter, SC.
Where does Dr. Nirav Pathak practice?
Dr. Nirav Pathak practices at 129 N Washington St, Sumter, SC 291504949. Office phone: 8037749680.
What is Dr. Nirav Pathak's NPI?
Dr. Nirav Pathak's National Provider Identifier (NPI) is 1790795649, issued by NPPES.
Does Dr. Nirav Pathak accept Medicare assignment?
Yes. Dr. Nirav Pathak accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nirav Pathak commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Hospital discharge day management (HCPCS 99239); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233). Source: CMS Medicare Physician & Other Practitioners file.