Doctor profile · Federal record
Dr. Kunal Patel, M.D.
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Internal Medicine Physician · Critical Care Medicine (Internal Medicine) Physician · Pleasant Prairie, WI
- NPI 1548600240
- Accepts Medicare
- MIPS 79.6 / 100 · 2023
- 14 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
9555 76Th St
Pleasant Prairie, WI 531581984
(262) 577-8300
fax (262) 577-8414
Credentials & registration
- NPI registered
- June 2013 — 13 yrs on file
- Profile last updated
- January 24, 2024
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Illinois #036141107
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1548600240. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,079
Distinct HCPCS
10
Medicare allowed
$130,564
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99291 |
Critical care, first 30-74 minutes | 265 | 104 | $221 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 206 | 106 | $82 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 164 | 111 | $134 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 85 | 69 | $95 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 82 | 51 | $118 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 55 | 50 | $134 | |
94726 |
Test to determine lung volumes using sensors | 47 | 46 | $12 | |
94729 |
Test to examine how well the lungs exchange gases | 47 | 46 | $9 | |
94060 |
Test to measure expiratory airflow and volume changes before and after medication administration | 44 | 43 | $11 | |
31624 |
Irrigation and suction of lung airways to obtain cells using an endoscope | 19 | 18 | $9 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 65. This provider delivers 17× the peer median.Open Payments
Industry payments received
All-time total
$374
Transactions
13
Manufacturers
8
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novartis Pharmaceuticals Corporation | 1 | $95.32 | |
| GENZYME CORPORATION | 3 | $82.18 | |
| Philips North America LLC | 2 | $37.99 | |
| AstraZeneca Pharmaceuticals LP | 2 | $37.96 | |
| Regeneron Healthcare Solutions, Inc. | 1 | $36.54 | |
| GlaxoSmithKline, LLC. | 2 | $30.99 | |
| Grifols USA, LLC | 1 | $30.26 | |
| Insmed, Inc. | 1 | $23.00 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,032
Patients
304
Total drug cost
$434,940
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 269 | 58 | $213,125 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 228 | 86 | $7,650 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 99 | 25 | $54,325 |
| Prednisone | Generic | 86 | 42 | $477 |
| Montelukast Sodium | Generic | 76 | 23 | $888 |
| Azithromycin | Generic | 36 | 25 | $719 |
| Fluticasone Propionate | Generic | 35 | 19 | $503 |
| Spiriva Respimat (Tiotropium Bromide) | Brand | 33 | 0 | $22,620 |
| Advair Diskus (Fluticasone Propion/Salmeterol) | Brand | 28 | 0 | $18,152 |
| Incruse Ellipta (Umeclidinium Bromide) | Brand | 28 | 0 | $15,645 |
Hospital affiliations
Frequently asked questions
What is Dr. Kunal Patel's medical specialty?
Dr. Kunal Patel practices Pulmonary Disease Physician in Pleasant Prairie, WI.
Where does Dr. Kunal Patel practice?
Dr. Kunal Patel practices at 9555 76Th St, Pleasant Prairie, WI 531581984. Office phone: 2625778300.
What is Dr. Kunal Patel's NPI?
Dr. Kunal Patel's National Provider Identifier (NPI) is 1548600240, issued by NPPES.
Does Dr. Kunal Patel accept Medicare assignment?
Yes. Dr. Kunal Patel accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kunal Patel commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.