Dr. Ketan Patel, MD
- Medicare services, 2024
- 7,847
- Medicare patients, 2024
- 383
- Part D claims, 2024
- 210
- MIPS score, 2024
- 23
- Hospital affiliations
- 2
- Practice address
- 2720 N Harbor Blvd, Fullerton, CA 92835
- Practice phone
- Call (949) 340-9622
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Align Spine Center
Fullerton, California
Find Dr. Patel's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Ketan Patel is a pain medicine physician in Fullerton, California
Dr. Patel practices at Align Spine Center in Fullerton, California.
Dr. Patel's NPI, 1316320864, was assigned on July 1, 2015. Dr. Patel graduated from Ross University School of Medicine in 2015. Dr. Patel holds California license A184155.
- NPI
- 1316320864NPI Registry (opens in a new tab)
- Medicare PAC ID
- 1850638313
- NPI enumeration date
- July 1, 2015
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (949) 340-9622
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 37
- Medical school graduation
- 2015
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Ketan Patel practices at Align Spine Center in Fullerton, California
Dr. Patel's primary practice is Align Spine Center, at 2720 N Harbor Blvd, Fullerton, CA 92835 in Orange County. The practice phone is (949) 340-9622.
- Align Spine Center2720 N Harbor Blvd, Fullerton, CA 92835 · Orange CountyPhone(949) 340-9622
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Ketan Patel is affiliated with 6 sites of care and 4 medical groups
Dr. Patel's primary practice is Align Spine Center in Fullerton, California. Dr. Patel is also affiliated with Providence St. Jude Medical Center. The medical group on file is Align Spine Center. Dmand AI also links Dr. Patel to 1 more hospital, 3 medical groups, 2 skilled nursing facilities and 1 group practice or clinic, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Ketan Patel's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Patel practices, 5 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Align Spine Center | Available with a free account |
| +5 more sites and 3 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Ketan Patel is one of 118 pain medicine physicians in California
Pain medicine is Dr. Patel's primary specialty in the NPI Registry, under taxonomy code 208VP0000X. The record also lists pain medicine. Dr. Patel is board certified in pain medicine by the American Board of Physical Medicine and Rehabilitation. Dmand AI has Dr. Patel's licenses on file in 2 states: California and New Jersey.
Specialties and state licenses
- Pain medicine, CaliforniaPrimary
- Pain medicine (physical medicine and rehabilitation), New Jersey
Clinical focus
Dmand AI lists arthritis, back pain injection, fibromyalgia and chronic pain, joint pain, lower back pain, mobility impairment, muscle pain, fibromyalgia, and limb pain and neck pain and spine problems among the conditions Dr. Patel treats.
Pain medicine physicians near Dr. Patel
Counts of pain medicine physicians with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Ketan Patel billed Medicare for 7,847 services in 2024
CMS data shows 7,847 Medicare services from Dr. Patel across 20 procedure codes in 2024, for 383 Medicare patients. Medicare paid $480,168 for them.
Dr. Patel's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 1,2972024: 3,810194%
- Drugs given in the office
- 2023: 4362024: 3,188631%
- Surgery
- 2023: 1092024: 536392%
- Other services
- 2023: 02024: 313
Where Dr. Patel's Medicare services took place, 2024
- In an office4,69560%
- In a facility3,15240%
Dr. Patel compared with the California median for pain medicine physicians, 2024
- Dr. Patel
- California median
- Medicare services
- 7,847vs 1,3715.7 times
- Medicare patients
- 383vs 33415% above
- Part D claims
- 162vs 33552% below
Medians across 118 pain medicine physicians in California with Dmand AI profiles that report each measure.
Dr. Patel's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Ketan Patel treated 383 Medicare patients in 2024, average age 75
CMS counts 383 Medicare patients who saw Dr. Patel in 2024. The largest group is 65 to 74, with 157 patients. 75% of them have arthritis, and 75% have high blood pressure. 47% are also on Medicaid. Their average risk score is 1.95, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Patel's median patient age at 62, with 57% women.
Dr. Patel's Medicare patients by age, 2024
Dr. Patel's Medicare patients by sex, 2024
- Women21255%
- Men17145%
Chronic conditions among Dr. Patel's Medicare patients, 2024
- Arthritis75%
- High blood pressure75%
- High cholesterol75%
- Mood disorders47%
- Depression44%
- Diabetes44%
- Anxiety39%
- Chronic kidney disease38%
Share of Medicare patients with each condition. A patient can have several.
Dr. Patel's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 62
Patient panel by sex, all payers
- Women57%
- Men42%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Ketan Patel wrote 210 Medicare Part D claims in 2024
In 2024, Dr. Patel wrote 210 Medicare Part D claims for 77 patients. 99% of them were for generic drugs. CMS names the drug for 162 of them, across 5 drugs with 11 or more claims each, at $1,257 in total drug cost. In 2023, CMS named 347 claims across 10 drugs.
Dr. Patel's Part D claims by kind of drug, 2024
- Generic207 claims99%
- Brand-name and other3 claims1%
Dr. Patel's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Patel's Part D claims, 2024
- Opioids50%106 of 210 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 3472024: 16253%
Drugs named by CMS: 5 in 2024, 10 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Ketan Patel scored 23 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 23 out of 100 for Dr. Patel for performance year 2024, reported individually. Dr. Patel accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Patel as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Dr. Patel's MIPS scores, performance year 2024
- 23of 100Final score
- 0of 100Quality
- 0of 100Improvement Activities
- 76of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Ketan Patel received $2,116 in industry payments from 2021 to 2025
CMS Open Payments shows 54 general payments to Dr. Patel from 17 drug and device companies from 2021 to 2025. Food and beverage make up the largest share, 100% of the total. Medtronic, Inc. paid the most, $690.
General payments to Dr. Patel by program year, 2021 to 2025
Companies that paid Dr. Patel the most, 2021 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Ketan Patel graduated from Ross University School of Medicine
Dr. Patel graduated from Ross University School of Medicine in 2015.
- Medical school
- Board certified in pain medicine
- Board certified in physical medicine & rehabilitation
Source: Dmand AI Professional Profile Data
Dr. Ketan Patel accepts plans from 9 insurance carriers
Dr. Patel is in network with 9 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 9. Check the plan with the practice before a visit.
- Aetna
- Elevance
- Blue Cross Blue Shield of Michigan
- Humana
- Blue Cross Blue Shield of Massachusetts
- HCSC
- Molina
- Regence Health Plans
- +1 more carriersWith a free account
Plan types Dr. Patel accepts, by number of carriers
- Medicare9
- PPO7
- HMO5
- POS3
- EPO2
Source: Dmand AI Insurance Network Data
Sources for Dr. Ketan Patel's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Ketan Patel
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Ketan Patel's NPI number?
Dr. Ketan Patel's NPI number is 1316320864. It was assigned on July 1, 2015, and it is active in the NPI Registry.
What kind of doctor is Dr. Ketan Patel?
Dr. Ketan Patel is a pain medicine physician in Fullerton, California. The primary specialty in the NPI Registry is Pain Medicine Physician (taxonomy code 208VP0000X).
Where does Dr. Ketan Patel practice?
Dr. Patel practices at 2720 N Harbor Blvd, Fullerton, CA 92835. Dr. Patel's primary practice is Align Spine Center in Fullerton, California. Dmand AI also links Dr. Patel to 1 hospital, 3 medical groups, 2 skilled nursing facilities and 1 group practice or clinic.
What is Dr. Ketan Patel's office phone number?
The practice phone on file for Dr. Patel is (949) 340-9622.
What is Dr. Ketan Patel's medical license number?
Dr. Patel holds California license A184155, one of the licenses on file in 2 states.
Which states has Dr. Ketan Patel been licensed in?
Dmand AI has state licenses on file for Dr. Patel in California (2023 to 2027) and New Jersey (2020 to 2025).
Which hospitals is Dr. Ketan Patel affiliated with?
Dr. Patel is affiliated with Providence St. Jude Medical Center. Dmand AI links Dr. Patel to 1 more hospital.
What medical group is Dr. Ketan Patel part of?
Dr. Patel is linked to Align Spine Center. Dmand AI links Dr. Patel to 3 more medical groups.
Does Dr. Ketan Patel accept Medicare?
Yes. CMS data shows Dr. Patel billed Medicare for 7,847 services in 2024, and Dr. Patel accepts Medicare assignment.
Does Dr. Ketan Patel offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Patel as offering telehealth services.
Show 9 more questionsShow fewer questions
What is Dr. Ketan Patel's MIPS score?
Dr. Patel's MIPS final score for performance year 2024 is 23 out of 100, reported individually.
How many Medicare patients does Dr. Ketan Patel see?
CMS counts 383 Medicare patients who saw Dr. Patel in 2024, with an average age of 75.
Is Dr. Ketan Patel board certified?
Yes. Dr. Patel is board certified in pain medicine by the American Board of Physical Medicine and Rehabilitation.
What services does Dr. Ketan Patel bill to Medicare?
In 2024, Dr. Patel's most billed Medicare services were nursing facility care (99309), injected or infused drug (J1010) and injected or infused drug (J1100).
Where did Dr. Ketan Patel go to medical school?
Dr. Patel graduated from Ross University School of Medicine in 2015.
What drugs does Dr. Ketan Patel prescribe most?
In 2024 Medicare Part D data, Dr. Patel's most prescribed drugs by claims were Hydrocodone-Acetaminophen, Gabapentin and Tramadol HCl.
Has Dr. Ketan Patel received payments from drug or device companies?
CMS Open Payments shows $2,116 in general payments to Dr. Patel from 17 companies from 2021 to 2025. The largest total came from Medtronic, Inc.
How long has Dr. Ketan Patel been practicing?
Dr. Patel graduated from medical school in 2015, 11 years ago.
What insurance does Dr. Ketan Patel accept?
Dr. Patel is in network with 9 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 9. Check the plan with the practice before a visit.
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