# Pravin-Kumar K Patel, MD

Source: https://ourhealthnetwork.com/doctor/pravin-kumar-patel-md-1760478325
NPI: 1760478325
Data source: CMS NPI Registry (DAC), refreshed monthly

## Quick facts

Pravin-Kumar K Patel, MD is a plastic and reconstructive surgery based in Chicago, IL practicing at Mount Sinai Community Foundation with NPI 1760478325.

## Profile

- Primary specialty: Plastic And Reconstructive Surgery
- Secondary specialties: PEDIATRIC MEDICINE
- Credential: MD
- Gender: Male
- Medical school: DREXEL UNIVERSITY COLLEGE OF MEDICINE
- Graduation year: 1985
- NPI: 1760478325 ([NPPES record](https://npiregistry.cms.hhs.gov/provider-view/1760478325))

## Practice and contact

- Practice name: Mount Sinai Community Foundation
- Address: 1401 S California Ave, Chicago, IL, 606081858
- Phone: (773) 522-6656
- Group practice size: 254 members

## CMS quality measures (MIPS)

- Overall MIPS final score: 80.83/100
- Quality category score: 64.97/100
- Promoting Interoperability score: 72.00/100
- Improvement Activities score: 40.00/100
- Cost category score: 63.1534/100

Source: CMS Quality Payment Program. MIPS scores reflect Medicare provider performance on quality, cost, and care improvement measures.

## Insurance accepted (9 networks)

This provider is in network with the following insurance carriers, based on federal Transparency in Coverage filings and FHIR provider directories:

- [HCSC: BCBS Illinois](https://ourhealthnetwork.com/insurance/hcsc-bcbs-illinois) — 119 plans
- [Cigna](https://ourhealthnetwork.com/insurance/cigna) — 18 plans
- [UnitedHealthcare](https://ourhealthnetwork.com/insurance/unitedhealthcare) — 12 plans
- [Humana](https://ourhealthnetwork.com/insurance/humana) — 11 plans
- [Aetna](https://ourhealthnetwork.com/insurance/aetna) — 7 plans
- [Molina Healthcare](https://ourhealthnetwork.com/insurance/molina-healthcare) — 3 plans
- [UMR](https://ourhealthnetwork.com/insurance/umr) — 3 plans
- [Oxford Health Plans (UHC)](https://ourhealthnetwork.com/insurance/oxford-health-plans-uhc) — 2 plans
- [Medicare](https://ourhealthnetwork.com/insurance/medicare) — 1 plan

To verify a specific plan covers Pravin-Kumar K Patel, use the [OurHealthNetwork Insurance Matcher](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1760478325).

## Industry payments disclosure (CMS Open Payments)

Per CMS Open Payments data (most recent year 2024), this provider has received 2 disclosed payments from medical industry sources totaling approximately $161.

Largest disclosed payer: Zimmer Biomet Holdings, Inc. ($104 cumulative).

Source: CMS Open Payments program (federal financial-transparency dataset). Industry payment disclosures do not imply any wrongdoing; many are legitimate consulting fees, research support, or speaker honoraria.

## Related on OurHealthNetwork

- [More Plastic And Reconstructive Surgery doctors in CHICAGO, IL](https://ourhealthnetwork.com/plastic-and-reconstructive-surgery/il/chicago)
- [Find insurance plans that cover this doctor](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1760478325)
- [Browse all 5.5M US healthcare providers](https://ourhealthnetwork.com/find-doctors)
- [About our data and methodology](https://ourhealthnetwork.com/methodology)