Priya Patel, M.D.
NPI 1205098597 · Obstetrics & Gynecology Physician · Killeen, TX
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priya Patel, M.D. is a Obstetrics & Gynecology Physician provider in Killeen, TX (NPI 1205098597).
Provider details
- NPI number
- 1205098597
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 25MA09306900 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
94 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 25 | $88 |
| Ultrasound Scan of Uterus, Ovaries, Tubes, Cervix and Pelvic Area Through Vagina76830 | 19 | $129 |
| Cervical Or Vaginal Cancer Screening; Pelvic and Clinical Breast ExaminationG0101 | 19 | $43 |
| Screening Papanicolaou Smear; Obtaining, Preparing and Conveyance of Cervical Or Vaginal Smear to LaboratoryQ0091 | 16 | $49 |
| Limited Ultrasound Scan of Pelvis76857 | 15 | $55 |
Typical Medicare-allowed amounts for these services range $43–$129 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$263 across 15 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 731 BroadwayBayonne, NJ 07002-4783Phone: (973) 736-1100Fax: (973) 736-1134
- 67 Walnut Ave Ste 101Clark, NJ 07066-1644Phone: (973) 736-1100Fax: (973) 736-1134
- 101 Old Short Hills RoadSuite 101West Orange, NJ 07052Phone: (973) 736-1100Fax: (973) 736-1834
Registry dates
- Enumerated
- 2008-06-27
- Last updated
- 2025-10-13
- Certified
- 2025-10-13
Frequently asked questions
- What is Priya Patel's NPI number?
- Priya Patel's National Provider Identifier (NPI) is 1205098597, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priya Patel's specialty?
- Priya Patel is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Priya Patel located?
- Priya Patel's practice location on file with NPPES is 2405 Clear Creek Rd, Killeen, TX 76549-5775.
- What is Priya Patel's phone number?
- The practice phone number listed in the NPPES registry for Priya Patel is (254) 618-1888.
- Does Priya Patel accept Medicare?
- Priya Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priya Patel's NPI active?
- Yes — Priya Patel's NPI (1205098597) is active in the NPPES registry as of the last update on 2025-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.