Priyal Patel, M.D.
NPI 1205220654 · Family Medicine Physician · New Boston, TX
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priyal Patel, M.D. is a Family Medicine Physician provider in New Boston, TX (NPI 1205220654).
Provider details
- NPI number
- 1205220654
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- E-10866 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
755 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 245 | $124 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 210 | $16 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 83 | $89 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 75 | $128 |
| Hemoglobin A1c Level83036 | 58 | $10 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 140 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 427 | 140 |
| Gabapentin | 393 | 124 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 312 | 67 |
| Amlodipine Besylate | 290 | 103 |
| Lisinopril | 225 | 64 |
| Pantoprazole Sodium | 220 | 69 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$21 across 1 record (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 (1)
- 3510 Richmond RdTexarkana, TX 75503-0714Phone: (903) 614-5220Fax: (903) 614-5229
Registry dates
- Enumerated
- 2015-03-24
- Last updated
- 2021-06-22
- Certified
- 2021-06-22
Frequently asked questions
- What is Priyal Patel's NPI number?
- Priyal Patel's National Provider Identifier (NPI) is 1205220654, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priyal Patel's specialty?
- Priyal Patel is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Priyal Patel located?
- Priyal Patel's practice location on file with NPPES is 910 James Bowie Dr, New Boston, TX 75570-2335.
- What is Priyal Patel's phone number?
- The practice phone number listed in the NPPES registry for Priyal Patel is (903) 614-5950.
- Does Priyal Patel accept Medicare?
- Priyal Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priyal Patel's NPI active?
- Yes — Priyal Patel's NPI (1205220654) is active in the NPPES registry as of the last update on 2021-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.