Payal Gandhi, MD
NPI 1215565056 · Family Medicine Physician · Benton, AR
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Payal Gandhi, MD is a Family Medicine Physician provider in Benton, AR (NPI 1215565056).
Provider details
- NPI number
- 1215565056
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- E-16335 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
6 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
138 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 | 74 | $111 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 26 | $162 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 25 | $192 |
| Assessment of Emotional Or Behavioral Problems96127 | 13 | $4 |
Typical Medicare-allowed amounts for these services range $4–$192 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 35 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Losartan Potassium | 49 | 16 |
| Levothyroxine Sodium | 42 | 17 |
| Trazodone Hcl | 36 | — |
| Gabapentin | 34 | 15 |
| Omeprazole | 34 | — |
| Potassium Chloride | 32 | 12 |
| Metformin Hclbrand: Metformin Hcl Er |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$160 across 9 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
Registry dates
- Enumerated
- 2020-03-28
- Last updated
- 2025-03-14
- Certified
- 2025-03-14
Frequently asked questions
- What is Payal Gandhi's NPI number?
- Payal Gandhi's National Provider Identifier (NPI) is 1215565056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Payal Gandhi's specialty?
- Payal Gandhi is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Payal Gandhi located?
- Payal Gandhi's practice location on file with NPPES is 5 Medical Park Dr Ste Gl2, Benton, AR 72015-3745.
- What is Payal Gandhi's phone number?
- The practice phone number listed in the NPPES registry for Payal Gandhi is (501) 574-7237.
- Does Payal Gandhi accept Medicare?
- Payal Gandhi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Payal Gandhi's NPI active?
- Yes — Payal Gandhi's NPI (1215565056) is active in the NPPES registry as of the last update on 2025-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.