Pratik Patel, M.D.
NPI 1235572686 · Family Medicine Physician · Spring, TX
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pratik Patel, M.D. is a Family Medicine Physician provider in Spring, TX (NPI 1235572686).
Provider details
- NPI number
- 1235572686
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 54717 (TN)
Specialties & taxonomies
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
13 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
1,682 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 | 499 | $127 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 155 | $63 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 152 | $129 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 150 | $19 |
| Chronic Care Management Services for Two Or More Chronic Conditions, Additional 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99439 | 147 | $48 |
| Advance Care Planning, First 30 Minutes99497 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 92 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Rosuvastatin Calcium | 236 | 89 |
| Atorvastatin Calcium | 210 | 77 |
| Levothyroxine Sodium | 169 | 59 |
| Lisinopril | 150 | 53 |
| Metformin Hcl | 131 | 52 |
| Amlodipine Besylate | 104 | 46 |
| Losartan Potassium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$20 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)
- 11026 Highway 242Conroe, TX 77385-4348Phone: (281) 587-1700Fax: (261) 907-6003
Registry dates
- Enumerated
- 2013-04-15
- Last updated
- 2021-04-29
- Certified
- 2021-04-29
Frequently asked questions
- What is Pratik Patel's NPI number?
- Pratik Patel's National Provider Identifier (NPI) is 1235572686, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pratik Patel's specialty?
- Pratik Patel is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pratik Patel located?
- Pratik Patel's practice location on file with NPPES is 21309 Foster Rd, Spring, TX 77388.
- What is Pratik Patel's phone number?
- The practice phone number listed in the NPPES registry for Pratik Patel is (281) 587-1700.
- Does Pratik Patel accept Medicare?
- Pratik Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pratik Patel's NPI active?
- Yes — Pratik Patel's NPI (1235572686) is active in the NPPES registry as of the last update on 2021-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.