Pragnesh Patel, MD
NPI 1265787360 · Gastroenterology Physician · Sugar Land, TX
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pragnesh Patel, MD is a Gastroenterology Physician provider in Sugar Land, TX (NPI 1265787360).
Provider details
- NPI number
- 1265787360
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- Q4242 (TX)
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
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
1,928 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) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 611 | $33 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 246 | $121 |
| Special Stained Specimen Slides to Identify Organisms Including Interpretation and Report88312 | 153 | $81 |
| Special Stained Specimen Slides to Examine Tissue Including Interpretation and Report88313 | 140 | $66 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 131 | $159 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 23 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 171 | 85 |
| Pantoprazole Sodium | 167 | 69 |
| Dicyclomine Hcl | 83 | 42 |
| Peg3350/Sod Sul/Nacl/Kcl/Asb/Cbrand: Plenvu | 66 | 66 |
| Linaclotidebrand: Linzess | 64 | 26 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 47 | 46 |
| Sucralfate | 37 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,954 across 85 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 (1)
- 19701 Kingwood Dr Bldg 5Kingwood, TX 77339-3773Phone: (832) 707-5011
Registry dates
- Enumerated
- 2012-07-16
- Last updated
- 2026-02-09
- Certified
- 2026-02-09
Frequently asked questions
- What is Pragnesh Patel's NPI number?
- Pragnesh Patel's National Provider Identifier (NPI) is 1265787360, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pragnesh Patel's specialty?
- Pragnesh Patel is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Pragnesh Patel located?
- Pragnesh Patel's practice location on file with NPPES is 15555 Creek Bend Dr Ste 200, Sugar Land, TX 77478-4670.
- What is Pragnesh Patel's phone number?
- The practice phone number listed in the NPPES registry for Pragnesh Patel is (832) 707-5011.
- Does Pragnesh Patel accept Medicare?
- Pragnesh Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pragnesh Patel's NPI active?
- Yes — Pragnesh Patel's NPI (1265787360) is active in the NPPES registry as of the last update on 2026-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.