Kalpesh Mistry, MD
NPI 1740717669 · Family Medicine Physician · Toccoa, GA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kalpesh Mistry, MD is a Family Medicine Physician provider in Toccoa, GA (NPI 1740717669).
Provider details
- NPI number
- 1740717669
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 83153 (GA)
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
9 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
1,638 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) |
|---|---|---|
| Removal of Tissue From Wound, 20.0 Sq Cm Or Less97597 | 599 | $34 |
| Removal of Tissue From Wound, Each Additional 20.0 Sq Cm97598 | 299 | $23 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less11042 | 138 | $51 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 104 | $84 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 87 | $62 |
| Removal of Muscle And/Or Tissue, 20.0 Sq Cm Or Less11043 | 56 | $132 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Collagenase Clostridium Hist.brand: Santyl | 33 | 23 |
| Doxycycline Hyclate | 32 | 31 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 26 | 20 |
| Cefdinir | 22 | 20 |
| Ciprofloxacin Hcl | 21 | 19 |
| Amoxicillin | 15 | 15 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$324 across 19 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
- 2017-05-23
- Last updated
- 2020-06-30
- Certified
- 2020-06-30
Frequently asked questions
- What is Kalpesh Mistry's NPI number?
- Kalpesh Mistry's National Provider Identifier (NPI) is 1740717669, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kalpesh Mistry's specialty?
- Kalpesh Mistry is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kalpesh Mistry located?
- Kalpesh Mistry's practice location on file with NPPES is 115 Rock Quarry Rd, Toccoa, GA 30577-8734.
- What is Kalpesh Mistry's phone number?
- The practice phone number listed in the NPPES registry for Kalpesh Mistry is (706) 282-5815.
- Does Kalpesh Mistry accept Medicare?
- Kalpesh Mistry is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kalpesh Mistry's NPI active?
- Yes — Kalpesh Mistry's NPI (1740717669) is active in the NPPES registry as of the last update on 2020-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.