Prashant Upadhyaya, MD
NPI 1861699506 · Plastic and Reconstructive Surgery Physician · Round Rock, TX
Enrolled with Medicare as Practitioner - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prashant Upadhyaya, MD is a Plastic and Reconstructive Surgery Physician provider in Round Rock, TX (NPI 1861699506).
Provider details
- NPI number
- 1861699506
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 269241 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
19 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
44 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) |
|---|---|---|
| Creation of Muscle Graft to Trunk15734 | 19 | $1,130 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 13 | $160 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 12 | $107 |
Typical Medicare-allowed amounts for these services range $107–$1,130 (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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$270 across 6 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
- 2007-06-27
- Last updated
- 2022-08-25
- Certified
- 2022-08-25
Frequently asked questions
- What is Prashant Upadhyaya's NPI number?
- Prashant Upadhyaya's National Provider Identifier (NPI) is 1861699506, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prashant Upadhyaya's specialty?
- Prashant Upadhyaya is listed in the NPPES registry with a primary specialty of Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Prashant Upadhyaya located?
- Prashant Upadhyaya's practice location on file with NPPES is 301 Seton Pkwy Ste 103, Round Rock, TX 78665-8003.
- What is Prashant Upadhyaya's phone number?
- The practice phone number listed in the NPPES registry for Prashant Upadhyaya is (512) 324-4815.
- Does Prashant Upadhyaya accept Medicare?
- Prashant Upadhyaya is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prashant Upadhyaya's NPI active?
- Yes — Prashant Upadhyaya's NPI (1861699506) is active in the NPPES registry as of the last update on 2022-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.