Active NPI 1932327533 Individual Practitioner Male Practitioner

Dr. Ramesh Alwarappan , MD

Internal Medicine • Argyle, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ramesh Alwarappan, MD is a certified Internal Medicine practicing in Argyle, TX. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Alwarappan delivers high-quality medical care to the local community at 7218 CRAWFORD RD.

Dr. Alwarappan maintains professional affiliations with Questcare Matrix Pllc, Questcare Hospitalists Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7218 Crawford Rd

Argyle, TX 762262579

Telephone 9549395000

Associated Practice Facility / Clinic

🏢 Synergy Hospitalist Group Facility NPI 1962128660

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Argyle, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs Matches City Avg

City Avg: 27.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Argyle, TX (9538 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Alwarappan (27 Years) 27 Yrs

Argyle Specialty Average (27.0 Years) 27.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	587	170	$536.00	$114.45
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	312	46	$362.00	$105.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	173	62	$373.00	$75.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	151	144	$1042.00	$168.15
99239 Hospital discharge day management, more than 30 minutes	149	146	$685.00	$111.25
99291 Critical care, first 30-74 minutes	36	33	$1157.00	$206.03
99306 Initial nursing facility visit, typically 45 minutes per day	20	18	$667.00	$177.66
99238 Hospital discharge day management, 30 minutes or less	13	12	$417.00	$78.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	479	146	$536.00	$116.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	338	121	$373.00	$77.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	170	162	$1042.00	$169.94
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	137	22	$362.00	$104.61
99239 Hospital discharge day management, more than 30 minutes	130	127	$685.00	$112.23
99238 Hospital discharge day management, 30 minutes or less	34	34	$417.00	$79.19
99291 Critical care, first 30-74 minutes	22	18	$1157.00	$208.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$708.00	$127.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	753	230	$536.00	$100.05
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	296	48	$362.00	$88.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	168	155	$1042.00	$193.37
99239 Hospital discharge day management, more than 30 minutes	138	133	$685.00	$103.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	37	$373.00	$69.42
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	17	12	$535.00	$130.70
99238 Hospital discharge day management, 30 minutes or less	16	16	$417.00	$70.36
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	15	15	$529.00	$125.89
99220 Hospital observation care, typically 70 minutes	15	15	$951.00	$174.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,100	291	$536.00	$102.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	331	110	$373.00	$71.16
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	267	35	$362.00	$90.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	208	193	$1042.00	$197.54
99239 Hospital discharge day management, more than 30 minutes	181	173	$685.00	$105.39
99220 Hospital observation care, typically 70 minutes	30	30	$951.00	$179.50
99238 Hospital discharge day management, 30 minutes or less	29	29	$417.00	$71.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$708.00	$134.40
99291 Critical care, first 30-74 minutes	22	12	$1157.00	$216.71
99217 Hospital observation care on day of discharge	13	13	$376.00	$71.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,129	311	$373.00	$72.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	780	259	$536.00	$104.49
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	533	81	$337.75	$91.21
99239 Hospital discharge day management, more than 30 minutes	270	261	$685.00	$106.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	202	195	$1042.00	$202.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	52	$708.00	$135.57
99306 Initial nursing facility visit, typically 45 minutes per day	44	43	$541.20	$166.34
99220 Hospital observation care, typically 70 minutes	40	39	$951.00	$185.44
99291 Critical care, first 30-74 minutes	17	13	$1157.00	$221.59
99217 Hospital observation care on day of discharge	15	14	$376.00	$72.52
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$283.00	$48.75
99238 Hospital discharge day management, 30 minutes or less	11	11	$417.00	$72.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,239	357	$373.00	$71.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	549	199	$536.00	$102.71
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	350	83	$331.00	$90.51
99239 Hospital discharge day management, more than 30 minutes	268	255	$685.00	$105.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	228	214	$1042.00	$199.08
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	181	49	$227.00	$68.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	70	68	$708.00	$135.25
99306 Initial nursing facility visit, typically 45 minutes per day	66	65	$532.00	$165.25
99316 Nursing facility discharge management, more than 30 minutes	30	29	$390.00	$104.59
99220 Hospital observation care, typically 70 minutes	24	24	$951.00	$183.55
99291 Critical care, first 30-74 minutes	20	13	$1157.00	$219.87
99238 Hospital discharge day management, 30 minutes or less	19	19	$417.00	$72.20
99217 Hospital observation care on day of discharge	19	19	$376.00	$72.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,543	389	$373.00	$72.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	794	290	$536.00	$103.25
99239 Hospital discharge day management, more than 30 minutes	340	316	$685.00	$106.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	273	251	$1042.00	$200.53
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	219	38	$227.00	$68.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	91	86	$708.00	$134.54
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	76	34	$331.00	$89.79
99316 Nursing facility discharge management, more than 30 minutes	35	34	$390.00	$105.09
99238 Hospital discharge day management, 30 minutes or less	23	23	$417.00	$72.49
99306 Initial nursing facility visit, typically 45 minutes per day	20	20	$532.00	$165.53
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	15	15	$421.00	$129.36
99291 Critical care, first 30-74 minutes	13	11	$1157.00	$220.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,833	461	$346.67	$69.01
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	587	309	$503.80	$99.76
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	368	51	$332.25	$66.04
99239 Hospital discharge day management, more than 30 minutes	360	340	$639.51	$102.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	299	281	$974.23	$193.03
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	90	42	$439.99	$87.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	85	80	$648.47	$129.93
99316 Nursing facility discharge management, more than 30 minutes	43	41	$340.44	$101.48
99306 Initial nursing facility visit, typically 45 minutes per day	38	36	$801.05	$159.71
99291 Critical care, first 30-74 minutes	26	22	$1052.46	$213.58
99220 Hospital observation care, typically 70 minutes	24	22	$889.00	$178.31
99217 Hospital observation care on day of discharge	22	21	$351.50	$69.84
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	15	$256.88	$51.75
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	15	13	$635.93	$124.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	13	$182.79	$37.52

Medical Specialties & State Licenses

CMS Verified: 2026-02-25

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX P5923

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License KY TP660

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License TN TN45416

Hospital & Practice Group Affiliations

Questcare Hospitalists Pllc

4401 Booth Calloway Rd, North Richland Hills, TX 761807371

Phone: 8172551000

Questcare Matrix Pllc

2100 Cannon Dr, Mansfield, TX 760633476

Phone: 9549395000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Gregory Graves , CAA

Anesthesiologist Assistant

NPI 1013896745

Cassandra War

Anesthesiologist Assistant

NPI 1013899673

Ashley Marriott , PA-C

Physician Assistant - Medical

NPI 1043745409

Physician Assistant (Certified)

Wesley Cunningham

Anesthesiologist Assistant

NPI 1053144345

Jana Peikert , NNP-BS

Nurse Practitioner - Neonatal

NPI 1093331340

NNPBS

Kolby Nguyen

Anesthesiologist Assistant

NPI 1104707595

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location February 25, 2026

Registered at 7218 CRAWFORD RD, ARGYLE, TX 762262579 (Tel: 9549395000)

📍

Updated Business Mailing Address February 25, 2026

Registered at 541 HERITAGE OAK CT, COPPELL, TX 750195729 (Tel: 6159345289)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2026

Internal Medicine (License #TP660 in KY)

✅

NPI Profile Active July 21, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 21, 2010

Registered at 300 STEAM PLANT ROAD, SUITE 300, GALLATIN, TN 37066 (Tel: 6152308070)

📍

Updated Business Mailing Address July 21, 2010

Registered at 300 STEAM PLANT ROAD, SUITE 300, GALLATIN, TN 37066 (Tel: 6152308070)

👤

Provider Name / Credentials Updated July 21, 2010

Recorded as RAMESH ALWARAPPAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2010

Internal Medicine (License #TN45416 in TN)

🟢

Initial NPI Registration & Enumeration April 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932327533

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 22, 2007

Last Update: February 25, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

541 Heritage Oak Ct

Coppell, TX 750195729

Phone: 6159345289

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.