Active NPI 1235351610 Individual Practitioner Male Practitioner

Dr. Pradeep S Mohan , MD

Surgery - Plastic and Reconstructive Surgery • Cibolo, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Pradeep Mohan, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Cibolo, TX. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Mohan delivers high-quality medical care to the local community at 4200 GREEN VALLEY RD.

Dr. Mohan accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less, deep biopsy of muscle. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4200 Green Valley Rd

Cibolo, TX 781081900

Telephone 3256659111

Associated Practice Facility / Clinic

🏢 Veda Medical, Llc Facility NPI 1891221636

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 Surgery - Plastic and Reconstructive Surgery in Cibolo, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs Matches City Avg

City Avg: 27.0 Yrs

State Avg: 24.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Cibolo, TX (402 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mohan (27 Years) 27 Yrs

Cibolo 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
99213 Established patient office or other outpatient visit, typically 15 minutes	207	53	$368.26	$86.60
11042 Removal of skin and tissue, 20.0 sq cm or less	100	18	$583.00	$119.72
20205 Deep biopsy of muscle	43	11	$1374.19	$77.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$471.11	$106.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q4253 Zenith amniotic membrane, per square centimeter	2,379	26	$3800.00	$962.84
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	205	39	$350.00	$102.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	57	$390.00	$121.73
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	92	22	$525.00	$141.23
99213 Established patient office or other outpatient visit, typically 15 minutes	92	40	$275.00	$86.42
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	92	23	$1250.00	$329.81
11042 Removal of skin and tissue, 20.0 sq cm or less	90	20	$435.00	$93.79
15272 Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less	77	12	$100.00	$23.10
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	57	30	$350.00	$102.22
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	54	17	$830.00	$219.43
20200 Biopsy of muscle	30	11	$750.00	$149.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$585.00	$159.39
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	19	19	$450.00	$127.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q4253 Zenith amniotic membrane, per square centimeter	5,400	31	$3814.07	$962.84
Q4158 Kerecis omega3, per square centimeter	3,311	11	$270.00	$105.42
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	634	105	$350.00	$86.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	613	91	$390.00	$123.21
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	207	30	$1250.00	$336.86
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	193	27	$525.00	$147.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	161	33	$516.84	$172.97
15272 Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less	156	20	$100.00	$24.12
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	130	23	$350.00	$86.32
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	125	22	$830.00	$217.94
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	112	112	$450.00	$123.17
99213 Established patient office or other outpatient visit, typically 15 minutes	86	41	$275.00	$87.56
11042 Removal of skin and tissue, 20.0 sq cm or less	76	17	$435.00	$112.25
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	63	15	$1450.00	$383.40
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	62	15	$550.00	$154.96
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	56	19	$250.00	$66.41
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	46	19	$830.00	$130.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$585.00	$161.81
20205 Deep biopsy of muscle	30	12	$1050.00	$77.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$385.00	$107.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	546	101	$390.00	$124.61
99213 Established patient office or other outpatient visit, typically 15 minutes	210	70	$275.00	$88.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	174	32	$250.00	$69.53
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	97	18	$350.00	$88.11
20245 Biopsy of deep bone	65	16	$1200.00	$173.06
27041 Biopsy of tissue of pelvis and hip	61	13	$2500.00	$363.85
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	46	14	$185.00	$6.74
21925 Biopsy of tissue of back or flank	45	12	$1600.00	$228.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$585.00	$163.39
20240 Biopsy of surface bone	40	11	$600.00	$71.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	29	$485.00	$131.34
99356 Prolonged inpatient or observation hospital service, first hour	23	16	$330.00	$88.57
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	23	15	$1250.00	$212.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$385.00	$109.20
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	19	11	$1450.00	$254.16
99306 Initial nursing facility visit, typically 45 minutes per day	11	11	$570.00	$161.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	443	112	$390.00	$104.69
99213 Established patient office or other outpatient visit, typically 15 minutes	120	51	$275.00	$72.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$585.00	$158.37
20245 Biopsy of deep bone	51	12	$1200.00	$172.72
20205 Deep biopsy of muscle	43	13	$1050.00	$75.09
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	32	17	$830.00	$202.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	14	$250.00	$71.25
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	14	11	$1450.00	$261.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$485.00	$135.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	100	43	$272.01	$72.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	39	$386.68	$104.59
20245 Biopsy of deep bone	61	14	$1158.49	$211.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	11	$130.50	$38.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$585.00	$160.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$382.79	$105.14
97606 Therapy procedure using a special bandage and vacuum pump, surface area more than 50.0 sq cm	17	11	$169.50	$28.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	46	24	$232.40	$67.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	23	$342.21	$103.83
11044 Removal of bone, 20.0 sq cm or less	23	11	$1001.85	$122.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$343.02	$103.70
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$326.97	$90.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$523.11	$158.78

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License TX N8956

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License IL 036116392

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2086S0105X

State License IL 036116392

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2086S0105X

State License TX N8956

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200922110 (IN)

Medicaid State Provider ID

7100067840 (KY)

Commercial Insurance / Payer ID Passport Advantage

3581444000 (KY)

Commercial Insurance / Payer ID Passport

50021605 (KY)

Career & Practice History Timeline

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

12 Historical Events

✅

NPI Profile Active April 23, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 23, 2017

Registered at 4200 GREEN VALLEY RD, CIBOLO, TX 781081900 (Tel: 3256659111)

📍

Updated Business Mailing Address April 23, 2017

Registered at 4200 GREEN VALLEY RD, CIBOLO, TX 781081900 (Tel: 3256659111)

👤

Provider Name / Credentials Updated April 23, 2017

Recorded as PRADEEP MOHAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2017

Surgery (License #036116392 in IL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2017

Surgery (License #N8956 in TX)

✅

NPI Profile Active October 01, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 01, 2012

Registered at 1305 WONDER WORLD DR, SUITE 300, SAN MARCOS, TX 786667546 (Tel: 5123963911)

📍

Updated Business Mailing Address October 01, 2012

Registered at 1305 WONDER WORLD DR, SUITE 300, SAN MARCOS, TX 786667546 (Tel: 5123963911)

👤

Provider Name / Credentials Updated October 01, 2012

Recorded as PRADEEP MOHAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2012

Surgery (License #N8956 in TX)

🟢

Initial NPI Registration & Enumeration May 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1235351610

Entity Type:

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

Enumeration Date: May 03, 2007

Last Update: April 23, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4200 Green Valley Rd

Cibolo, TX 781081900

Phone: 3256659111

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.