Active NPI 1063742005 Individual Practitioner Male Practitioner

Dr. Utkal Patel , MD

Internal Medicine • Denison, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Utkal Patel, MD is a certified Internal Medicine practicing in Denison, TX. With approximately 20 years of clinical experience since completing medical education in 2006, Dr. Patel delivers high-quality medical care to the local community at 5016 US HWY 75.

Dr. Patel maintains professional affiliations with Aphc Llc, North Texas Critical Care Pa, Questcare Intensivists Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include critical care, first, subsequent hospital care with moderate levelof medical decision making, 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

5016 Us Hwy 75

Denison, TX 750204584

Telephone 9034172000

Associated Practice Facility / Clinic

🏢 Lung Specialist Associates Of Texas Pllc Facility NPI 1417457938

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Denison, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -10.2 yrs vs City Avg

City Avg: 30.2 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

21 Specialists

Practicing in Denison, TX (9538 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (20 Years) 20 Yrs

Denison Specialty Average (30.2 Years) 30.2 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
99291 Critical care, first 30-74 minutes	261	140	$903.00	$202.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	226	134	$460.00	$112.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$610.00	$164.67
99239 Hospital discharge day management, more than 30 minutes	18	18	$311.00	$108.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	14	$288.00	$75.26
76937 Ultrasonic guidance for blood vessel access	14	14	$184.00	$13.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	303	159	$903.00	$204.70
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	205	124	$460.00	$114.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	29	$288.00	$76.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$610.00	$166.69
76937 Ultrasonic guidance for blood vessel access	11	11	$184.00	$13.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	514	221	$903.00	$209.30
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	286	165	$460.00	$98.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$610.00	$189.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	26	$288.00	$68.26
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	19	18	$604.00	$135.45
92950 Manual attempt to restore blood circulation and breathing	18	18	$1226.00	$178.35
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	15	12	$347.00	$120.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	614	254	$903.00	$212.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	180	126	$460.00	$99.56
76937 Ultrasonic guidance for blood vessel access	29	23	$184.00	$13.56
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	27	26	$604.00	$137.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	20	$288.00	$69.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$610.00	$193.97
36620 Insertion of artery tube for blood sampling or infusion through skin	18	17	$132.00	$43.45
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	16	12	$347.00	$122.90
99292 Critical care, each additional 30 minutes	14	11	$529.00	$106.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	601	286	$903.00	$218.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	129	97	$460.00	$102.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	67	$288.00	$71.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$610.00	$198.70
99292 Critical care, each additional 30 minutes	27	23	$529.00	$110.01
76937 Ultrasonic guidance for blood vessel access	26	23	$184.00	$14.38
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	25	24	$604.00	$142.93
36620 Insertion of artery tube for blood sampling or infusion through skin	15	15	$132.00	$44.82
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	13	13	$805.00	$85.26
36800 Insertion of tube connecting vein to vein for hemodialysis	12	12	$897.00	$122.90
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	11	11	$347.00	$128.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	582	322	$903.00	$216.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	183	140	$460.00	$101.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	136	114	$288.00	$70.75
99292 Critical care, each additional 30 minutes	64	49	$529.00	$108.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$610.00	$196.68
76937 Ultrasonic guidance for blood vessel access	21	19	$184.00	$14.20
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	17	16	$347.00	$129.12
92950 Manual attempt to restore blood circulation and breathing	14	13	$1226.00	$184.94
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	14	13	$604.00	$140.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	699	319	$903.00	$214.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	222	165	$465.99	$101.71
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	133	41	$200.00	$67.27
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	113	35	$225.00	$88.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	85	67	$288.00	$71.00
99292 Critical care, each additional 30 minutes	56	42	$529.00	$108.94
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	46	14	$125.00	$43.29
99306 Initial nursing facility visit, typically 45 minutes per day	37	35	$350.00	$162.60
31624 Irrigation and suction of lung airways to obtain cells using an endoscope	27	25	$347.00	$132.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	19	$610.00	$197.74
76937 Ultrasonic guidance for blood vessel access	20	18	$184.00	$14.18
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	18	18	$300.00	$127.01
99238 Hospital discharge day management, 30 minutes or less	15	14	$265.00	$71.14
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	14	14	$604.00	$139.73
36620 Insertion of artery tube for blood sampling or infusion through skin	11	11	$132.00	$41.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99291 Critical care, first 30-74 minutes	691	304	$746.78	$210.21
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	146	112	$405.64	$96.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	46	$222.68	$66.05
99292 Critical care, each additional 30 minutes	28	22	$460.14	$106.11
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	23	22	$626.39	$117.48
31500 Emergent insertion of breathing tube into windpipe cartilage using an endoscope	23	23	$488.52	$138.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	19	$479.40	$191.90
36800 Insertion of tube connecting vein to vein for hemodialysis	12	12	$661.33	$111.92

Medical Specialties & State Licenses

CMS Verified: 2026-02-18

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX Q9874

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 - Critical Care Medicine

NUCC Taxonomy Code: 207RC0200X

State License MO 2012003492

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Internal Medicine - Critical Care Medicine

NUCC Taxonomy Code: 207RC0200X

State License TX Q9874

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1063742005 (MO)

Hospital & Practice Group Affiliations

Questcare Intensivists Pllc

713 E Anderson St, Weatherford, TX 760865705

Phone: 9549395000

Questcare Intensivists Pllc

5016 S Us Hwy 75, Denison, TX 750204584

Phone: 9549395000

North Texas Critical Care Pa

5016 S Us Hwy 75, Denison, TX 750204584

Phone: 9034164000

Aphc Llc

None, Frisco, TX 75034

Phone: 9039831301

Questcare Intensivists Pllc

4500 Medical Ctr Dr, Mckinney, TX 750691650

Phone: 9549395000

Questcare Intensivists Pllc

901 W Ben White Blvd, Austin, TX 787046903

Phone: 9549395000

Questcare Intensivists Pllc

7777 Forest Ln, Dallas, TX 752302571

Phone: 9549395000

Secondary Practice Locations

1235 E Cherokee St

Springfield, MO 658042203

Phone: 4178202600

Practice Associates & Co-Workers

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

29 Associated Practitioners

Dr. Saad Hussain , MD

Radiology - Vascular & Interventional Radiology

NPI 1033552682

Doctor of Medicine (M.D.)

Jessica Kent , APRN, FNP-C

Nurse Practitioner - Family

NPI 1104542851

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Robert Blanch , MD

Radiology - Diagnostic Radiology

NPI 1124059738

Doctor of Medicine (M.D.)

April Brownlee , CRNA

Nurse Anesthetist, Certified Registered

NPI 1194430637

Certified Registered Nurse Anesthetist

Megan Chandler , CRNA

Nurse Anesthetist, Certified Registered

NPI 1275257792

Certified Registered Nurse Anesthetist

Adrienne Prince , RN

Registered Nurse

NPI 1407728173

Registered Nurse

Career & Practice History Timeline

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

10 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2026

Internal Medicine (License #2012003492 in MO)

📍

Updated Practice Location March 14, 2019

Registered at 5016 US HWY 75, DENISON, TX 750204584 (Tel: 9034172000)

📍

Updated Business Mailing Address March 14, 2019

Registered at 2413 WREXHAM DR, MCKINNEY, TX 750713352 (Tel: 6098275917)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2019

Internal Medicine (License #Q9874 in TX)

✅

NPI Profile Active May 21, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 21, 2013

Registered at 1235 E CHEROKEE ST, SPRINGFIELD, MO 658042203 (Tel: 4178202600)

📍

Updated Business Mailing Address May 21, 2013

Registered at PO BOX 2580, SPRINGFIELD, MO 658012580 (Tel: 4178294620)

👤

Provider Name / Credentials Updated May 21, 2013

Recorded as UTKAL PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2013

Internal Medicine (License #2012003492 in MO)

🟢

Initial NPI Registration & Enumeration January 13, 2010

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: 1063742005

Entity Type:

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

Enumeration Date: January 13, 2010

Last Update: February 18, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2413 Wrexham Dr

Mckinney, TX 750713352

Phone: 6098275917

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.