Active NPI 1760437719 Individual Practitioner Male Practitioner

Dr. Birendra Narayan Lal , MD

Internal Medicine • Denison, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Birendra Lal, MD is a certified Internal Medicine practicing in Denison, TX. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Lal delivers high-quality medical care to the local community at 5016 S US HIGHWAY 75.

Dr. Lal is affiliated with Hospitalist Medicine Physicians Of Texas - Burnet Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital care with same-day admission and discharge with high level of medical decision making, per day, 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 S Us Highway 75
Attn: Hospitalist Program

Denison, TX 750204584

Telephone 9034164378

Fax 9034164980

Associated Practice Facility / Clinic

🏢 Uhs Of Texoma, Inc Facility NPI 1851390967

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

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

34 Yrs +3.8 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

85.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lal (34 Years) 34 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	263	253	$1033.35	$164.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$888.40	$124.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	534	499	$797.00	$168.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	60	59	$650.00	$126.89
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	11	11	$1896.00	$203.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	356	337	$797.00	$189.78
99220 Hospital observation care, typically 70 minutes	43	43	$1619.00	$171.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$650.00	$129.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	422	398	$797.00	$193.35
99220 Hospital observation care, typically 70 minutes	171	168	$1619.00	$175.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$650.00	$131.34
99219 Hospital observation care, typically 50 minutes	16	16	$1182.00	$126.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	357	338	$797.00	$199.34
99220 Hospital observation care, typically 70 minutes	134	131	$1619.00	$182.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	62	$650.00	$135.23
99219 Hospital observation care, typically 50 minutes	28	28	$1182.00	$133.32
99497 Advance care planning, first 30 minutes	18	18	$215.00	$78.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	418	399	$797.00	$196.74
99220 Hospital observation care, typically 70 minutes	235	229	$1619.00	$180.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	108	106	$650.00	$132.60
99219 Hospital observation care, typically 50 minutes	68	68	$1182.00	$132.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	22	$304.00	$70.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$416.00	$101.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	525	504	$797.00	$190.49
99220 Hospital observation care, typically 70 minutes	139	135	$1619.00	$175.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	131	130	$650.00	$127.59
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	23	22	$1896.00	$205.52
99219 Hospital observation care, typically 50 minutes	23	23	$1182.00	$127.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	15	$304.00	$68.47
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$482.00	$95.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	383	376	$784.50	$186.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	120	120	$642.51	$125.86
99220 Hospital observation care, typically 70 minutes	119	116	$1587.94	$169.72
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$472.63	$93.13
99219 Hospital observation care, typically 50 minutes	26	26	$1162.62	$124.98
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	17	17	$1853.65	$200.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	11	$297.54	$66.45

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX M2685

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.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License TX M2685

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

177215401 (TX)

Hospital & Practice Group Affiliations

Hospitalist Medicine Physicians Of Texas - Burnet Pllc

5016 S Us Hwy 75, Denison, TX 750204584

Phone: 9034164000

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Nasheel Joules , MD

Internal Medicine

NPI 1063670628

Doctor of Medicine (M.D.)

Dr. Jenson Abraham , MD

Internal Medicine

NPI 1205074135

Doctor of Medicine (M.D.)

Dr. Robert Watson , MD

Internal Medicine

NPI 1265457956

Doctor of Medicine (M.D.)

Dr. Charles Derbes , MD

Internal Medicine

NPI 1427003466

Doctor of Medicine (M.D.)

Dr. Ori Lotan , MD

Hospitalist

NPI 1578591590

Doctor of Medicine (M.D.)

Dr. Azar Ehsan , MD

Internal Medicine

NPI 1851616304

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 21, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 21, 2013

Registered at 5016 S US HIGHWAY 75, ATTN: HOSPITALIST PROGRAM, DENISON, TX 750204584 (Tel: 9034164378)

📍

Updated Business Mailing Address January 21, 2013

Registered at 5016 S US HIGHWAY 75, ATTN: HOSPITALIST PROGRAM, DENISON, TX 750204584 (Tel: 9034164378)

👤

Provider Name / Credentials Updated January 21, 2013

Recorded as BIRENDRA LAL, M.D.

🎓

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

Internal Medicine (License #M2685 in TX)

🟢

Initial NPI Registration & Enumeration May 24, 2006

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: 1760437719

Entity Type:

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

Enumeration Date: May 24, 2006

Last Update: January 21, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5016 S Us Highway 75, Attn: Hospitalist Program

Denison, TX 750204584

Phone: 9034164378

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.