Active NPI 1831114156 Individual Practitioner Male Practitioner

Dr. Ajay Jayendra Pathak , MD

Internal Medicine • Little Elm, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ajay Pathak, MD is a certified Internal Medicine practicing in Little Elm, TX. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Pathak delivers high-quality medical care to the local community at 2833 W ELDORADO PKWY STE 307.

Dr. Pathak is affiliated with Ajay J Pathak Md Pa 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, initial hospital care with moderate level of medical decision making, if using time, at least, smoking and tobacco use intermediate counseling, greater than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2833 W Eldorado Pkwy Ste 307

Little Elm, TX 750683540

Telephone 9722920300

Fax 9722920301

Associated Practice Facility / Clinic

🏢 Premier Wellness Urgent Care Clinic Pllc Facility NPI 1871196857

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 Little Elm, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +1.7 yrs vs City Avg

City Avg: 32.3 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

5 Specialists

Practicing in Little Elm, TX (9538 Statewide)

Telehealth Adoption Rate

40.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pathak (34 Years) 34 Yrs

Little Elm Specialty Average (32.3 Years) 32.3 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	254	93	$200.00	$75.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	85	65	$400.00	$167.69

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	30	26	$200.00	$76.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$400.00	$166.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	13	$195.00	$114.36

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	44	41	$400.00	$188.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	28	$200.00	$68.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	21	$195.00	$97.96
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	16	16	$118.75	$11.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$278.00	$129.50

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	216	62	$159.72	$69.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	38	$390.84	$193.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	32	$278.00	$131.34
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	18	$195.00	$99.96
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	21	19	$62.86	$12.11

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	223	81	$150.00	$70.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	93	70	$278.00	$135.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	58	42	$195.00	$101.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	50	$387.00	$189.71
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	33	26	$40.00	$12.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	26	$84.00	$37.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	82	63	$84.00	$38.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	41	$150.00	$71.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	45	$278.00	$134.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	24	$387.00	$199.47

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	403	141	$195.34	$103.90
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	305	80	$40.90	$19.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	287	127	$150.00	$69.02
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	233	71	$13.63	$1.94
99213 Established patient office or other outpatient visit, typically 15 minutes	188	90	$140.34	$70.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	138	105	$278.00	$127.87
36410 Insertion of needle into vein, patient 3 years or older	124	77	$30.60	$16.25
81002 Urinalysis, manual test	98	79	$15.36	$3.41
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	65	18	$49.42	$20.63
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	64	46	$80.00	$24.30
82043 Urine microalbumin (protein) level	53	52	$26.23	$7.00
36415 Insertion of needle into vein for collection of blood sample	49	43	$10.61	$2.94
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	49	41	$40.00	$11.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	41	$387.00	$190.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	29	$84.00	$37.19
G0008 Administration of influenza virus vaccine	34	33	$50.15	$19.51
90662 Influenza vaccine split virus, preservative free	29	28	$74.48	$52.15
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$30.00	$15.77
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	20	14	$13.50	$6.31
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$30.00	$16.10
93922 Ultrasound study of arm and leg arteries	19	19	$172.37	$84.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$266.67	$159.72

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	505	174	$161.00	$99.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	413	112	$51.00	$23.14
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	311	88	$19.95	$3.08
99213 Established patient office or other outpatient visit, typically 15 minutes	307	120	$117.00	$67.12
36415 Insertion of needle into vein for collection of blood sample	268	156	$20.00	$2.93
81002 Urinalysis, manual test	254	152	$20.00	$3.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	213	148	$278.00	$126.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	211	115	$145.13	$67.57
82043 Urine microalbumin (protein) level	208	137	$134.00	$7.49
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	162	39	$20.00	$5.36
97140 Therapy procedure using manual technique, each 15 minutes	131	21	$60.00	$22.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	83	56	$84.00	$36.72
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	82	65	$80.00	$23.94
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	58	12	$22.00	$1.80
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	57	15	$65.00	$28.76
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	52	15	$41.17	$18.44
G0179 Physician re-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 to affirm the initial imp	50	22	$100.00	$38.05
93000 Routine ekg using at least 12 leads including interpretation and report	47	44	$30.00	$15.48
G0008 Administration of influenza virus vaccine	46	42	$55.00	$23.91
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	37	26	$40.00	$11.48
90662 Influenza vaccine split virus, preservative free	25	25	$60.00	$48.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$271.00	$146.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	22	$387.00	$189.45
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	17	14	$30.00	$16.85
20610 Aspiration and/or injection of fluid from large joint	15	11	$241.00	$56.20
36410 Insertion of needle into vein, patient 3 years or older	12	12	$55.00	$15.54
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$195.00	$91.58

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX J6202

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

115547504 (TX)

Medicaid State Provider ID

115547501 (TX)

Hospital & Practice Group Affiliations

Ajay J Pathak Md Pa

5899 Preston Rd, Frisco, TX 750349593

Phone: 9723780066

Practice Associates & Co-Workers

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

5 Associated Practitioners

Aditi Rane , FNP-C

Nurse Practitioner - Family

NPI 1013491463

Family Nurse Practitioner (Certified)

Paige Fernandez , FNP

Nurse Practitioner - Family

NPI 1275234437

Family Nurse Practitioner

Dr. Khalida Yasmin , MD

Family Medicine

NPI 1306842216

Doctor of Medicine (M.D.)

Patricia Sodaro , RN NP

Registered Nurse - Women's Health Care, Ambulatory

NPI 1356726681

RNNP

Ken Novak , PA

Physician Assistant

NPI 1780608760

Physician Assistant

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location April 16, 2018

Registered at 2833 W ELDORADO PKWY STE 307, LITTLE ELM, TX 750683540 (Tel: 9722920300)

📍

Updated Business Mailing Address April 16, 2018

Registered at 1780 W MCDERMOTT DR STE 200, ALLEN, TX 750133363 (Tel: 9729541469)

👤

Provider Name / Credentials Updated April 16, 2018

Recorded as AJAY PATHAK, M.D.

✅

NPI Profile Active March 31, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 31, 2014

Registered at 2501 E HEBRON PKWY, SUITE# 150, CARROLLTON, TX 750104468 (Tel: 9722920300)

📍

Updated Business Mailing Address March 31, 2014

Registered at 2501 E HEBRON PKWY, SUITE # 150, CARROLLTON, TX 750104468 (Tel: 9722920300)

👤

Provider Name / Credentials Updated March 31, 2014

Recorded as AJAY PATHAK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2014

Internal Medicine (License #J6202 in TX)

🟢

Initial NPI Registration & Enumeration July 13, 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: 1831114156

Entity Type:

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

Enumeration Date: July 13, 2006

Last Update: April 16, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1780 W Mcdermott Dr Ste 200

Allen, TX 750133363

Phone: 9729541469

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.