Active NPI 1538188941 Individual Practitioner Male Practitioner

Dr. Anilkumar R. Patel , MD

Internal Medicine • Plano, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Anilkumar Patel, MD is a certified Internal Medicine practicing in Plano, TX. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Patel delivers high-quality medical care to the local community at 4116 W SPRING CREEK PKWY STE 400C.

Dr. Patel is affiliated with Hospitalist Medicine Physicians Of Texas - Burnet 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, initial hospital care with moderate level of medical decision making, if using time, at least, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4116 W Spring Creek Pkwy Ste 400c

Plano, TX 750245238

Telephone 4699835000

Fax 4699835555

Associated Practice Facility / Clinic

🏢 Dfw Mdcare Pllc Facility NPI 1245704048

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Plano, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +4.0 yrs vs City Avg

City Avg: 24.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

211 Specialists

Practicing in Plano, TX (9538 Statewide)

Telehealth Adoption Rate

28.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (28 Years) 28 Yrs

Plano Specialty Average (24.0 Years) 24.0 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,955	481	$233.43	$75.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	996	452	$326.70	$112.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	277	267	$608.83	$164.72
99238 Hospital discharge day management, 30 minutes or less	250	243	$406.29	$76.98
99239 Hospital discharge day management, more than 30 minutes	87	87	$549.32	$108.96
99497 Advance care planning, first 30 minutes	50	47	$221.62	$71.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$936.08	$124.62

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	1,942	474	$212.65	$76.19
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,051	421	$300.79	$114.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	275	252	$579.09	$167.37
99238 Hospital discharge day management, 30 minutes or less	264	253	$380.00	$77.71
99497 Advance care planning, first 30 minutes	119	114	$215.00	$72.51
99239 Hospital discharge day management, more than 30 minutes	26	26	$460.77	$110.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$650.00	$125.94

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	1,993	479	$196.98	$68.34
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,688	558	$329.10	$98.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	332	317	$580.92	$189.64
99238 Hospital discharge day management, 30 minutes or less	236	231	$380.00	$68.86
99497 Advance care planning, first 30 minutes	159	153	$215.00	$74.65
99239 Hospital discharge day management, more than 30 minutes	35	35	$474.00	$100.71
99220 Hospital observation care, typically 70 minutes	14	14	$1619.00	$171.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$650.00	$128.81

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	2,877	622	$218.73	$69.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	644	342	$320.20	$99.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	306	294	$584.62	$193.56
99238 Hospital discharge day management, 30 minutes or less	228	223	$380.00	$69.59
99497 Advance care planning, first 30 minutes	146	143	$215.00	$76.04
99239 Hospital discharge day management, more than 30 minutes	32	32	$441.75	$102.94
99220 Hospital observation care, typically 70 minutes	29	29	$1619.00	$175.97
99217 Hospital observation care on day of discharge	17	17	$633.00	$69.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$621.43	$131.34

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	1,936	626	$259.85	$71.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	406	203	$388.89	$100.94
99238 Hospital discharge day management, 30 minutes or less	342	331	$380.00	$71.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	194	188	$675.19	$196.96
99220 Hospital observation care, typically 70 minutes	50	50	$1619.00	$178.85
99217 Hospital observation care on day of discharge	30	30	$633.00	$71.40
99239 Hospital discharge day management, more than 30 minutes	27	27	$448.52	$105.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$650.00	$135.42
99497 Advance care planning, first 30 minutes	25	25	$215.00	$78.25
99225 Subsequent observation care, typically 25 minutes per day	19	15	$633.00	$71.71

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	1,651	591	$289.64	$70.74
99238 Hospital discharge day management, 30 minutes or less	376	371	$380.00	$70.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	347	197	$413.79	$100.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	172	171	$782.28	$196.68
99220 Hospital observation care, typically 70 minutes	83	82	$1619.00	$180.53
99217 Hospital observation care on day of discharge	58	57	$633.00	$70.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	48	$650.00	$133.08
99219 Hospital observation care, typically 50 minutes	15	15	$1182.00	$132.16

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	1,462	532	$301.73	$68.38
99238 Hospital discharge day management, 30 minutes or less	418	407	$374.98	$68.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	191	191	$798.28	$190.74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	163	97	$416.00	$98.08
99220 Hospital observation care, typically 70 minutes	59	58	$1584.12	$175.48
99217 Hospital observation care on day of discharge	58	56	$619.10	$68.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	51	$641.73	$128.71

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	1,206	476	$303.08	$67.30
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	426	220	$410.95	$97.67
99238 Hospital discharge day management, 30 minutes or less	364	354	$375.70	$67.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	209	208	$805.77	$188.32
99217 Hospital observation care on day of discharge	82	82	$610.10	$68.16
99220 Hospital observation care, typically 70 minutes	71	71	$1499.39	$174.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	67	67	$640.24	$127.73
99225 Subsequent observation care, typically 25 minutes per day	26	23	$612.23	$68.44
99219 Hospital observation care, typically 50 minutes	16	16	$1062.56	$127.36
99239 Hospital discharge day management, more than 30 minutes	12	12	$568.25	$99.75

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX M2004

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

175876502 (TX)

Medicaid State Provider ID

175876501 (TX)

Hospital & Practice Group Affiliations

Hospitalist Medicine Physicians Of Texas - Burnet Pllc

5016 S Us Hwy 75, Denison, TX 750204584

Phone: 9034164000

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location March 14, 2019

Registered at 4116 W SPRING CREEK PKWY STE 400C, PLANO, TX 750245238 (Tel: 4699835000)

📍

Updated Business Mailing Address March 14, 2019

Registered at 4116 W SPRING CREEK PKWY STE 400C, PLANO, TX 750245238 (Tel: 4699835000)

✅

NPI Profile Active March 05, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location March 05, 2009

Registered at 3901 W. 15TH STREET, MEDICAL CENTER OF PLANO, PLANO, TX 75075 (Tel: 2142171900)

📍

Updated Business Mailing Address March 05, 2009

Registered at 3901 W. 15TH STREET, MEDICAL CENTER OF PLANO, PLANO, TX 75075 (Tel: 2142171900)

👤

Provider Name / Credentials Updated March 05, 2009

Recorded as ANILKUMAR PATEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2009

Internal Medicine (License #M2004 in TX)

🟢

Initial NPI Registration & Enumeration July 18, 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: 1538188941

Entity Type:

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

Enumeration Date: July 18, 2006

Last Update: March 14, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4116 W Spring Creek Pkwy Ste 400c

Plano, TX 750245238

Phone: 4699835000

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.