Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780610477 Individual Practitioner Male Practitioner

Dr. Paul Anthony , MD

Internal Medicine • Plano, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Anthony, MD is a certified Internal Medicine practicing in Plano, TX. With approximately 48 years of clinical experience since graduating from University Of Colorado School Of Medicine, Denver in 1978, Dr. Anthony delivers high-quality medical care to the local community at 2100 HEDGCOXE DRIVE, SUITE 100.

Dr. Anthony maintains professional affiliations with Texas Health Physicians Group, Legacy Healthcare Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2100 Hedgcoxe Drive, Suite 100

Plano, TX 750253104

Telephone 9728013600
Fax 9728013698

Medicare Profile & Education

Medical School

University Of Colorado School Of Medicine, Denver

Graduation Year

1978

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
48 Yrs +24.0 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
58.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Anthony (48 Years) 48 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
J1010 Injection, methylprednisolone acetate, 1 mg
1,720 25 $0.26 $0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
683 491 $323.00 $122.60
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
498 379 $18.00 $15.73
93000 Routine ekg using at least 12 leads including interpretation and report
335 330 $65.00 $13.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
258 231 $435.00 $172.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
245 59 $73.00 $13.59
G0008 Administration of influenza virus vaccine
109 109 $60.00 $31.03
90662 Influenza vaccine split virus, preservative free
108 108 $93.56 $80.72
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
89 43 $128.00 $39.71
G0180 Physician or allowed practitioner 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 and
75 67 $167.00 $50.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
66 66 $500.00 $160.02
99213 Established patient office or other outpatient visit, typically 15 minutes
59 58 $218.00 $86.69
J0696 Injection, ceftriaxone sodium, per 250 mg
56 25 $3.00 $0.46
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow
54 33 $330.00 $100.27
G0009 Administration of pneumococcal vaccine
52 52 $60.00 $31.03
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
52 52 $397.00 $290.14
69210 Removal of impacted ear wax
31 30 $158.00 $45.59

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX F5453

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
115707505 (TX)
Medicaid State Provider ID
115707504 (TX)

Hospital & Practice Group Affiliations

Legacy Healthcare Services Inc

5701 Virginia Pkwy, Mckinney, TX 750715652

Phone: 2145920212

Texas Health Physicians Group

2100 Hedgcoxe Rd, Plano, TX 750253183

Phone: 9728013600

Legacy Healthcare Services Inc

800 College Pkwy, Lewisville, TX 750773503

Phone: 9724208543

Practice Associates & Co-Workers

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

12 Associated Practitioners
Dr. Louizza Martinez , MD

Internal Medicine

NPI 1073176772

Doctor of Medicine (M.D.)

Lori Allums , ANP-C

Nurse Practitioner - Adult Health

NPI 1073737151

Adult Nurse Practitioner (Certified)

Traci Muirheid , PA

Physician Assistant

NPI 1114964590

Physician Assistant

Netsanet Tefera , NP

Nurse Practitioner - Adult Health

NPI 1154973147

Nurse Practitioner

Dr. Ghufran Ahmed , MD

Internal Medicine

NPI 1336172261

Doctor of Medicine (M.D.)

Anisa Lakhani , FNP-C

Nurse Practitioner - Family

NPI 1497233340

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 29, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2010

Registered at 2100 HEDGCOXE DRIVE, SUITE 100, PLANO, TX 750253104 (Tel: 9728013600)

📍
Updated Business Mailing Address March 29, 2010

Registered at 2100 HEDGCOXE DRIVE, SUITE 100, PLANO, TX 750253104 (Tel: 9728013600)

👤
Provider Name / Credentials Updated March 29, 2010

Recorded as PAUL ANTHONY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2010

Internal Medicine (License #F5453 in TX)

🟢
Initial NPI Registration & Enumeration June 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Paul Anthony. Be the first to share your experience!

Sign in to leave a review for Dr. Paul Anthony

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1780610477
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2006
Last Update: March 29, 2010
Sole Proprietor: No

Mailing Address

2100 Hedgcoxe Drive, Suite 100

Plano, TX 750253104

Phone: 9728013600

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.