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Active NPI 1861699506 Individual Practitioner Male Practitioner

Dr. Prashant K Upadhyaya , MD

Surgery - Plastic and Reconstructive Surgery • Round Rock, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Prashant Upadhyaya, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Round Rock, TX. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Upadhyaya delivers high-quality medical care to the local community at 301 SETON PKWY STE 103.

Dr. Upadhyaya is affiliated with Seton Family Of Doctors and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include creation of muscle graft to trunk, new patient outpatient office visit, placement of implant on separate day of breast reconstruction. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

301 Seton Pkwy Ste 103

Round Rock, TX 786658003

Telephone 5123244815
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Round Rock, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs +3.0 yrs vs City Avg
City Avg: 22.0 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Round Rock, TX (402 Statewide)

Telehealth Adoption Rate
33.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
73.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Upadhyaya (25 Years) 25 Yrs
Round Rock Specialty Average (22.0 Years) 22.0 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
15734 Creation of muscle graft to trunk
19 11 $4497.00 $1129.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
13 13 $484.00 $160.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $316.00 $106.67

Medical Specialties & State Licenses

CMS Verified: 2022-08-25
Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License TX P4722

A surgeon who specializes in plastic and reconstructive surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License NY 269241

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License NE 5159

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Plastic Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2082S0105X

State License NY 269241

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License NY 269241

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
03586041 (NY)

Hospital & Practice Group Affiliations

Seton Family Of Doctors

201 Seton Pkwy, Round Rock, TX 786658000

Phone: 5123244000

Seton Family Of Doctors

919 E 32nd St, Austin, TX 787052703

Phone: 5124767111

Seton Family Of Doctors

1400 N Ih 35, Austin, TX 787011926

Seton Family Of Doctors

1101 Wolf Lake Dr, Georgetown, TX 786283778

Seton Family Of Doctors

301 Seton Pkwy, Round Rock, TX 786658003

Seton Family Of Doctors

6001 Kyle Pkwy, Kyle, TX 786406112

Phone: 5125045000

Seton Family Of Doctors

1400 N Ih 35 Ll, Austin, TX 787011926

Phone: 5123247300

Practice Associates & Co-Workers

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

3 Associated Practitioners
Joan Garza

Physician Assistant - Surgical

NPI 1124502794
Sarah Reed , PA-C

Physician Assistant

NPI 1851712731

Physician Assistant (Certified)

Dr. Benjamin Yarbrough , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1912394651

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 25, 2022

Registered at 301 SETON PKWY STE 103, ROUND ROCK, TX 786658003 (Tel: 5123244815)

📍
Updated Business Mailing Address August 25, 2022

Registered at 301 SETON PKWY STE 103, ROUND ROCK, TX 786658003

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2022

Surgery (License #269241 in NY)

NPI Profile Active January 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 17, 2014

Registered at 550 HARRISON ST, STE. 120, SYRACUSE, NY 132023188 (Tel: 3154648224)

📍
Updated Business Mailing Address January 17, 2014

Registered at 550 HARRISON ST, STE. 120, SYRACUSE, NY 132023188 (Tel: 3154648224)

👤
Provider Name / Credentials Updated January 17, 2014

Recorded as PRASHANT UPADHYAYA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2014

Plastic Surgery (License #269241 in NY)

🟢
Initial NPI Registration & Enumeration June 27, 2007

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: 1861699506
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2007
Last Update: August 25, 2022
Sole Proprietor: No

Mailing Address

301 Seton Pkwy Ste 103

Round Rock, TX 786658003

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.