Active NPI 1477948172 Individual Practitioner Female Practitioner

Dr. Kruti R Patel , DO

Internal Medicine • Sherman, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kruti Patel, DO is a certified Internal Medicine practicing in Sherman, TX. With approximately 11 years of clinical experience since graduating from West Virginia School Of Osteopathic Medicine in 2015, Dr. Patel delivers high-quality medical care to the local community at 425 N HIGHLAND AVE STE 130.

Dr. Patel is affiliated with Texas Digestive Disease Consultants, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of polyps or growths of large bowel using an endoscope with mechanical snare, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

425 N Highland Ave Ste 130

Sherman, TX 750927383

Telephone 9038687962

Fax 9038682317

Medicare Profile & Education

Medical School

West Virginia School Of Osteopathic Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Sherman, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -17.0 yrs vs City Avg

City Avg: 28.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

21 Specialists

Practicing in Sherman, TX (9538 Statewide)

Telehealth Adoption Rate

9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (11 Years) 11 Yrs

Sherman Specialty Average (28.0 Years) 28.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	140	106	$148.00	$86.42
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	129	127	$1067.00	$231.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	94	$217.00	$120.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$332.36	$157.85
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	85	84	$680.00	$69.91
45380 Biopsy of large bowel using an endoscope	64	64	$847.00	$125.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$219.00	$103.84
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	34	13	$100.00	$59.63
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	23	$518.00	$76.83
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	21	21	$781.00	$172.75
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$781.00	$168.75
43249 Balloon dilation of esophagus using an endoscope	14	14	$649.00	$105.20
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$151.00	$68.72
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$778.00	$171.95

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	114	91	$217.00	$119.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$333.13	$155.12
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	100	95	$680.00	$86.97
99213 Established patient office or other outpatient visit, typically 15 minutes	100	79	$148.00	$84.79
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	90	88	$1067.00	$231.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	54	$278.00	$124.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	45	$411.00	$164.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	32	$146.00	$76.04
45380 Biopsy of large bowel using an endoscope	44	44	$847.00	$108.44
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	32	$518.00	$90.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$219.00	$107.49
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$151.00	$69.55
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$781.00	$161.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	12	$212.00	$114.46
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$778.00	$173.83
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$781.00	$148.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$332.00	$158.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	43	$217.00	$120.63
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	52	52	$654.69	$72.85
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	51	50	$1067.00	$243.54
45380 Biopsy of large bowel using an endoscope	42	42	$847.00	$134.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	23	$146.00	$68.80
99213 Established patient office or other outpatient visit, typically 15 minutes	30	29	$148.00	$88.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$411.00	$191.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	15	$212.00	$99.67
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$151.00	$70.86
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$206.00	$96.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$219.00	$109.16
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$518.00	$89.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$332.00	$165.44
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$1067.00	$229.71
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$586.00	$69.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99220 Hospital observation care, typically 70 minutes	33	33	$276.00	$182.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$301.00	$198.71

Medical Specialties & State Licenses

CMS Verified: 2021-06-25

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 012456

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.

Internal Medicine - Gastroenterology

NUCC Taxonomy Code: 207RG0100X

State License TX S9202

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Texas Digestive Disease Consultants, Pllc

4370 Medical Arts Dr, Flower Mound, TX 750281742

Phone: 9726913777

Secondary Practice Locations

5100 W Broad St

Columbus, OH 432281607

Phone: 6145441000

Practice Associates & Co-Workers

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

9 Associated Practitioners

Desiree Frye , APN

Nurse Practitioner

NPI 1073634028

Advanced Practice Nurse

Dr. John Fletcher , MD

Internal Medicine - Gastroenterology

NPI 1114006947

Doctor of Medicine (M.D.)

Dr. Ryan Kahl , DO

Internal Medicine

NPI 1275911109

Doctor of Osteopathic Medicine (D.O.)

Dr. Martin Farrell , MD

Internal Medicine - Gastroenterology

NPI 1295814036

Doctor of Medicine (M.D.)

Diane Yeary , ANP

Nurse Practitioner - Adult Health

NPI 1295814044

Adult Nurse Practitioner

Dr. Glenn Young , MD

Internal Medicine - Gastroenterology

NPI 1518046341

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 June 25, 2021

Registered at 425 N HIGHLAND AVE STE 130, SHERMAN, TX 750927383 (Tel: 9038687962)

📍

Updated Business Mailing Address June 25, 2021

Registered at 425 N HIGHLAND AVE STE 130, SHERMAN, TX 750927383 (Tel: 9032317962)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2018

Internal Medicine (License #012456 in OH)

✅

NPI Profile Active March 31, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 31, 2015

Registered at 5100 W BROAD ST, COLUMBUS, OH 432281607 (Tel: 6145441000)

📍

Updated Business Mailing Address March 31, 2015

Registered at VYAS FARIYU, NADIAD, GUJARAT 387001

👤

Provider Name / Credentials Updated March 31, 2015

Recorded as KRUTI PATEL, D.O

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2015

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 31, 2015

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. Kruti Patel. Be the first to share your experience!

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

NPI Administrative Meta

NPI Number: 1477948172

Entity Type:

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

Enumeration Date: March 31, 2015

Last Update: June 25, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

425 N Highland Ave Ste 130

Sherman, TX 750927383

Phone: 9032317962

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.