Active NPI 1831101336 Individual Practitioner Male Practitioner

Dr. Niraj C Patel , MD

Specialist • Sugar Land, TX

Professional Overview & Biography Verified Profile Summary

Dr. Niraj Patel, MD is a certified Specialist practicing in Sugar Land, TX. With approximately 31 years of clinical experience since graduating from University Of Texas Medical School At San Antonio in 1995, Dr. Patel delivers high-quality medical care to the local community at 3525 TOWN CENTER BLVD S.

Dr. Patel is affiliated with Fort Bend Ob Gyn and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, cervical or vaginal cancer screening; pelvic and clinical breast examination, screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3525 Town Center Blvd S

Sugar Land, TX 774791285

Telephone 2814994999

Fax 2816576711

Associated Practice Facility / Clinic

🏢 Fort Bend Ob Gyn Facility NPI 1306053145

Medicare Profile & Education

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

1995

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Sugar Land, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +1.0 yrs vs City Avg

City Avg: 30.0 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

30 Specialists

Practicing in Sugar Land, TX (2033 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patel (31 Years) 31 Yrs

Sugar Land Specialty Average (30.0 Years) 30.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	59	$275.00	$116.34
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	46	46	$105.00	$35.15
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	45	45	$50.00	$39.40
76830 Ultrasound pelvis through vagina	43	36	$300.00	$106.31
81002 Urinalysis, manual test	25	15	$30.00	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$425.00	$151.56

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	54	37	$248.15	$118.74
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	39	39	$50.00	$39.82
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	37	37	$105.00	$35.91
76830 Ultrasound pelvis through vagina	25	21	$300.00	$111.47

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	71	48	$200.35	$123.97
76830 Ultrasound pelvis through vagina	31	24	$300.00	$118.47
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	26	26	$105.00	$37.47
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	25	25	$50.00	$41.43
81002 Urinalysis, manual test	14	14	$30.00	$3.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$225.00	$161.39

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	60	46	$182.50	$125.34
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	42	42	$50.00	$41.67
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	41	41	$105.00	$37.57
76830 Ultrasound pelvis through vagina	25	23	$300.00	$121.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	14	$225.00	$163.39
77080 Dxa bone density measurement of hip, pelvis, spine	14	13	$300.00	$36.38
81002 Urinalysis, manual test	12	11	$30.00	$3.48

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	71	48	$150.00	$100.45
76830 Ultrasound pelvis through vagina	26	22	$300.00	$113.07
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	23	23	$105.00	$36.61
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	22	22	$50.00	$39.47
81002 Urinalysis, manual test	16	12	$30.00	$3.46

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	98	59	$150.77	$95.60
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	34	34	$50.00	$39.29
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	32	32	$105.00	$35.31
76830 Ultrasound pelvis through vagina	28	25	$300.00	$102.54
58100 Biopsy of uterine lining	14	13	$200.00	$48.85
81002 Urinalysis, manual test	13	12	$30.00	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$225.00	$150.99
77080 Dxa bone density measurement of hip, pelvis, spine	12	12	$300.00	$35.88
58340 Introduction of saline or X-ray contrast material for X-ray imaging of the uterus and tubes	11	11	$700.00	$129.70
76831 Ultrasound of uterus	11	11	$500.00	$107.08
74740 Radiological supervision and interpretation X-ray of uterine tubes and ovaries	11	11	$200.00	$67.24

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	47	32	$150.00	$95.81
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	30	30	$105.00	$33.61
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	29	29	$50.00	$38.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$225.00	$146.76
76830 Ultrasound pelvis through vagina	14	12	$300.00	$107.82
77080 Dxa bone density measurement of hip, pelvis, spine	14	14	$300.00	$36.59
81002 Urinalysis, manual test	12	12	$30.00	$3.41

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	62	38	$150.00	$94.82
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	31	31	$50.00	$38.93
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	29	29	$105.00	$33.66
76830 Ultrasound pelvis through vagina	16	14	$300.00	$106.70
81002 Urinalysis, manual test	12	12	$30.00	$3.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$225.00	$145.37

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX K5373

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

101810302 (TX)

Hospital & Practice Group Affiliations

Fort Bend Ob Gyn

3525 Town Ctr Blvd S, Sugar Land, TX 774791285

Phone: 2814994999

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Deanna Mcdonald , MD

Specialist

NPI 1730191214

Doctor of Medicine (M.D.)

Dr. Duc Le , MD

Specialist

NPI 1952313462

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 11, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 11, 2014

Registered at 3525 TOWN CENTER BLVD S, SUGAR LAND, TX 774791285 (Tel: 2814994999)

📍

Updated Business Mailing Address September 11, 2014

Registered at 3525 TOWN CENTER BLVD S, SUGAR LAND, TX 774791285 (Tel: 2814994999)

👤

Provider Name / Credentials Updated September 11, 2014

Recorded as NIRAJ PATEL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2014

Specialist (License #K5373 in TX)

🟢

Initial NPI Registration & Enumeration August 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1831101336

Entity Type:

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

Enumeration Date: August 12, 2006

Last Update: September 11, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3525 Town Center Blvd S

Sugar Land, TX 774791285

Phone: 2814994999

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.