Active NPI 1831517077 Individual Practitioner Male Practitioner

Prakash Thapa

Internal Medicine • Waco, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Prakash Thapa is a certified Internal Medicine practicing in Waco, TX. With approximately 12 years of clinical experience since graduating from William Carey University College Of Osteopathic Medicine in 2014, Prakash Thapa delivers high-quality medical care to the local community at 100 HILLCREST MEDICAL BLVD.

Prakash Thapa is affiliated with Hillcrest Physician Services 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, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Hillcrest Medical Blvd

Waco, TX 767128897

Telephone 1254215948

Associated Practice Facility / Clinic

🏢 Waco Neonatal Group, P.a. Facility NPI 1265530604

Medicare Profile & Education

Medical School

William Carey University College Of Osteopathic Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Waco, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -7.7 yrs vs City Avg

City Avg: 19.7 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

45 Specialists

Practicing in Waco, TX (9538 Statewide)

Telehealth Adoption Rate

6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thapa (12 Years) 12 Yrs

Waco Specialty Average (19.7 Years) 19.7 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	491	203	$195.00	$111.38
99239 Hospital discharge day management, more than 30 minutes	159	153	$200.00	$107.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	45	$135.00	$73.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	53	$380.00	$162.91
99497 Advance care planning, first 30 minutes	24	23	$210.00	$71.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	394	174	$195.00	$113.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	132	78	$135.00	$76.02
99239 Hospital discharge day management, more than 30 minutes	125	120	$200.00	$109.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	61	$380.00	$164.35
99497 Advance care planning, first 30 minutes	35	34	$210.00	$72.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	468	176	$195.00	$97.57
99239 Hospital discharge day management, more than 30 minutes	127	123	$200.00	$99.15
99497 Advance care planning, first 30 minutes	48	48	$210.00	$74.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	43	$380.00	$190.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	29	$135.00	$68.29
99217 Hospital observation care on day of discharge	15	15	$126.00	$64.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	480	190	$195.00	$99.34
99239 Hospital discharge day management, more than 30 minutes	145	142	$200.00	$102.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	57	$135.00	$69.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$380.00	$193.71
99217 Hospital observation care on day of discharge	19	19	$126.00	$69.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	485	194	$195.00	$102.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	165	103	$135.00	$71.44
99239 Hospital discharge day management, more than 30 minutes	151	146	$200.00	$102.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	57	$380.00	$201.76
99217 Hospital observation care on day of discharge	21	21	$126.00	$72.08
99220 Hospital observation care, typically 70 minutes	11	11	$350.00	$184.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	450	198	$195.00	$99.60
99239 Hospital discharge day management, more than 30 minutes	198	187	$200.00	$103.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	176	104	$135.00	$70.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	76	75	$380.00	$196.82
99217 Hospital observation care on day of discharge	20	20	$126.00	$70.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	459	198	$319.29	$99.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	172	103	$227.96	$69.66
99239 Hospital discharge day management, more than 30 minutes	143	142	$354.67	$101.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	125	123	$663.04	$198.42
99217 Hospital observation care on day of discharge	21	21	$360.40	$70.01
99291 Critical care, first 30-74 minutes	17	16	$621.06	$220.00
99220 Hospital observation care, typically 70 minutes	14	14	$881.82	$179.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	238	93	$287.88	$99.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	103	48	$199.36	$70.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	50	$561.29	$197.78
99239 Hospital discharge day management, more than 30 minutes	50	50	$297.70	$103.48
99291 Critical care, first 30-74 minutes	26	22	$615.38	$217.33

Medical Specialties & State Licenses

CMS Verified: 2021-12-20

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX Q8162

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

2362780 (LA)

Hospital & Practice Group Affiliations

Hillcrest Physician Services

100 Hillcrest Med Blvde, Waco, TX 767128897

Phone: 2542022000

Secondary Practice Locations

7000 N Mopac, Suite 420

Austin, TX 78731

Phone: 5124820045

Practice Associates & Co-Workers

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

40 Associated Practitioners

Isaac Lill

Internal Medicine

NPI 1003558495

Lori Hutson , RNC NNP

Nurse Practitioner - Neonatal

NPI 1003879651

RNCNNP

Emily Heeringa , FNP

Nurse Practitioner - Family

NPI 1013485945

Family Nurse Practitioner

Jared Griffin , NNP-BC

Nurse Practitioner - Neonatal, Critical Care

NPI 1013489061

NNPBC

Samuel Kelly

Anesthesiologist Assistant

NPI 1013542372

Andrea Nemec , NNP

Nurse Practitioner - Neonatal

NPI 1023276052

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location December 20, 2021

Registered at 100 HILLCREST MEDICAL BLVD, WACO, TX 767128897 (Tel: 1254215948)

📍

Updated Business Mailing Address September 04, 2018

Registered at PO BOX 848491, DALLAS, TX 752848491 (Tel: 2542159481)

📍

Updated Business Mailing Address July 25, 2018

Registered at 815 PRIMROSE LN, CEDAR PARK, TX 786133702 (Tel: 7134096437)

✅

NPI Profile Active July 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 10, 2017

Registered at 7000 N MOPAC, SUITE 420, AUSTIN, TX 78731 (Tel: (512) 482-0045)

📍

Updated Business Mailing Address July 10, 2017

Registered at 7000 N MOPAC, SUITE 420, AUSTIN, TX 78731 (Tel: (512) 482-0045)

👤

Provider Name / Credentials Updated July 10, 2017

Recorded as PRAKASH THAPA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2017

Internal Medicine (License #Q8162 in TX)

✅

NPI Profile Active March 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 15, 2016

Registered at 29387 FM 106, RIO HONDO, TX 785833029 (Tel: 7134096437)

📍

Updated Business Mailing Address March 15, 2016

Registered at 116 RESERVE DR, APT 523, LAFAYETTE, LA 705035699 (Tel: 7134096437)

👤

Provider Name / Credentials Updated March 15, 2016

Recorded as PRAKASH THAPA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2016

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 04, 2014

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: 1831517077

Entity Type:

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

Enumeration Date: April 04, 2014

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 848491

Dallas, TX 752848491

Phone: 2542159481

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.