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CHIRAG CHAVDA M.D
NPI 1023314655
Internal Medicine in Mckinney, TX

Active since January 29, 2011PECOS Enrolled
88.26/100
CMS Quality Rating
5860 COLLIN MCKINNEY PKWY STE 602, MCKINNEY, TX 75070(862) 485-3204 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 23, 2023, Apr 6, 2023, Apr 20, 2022 and 1 more (4 updates tracked since 2018).

About Chirag Chavda M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHIRAG CHAVDA M.D (NPI 1023314655) is an individual internal medicine provider in Mckinney, Texas, licensed in Texas (P1977) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, is affiliated with Cookeville Regional Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1023314655
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCHIRAG CHAVDACredential: M.D
Location Address5860 COLLIN MCKINNEY PKWY STE 602Mckinney, TX 75070-5103
Mailing Address5860 Collin Mckinney Pkwy Ste 602Mckinney, TX 75070-5103
Phone(862) 485-3204
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 29, 2011
Last NPPES UpdateMay 23, 20234 updates tracked since enumeration
NPPES CertifiedMay 23, 2023
✔ NPI 1023314655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · P1977
Definition
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.
Also ListedHospitalistTaxonomy 208M00000X · License 247596 (MA), P1977 (TX)
5860 COLLIN MCKINNEY PKWY STE 602, Mckinney, TX 75070
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chirag Chavda M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638347370
PECOS Enrollment IDI20120712000533, I20210715001424, I20260326003458
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

21

Medicare enrollment records show Chirag Chavda reassigns Medicare billing to 21 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Knowledge Internal Medicine PLLC
Same address
Internal Medicine
5860 COLLIN MCKINNEY PKWY STE 602
Mckinney, TX 75070
  • Reassigned Medicare billing, Texas enrollment
NPI 1922700772 (862) 485-3204
Cogent Healthcare Of Texas, PA
19 mi
Internal Medicine
8200 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,208 clinicians in this Medicare group
NPI 1992722953 (214) 345-7585
Ipa ER Group PLLC
30 mi
Emergency Medicine
2850 E HIGHWAY 114
Trophy Club, TX 76262
  • Reassigned Medicare billing, Texas enrollment
  • 50 clinicians in this Medicare group
NPI 1588488571 (214) 696-8033
Lonestar Hospital Medicine Associates, PA
46 mi
Hospitalist
2700 E BROAD ST
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 994 clinicians in this Medicare group
NPI 1518237429 (682) 622-2000
Hospitalist Medicine Physicians Of Texas, PLLC
233 mi
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, New Mexico and Texas enrollments
  • 251 clinicians in this Medicare group
NPI 1629307095 (281) 540-7700
Presbyterian Healthcare Services
386 mi
Rural
2100 MARTIN LUTHER KING JR BLVD
Clovis, NM 88101
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1629053509 (505) 469-7577
App Of Tennessee Hm, PLLC
609 mi
Hospitalist
2835 HIGHWAY 231 N
Shelbyville, TN 37160
  • Reassigned Medicare billing, Tennessee enrollment
  • 498 clinicians in this Medicare group
NPI 1396160768 (931) 685-5433
Cookeville Hospitalist Group, PLLC
670 mi
Hospitalist
1 MEDICAL CENTER BLVD
Cookeville, TN 38501
  • Reassigned Medicare billing, Tennessee enrollment
  • 107 clinicians in this Medicare group
NPI 1467133371 (931) 528-2541
Hospital Physician Services - Southeast Professional Corporation
748 mi
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, North Carolina enrollment
  • 511 clinicians in this Medicare group
NPI 1760410385 (770) 267-8461
Carris Health - Redwood LLC
790 mi
Emergency Medicine
101 CARING WAY
Redwood Falls, MN 56283
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1194206748 (Minnesota)
  • 183 clinicians in this Medicare group
NPI 1265914048 (507) 637-4500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
86 services84 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
78 services76 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services18 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
15 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cookeville Regional Medical Center

Acute Care Hospitals · Cookeville, TN
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440059
Location1 Medical Center BoulevardCookeville, TN 38501 · Putnam County
Emergency services Birthing friendly

Methodist Mckinney Hospital

Acute Care Hospitals · Mckinney, TX
OwnershipProprietary
CMS Certification Number670069
Location8000 W Eldorado Pkwy Bldg C Suite CMckinney, TX 75070 · Collin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75070 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.54
Promoting Interoperability83
Improvement Activities40
Cost78.48

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

URGENTCARE711 PLLC
Clinic/Center (Urgent Care)
5860 COLLIN MCKINNEY PKWY STE 602
MCKINNEY, TX 75070
Collin County (469) 977-1263
KNOWLEDGE INTERNAL MEDICINE PLLC
Internal Medicine
5860 COLLIN MCKINNEY PKWY STE 602
MCKINNEY, TX 75070
Collin County (862) 485-3204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chirag Chavda's NPI number?

The NPI number for Chirag Chavda is 1023314655. It was assigned to this individual provider in the NPPES registry on January 29, 2011.

Where is Chirag Chavda located?

Chirag Chavda practices at 5860 Collin Mckinney Pkwy Ste 602, Mckinney, TX 75070. The listed phone number is (862) 485-3204.

What is Chirag Chavda's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Chirag Chavda enrolled in Medicare?

Yes. Chirag Chavda is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chirag Chavda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chirag Chavda reassigns Medicare benefits to 21 organizations: Knowledge Internal Medicine PLLC (Mckinney, TX), Cogent Healthcare Of Texas, PA (Dallas, TX), Ipa ER Group PLLC (Trophy Club, TX), Lonestar Hospital Medicine Associates, PA (Mansfield, TX), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX) and 16 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chirag Chavda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chirag Chavda accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Chirag Chavda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Chirag Chavda affiliated with any hospitals?

According to CMS data, Chirag Chavda is affiliated with Cookeville Regional Medical Center and Methodist Mckinney Hospital.

When was this NPI record last updated?

The NPPES record for Chirag Chavda was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.