SANDEEP G MISTRY M.D.
NPI 1104039916
Urology in Round Rock, TX

Active since May 08, 2007PECOS EnrolledAccepts Medicare Assignment
74.3/100
CMS Quality Rating
970 HESTERS CROSSING RD, SUITE 101, ROUND ROCK, TX 78681(512) 238-0762(512) 341-7370 Get Directions Write a Review

NPPES record last updated: September 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandeep G Mistry M.d. NPPES

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

SANDEEP G MISTRY M.D. (NPI 1104039916) is an individual urology provider in Round Rock, Texas, licensed in Texas (M0182) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of Baylor College Of Medicine (2001).

NPPES Registry Identity

NPI1104039916
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameSANDEEP G MISTRYCredential: M.D.
Location Address970 HESTERS CROSSING RD, SUITE 101Round Rock, TX 78681-8027
Mailing Address970 Hesters Crossing Rd, Suite 101Round Rock, TX 78681-8027 · (512) 238-0762 · Fax (512) 341-7370
Fax(512) 341-7370
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2001
Enumeration DateMay 8, 2007
Last NPPES UpdateSeptember 2, 2011
NPI 1104039916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in TX · M0182
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
970 HESTERS CROSSING RD, Round Rock, TX 78681

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sandeep G Mistry M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911081476
PECOS Enrollment IDI20080222000459
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.

Areas of Expertise CMS Part B claims 21

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.

Injection, testosterone cypionate, 1 mg J1071
Testosterone cypionate is a medication given via injection to help balance hormone levels in your body. It's typically used when your body doesn't produce enough of this hormone naturally. The 1 mg dose refers to the amount of medication in each injection.
4,404 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,263 services616 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
801 services444 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
377 services305 patients
Electronic assessment of bladder emptying 51741
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
200 services173 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
198 services164 patients

Hospital Affiliations CMS Care Compare 3

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

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

North Austin Medical Center

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450809
Location12221 Mopac Expressway NorthAustin, TX 78758 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78681 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

74.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality53.27
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
32%102 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
34%551 patients2/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
72%384 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
93%14,313 patients4/55-star benchmark: 100%
e-Prescribing
99%931 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
18%6,485 patients1/55-star benchmark: 98%
Provide Patients Electronic Access to Their Health Information
97%5,225 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
70%799 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 5% · 1,679 patients
Patients totalRate: 7% · 1,691 patients
2%1,691 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

Urology
970 HESTERS CROSSING RD, SUITE 101
ROUND ROCK, TX 78681
Allergy & Immunology
970 HESTERS CROSSING RD, SUITE 100
ROUND ROCK, TX 78681
Urology
970 HESTERS CROSSING RD, SUITE 101
ROUND ROCK, TX 78681
Clinical Nurse Specialist (Adult Health)
970 HESTERS CROSSING RD, SUITE 101
ROUND ROCK, TX 78681
Physician Assistant
970 HESTERS CROSSING RD, SUITE 101
ROUND ROCK, TX 78681
Physician Assistant (Medical)
970 HESTERS CROSSING RD, STE 101
ROUND ROCK, TX 78681

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 Sandeep Mistry's NPI number?

The NPI number for Sandeep Mistry is 1104039916. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Sandeep Mistry located?

Sandeep Mistry practices at 970 Hesters Crossing Rd Suite 101, Round Rock, TX 78681. The listed phone number is (512) 238-0762.

What is Sandeep Mistry's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Sandeep Mistry enrolled in Medicare?

Yes. Sandeep Mistry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sandeep Mistry accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Sandeep Mistry 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 Sandeep Mistry affiliated with any hospitals?

According to CMS data, Sandeep Mistry is affiliated with St David's Medical Center, St David's South Austin Medical Center and North Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Sandeep Mistry was last updated on September 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.