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PRATIBHA AMOL DESHPANDE M.D.
NPI 1164511408
Internal Medicine in Lufkin, TX

Active since October 12, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 45D2216603 · Waiver
77.52/100
CMS Quality Rating
818 WEST FRANK STREET, LUFKIN, TX 75904(936) 699-5040(936) 639-8950 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 21, 2017 (2 updates tracked since 2017).

About Pratibha Amol Deshpande M.d. NPPES

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

PRATIBHA AMOL DESHPANDE M.D. (NPI 1164511408) is an individual internal medicine provider in Lufkin, Texas, licensed in Texas (K8738) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through March 14, 2027, and is affiliated with Chi St Lukes Health Memorial Lufkin.

NPPES Registry Identity

NPI1164511408
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRATIBHA AMOL DESHPANDECredential: M.D.
Location Address818 WEST FRANK STREETLufkin, TX 75904
Mailing Address818 West Frank StreetLufkin, TX 75904 · (936) 699-5040 · Fax (936) 639-8950
Phone(936) 699-5040
Fax(936) 639-8950
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1164511408 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 · K8738
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 K8738 (TX)
818 WEST FRANK STREET, Lufkin, TX 75904
Open in Google Maps ↗

Other Names 1

Former Name (1)Pratibha Shrinivas Joshi Md

Other Identifiers 3

Other8A0024TX · Blue Cross
Other040579701Tpi
MedicaidP08254K05TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company.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

Pratibha Amol Deshpande 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 ID8921197856
PECOS Enrollment IDI20071130000082
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2216603

Pratibha Deshpande MD · Lufkin, TX
Active · expires Mar 14, 2027
CLIA Number45D2216603
Laboratory TypePhysician Office
Certificate Effective DateMarch 15, 2025
Certificate Expiration DateMarch 14, 2027
Laboratory DirectorPratibha A. Deshpande
Laboratory Phone(936) 632-2326
Laboratory LocationPratibha Deshpande MD507 Gaslight Blvd, Lufkin, TX 75904
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

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.

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.
230 services62 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.
149 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
53 services35 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
43 services43 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
40 services40 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Lukes Health Memorial Lufkin

Acute Care Hospitals · Lufkin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450211
Location1201 West Frank StreetLufkin, TX 75901 · Angelina County
Emergency services Birthing friendly

Woodland Heights Medical Center

Acute Care Hospitals · Lufkin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450484
Location505 South John Redditt DriveLufkin, TX 75904 · Angelina County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75904 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.

77.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.91
Improvement Activities40
Cost65.79

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers16 claims39 services$6.24 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers21 claims21 services$199.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Pratibha Deshpande's NPI number?

The NPI number for Pratibha Deshpande is 1164511408. It was assigned to this individual provider in the NPPES registry on October 12, 2006. The provider is also known as Pratibha Shrinivas Joshi MD.

Where is Pratibha Deshpande located?

Pratibha Deshpande practices at 818 West Frank Street, Lufkin, TX 75904. The listed phone number is (936) 699-5040.

What is Pratibha Deshpande's specialty?

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

Is Pratibha Deshpande enrolled in Medicare?

Yes. Pratibha Deshpande 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.

Does Pratibha Deshpande hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2216603) is associated with this NPI, valid through March 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pratibha Deshpande accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list Pratibha Deshpande 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 Pratibha Deshpande affiliated with any hospitals?

According to CMS data, Pratibha Deshpande is affiliated with Chi St Lukes Health Memorial Lufkin and Woodland Heights Medical Center.

When was this NPI record last updated?

The NPPES record for Pratibha Deshpande was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.