PRIYA R. PATEL M.D.
NPI 1205098597
Obstetrics & Gynecology in Killeen, TX

Q: What is Priya Patel's NPI number?

The NPI number for Priya Patel is 1205098597. It was assigned to this individual provider in the NPPES registry on June 27, 2008.

Q: What is Priya Patel's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Priya Patel was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since June 27, 2008PECOS EnrolledAccepts Medicare Assignment

2405 CLEAR CREEK RD, KILLEEN, TX 76549(254) 618-1888(254) 519-5264 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Priya R. Patel M.d. NPPES

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

PRIYA R. PATEL M.D. (NPI 1205098597) is an individual obstetrics & gynecology provider in Killeen, Texas, licensed in Texas (V6080) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1205098597

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NamePRIYA R. PATELCredential: M.D.

Location Address2405 CLEAR CREEK RDKilleen, TX 76549-5775

Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (800) 994-0371 · Fax (254) 215-9722

Phone(254) 618-1888

Fax(254) 519-5264

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJune 27, 2008

Last NPPES UpdateOctober 13, 2025

NPPES CertifiedOctober 13, 2025

✔ NPI 1205098597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in TX · V6080✔ Licensed in NJ · 25MA09306900✔ Licensed in PA · MT193453

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2405 CLEAR CREEK RD, Killeen, TX 76549

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Secondary Practice Locations 3

Location 1101 Old Short Hills Road, Suite 101West Orange, NJ 07052 · Phone (973) 736-1100 · Fax (973) 736-1834

Location 2731 BroadwayBayonne, NJ 07002-4783 · Phone (973) 736-1100 · Fax (973) 736-1134

Location 367 Walnut Ave Ste 101Clark, NJ 07066-1644 · Phone (973) 736-1100 · Fax (973) 736-1134

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Priya R. Patel 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 ID7012151673

PECOS Enrollment IDI20250414000308

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 5

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.

25 services22 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

19 services15 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

19 services19 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

16 services16 patients

Limited ultrasound scan of pelvis 76857

A limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.

15 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450054

Location2401 S 31st StTemple, TX 76508 · Bell County

Emergency services Birthing friendly

Adventhealth Central Texas

Acute Care Hospitals · Killeen, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450152

Location2201 S Clear Creek RoadKilleen, TX 76542 · Bell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76549 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.

Other Providers at the Same Location NPPES 20

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

TING-LIEN CHEN

Audiologist