PRADEEP S MOHAN MD
NPI 1235351610
Surgery - Plastic and Reconstructive Surgery in Cibolo, TX

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
4200 GREEN VALLEY RD, CIBOLO, TX 78108(325) 665-9111 Get Directions Write a Review

NPPES record last updated: April 23, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pradeep S Mohan Md NPPES

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

PRADEEP S MOHAN MD (NPI 1235351610) is an individual plastic and reconstructive surgery provider in Cibolo, Texas, licensed in Texas (N8956) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1235351610
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NamePRADEEP S MOHANCredential: MD
Location Address4200 GREEN VALLEY RDCibolo, TX 78108-1900
Mailing Address4200 Green Valley RdCibolo, TX 78108-1900 · (325) 665-9111
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 3, 2007
Last NPPES UpdateApril 23, 2017
NPI 1235351610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Licenses Licensed in TX · N8956 Licensed in IL · 036116392
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X · License 036116392 (IL), N8956 (TX)
4200 GREEN VALLEY RD, Cibolo, TX 78108

Other Identifiers 5

Other50021605KY · Passport
Medicare PIN0687855KY
Other3581444000KY · Passport Advantage
Medicaid7100067840KY
Medicaid200922110IN

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

Pradeep S Mohan Md 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 ID9931267820
PECOS Enrollment IDI20100827000058
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 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.

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.
207 services53 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
100 services18 patients
Deep biopsy of muscle 20205
A deep biopsy of muscle is a procedure where a small piece of muscle tissue is removed for examination. This helps in diagnosing muscle disorders or infections. The process involves a needle or a small incision. It's generally safe with slight discomfort post-procedure.
43 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
95%512 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
23%173 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 84 patients
93%84 patients4/55-star benchmark: 98%
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

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

Surgery (Plastic and Reconstructive Surgery)
4200 GREEN VALLEY RD
CIBOLO, TX 78108

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 Pradeep Mohan's NPI number?

The NPI number for Pradeep Mohan is 1235351610. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Pradeep Mohan located?

Pradeep Mohan practices at 4200 Green Valley Rd, Cibolo, TX 78108. The listed phone number is (325) 665-9111.

What is Pradeep Mohan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Pradeep Mohan enrolled in Medicare?

Yes. Pradeep Mohan 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 Pradeep Mohan 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 3 other insurers list Pradeep Mohan 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 Pradeep Mohan affiliated with any hospitals?

According to CMS data, Pradeep Mohan is affiliated with Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Pradeep Mohan was last updated on April 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.