DR. RIPUL RAJEN PANCHAL DO
NPI 1245400167
Neurological Surgery in Frisco, TX

Active since March 06, 2008PECOS EnrolledAccepts Medicare Assignment
80.18/100
CMS Quality Rating
13136 DALLAS PKWY STE 540A, FRISCO, TX 75033(972) 806-1188(888) 843-8304 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 23, 2023, Oct 7, 2020, Dec 29, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Ripul Rajen Panchal Do NPPES

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

DR. RIPUL RAJEN PANCHAL DO (NPI 1245400167) is an individual neurological surgery provider in Frisco, Texas, licensed in Texas (R3397) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Methodist Richardson Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1245400167
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. RIPUL RAJEN PANCHALCredential: DO
Location Address13136 DALLAS PKWY STE 540AFrisco, TX 75033-4247
Mailing Address13136 Dallas Pkwy Ste 540aFrisco, TX 75033-4247 · (972) 806-1188 · Fax (888) 843-8304
Fax(888) 843-8304
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 6, 2008
Last NPPES UpdateJune 23, 20234 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
NPI 1245400167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in TX · R3397 Licensed in CA · 20A9785
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

13136 DALLAS PKWY STE 540A, Frisco, TX 75033

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

Dr. Ripul Rajen Panchal Do 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 ID9931377447
PECOS Enrollment IDI20171013000761
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 22

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 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.
205 services136 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
163 services121 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
121 services101 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
110 services93 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
100 services40 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
92 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Methodist Richardson Medical Center

Acute Care Hospitals · Richardson, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450537
Location2831 E President George Bush HighwayRichardson, TX 75082 · Collin County
Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin 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

Texas Health Hospital Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670260
Location12400 N Dallas ParkwayFrisco, TX 75033 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75033 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.

80.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.66
Promoting Interoperability99
Improvement Activities40
Cost37.12

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
91%34 patients5/55-star benchmark: 87%
Controlling High Blood Pressure
63%277 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%2,309 patients4/55-star benchmark: 100%
e-Prescribing
95%182 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
98%1,099 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
82%1,652 patients5/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 769 patients
Patients screened: 96% · 769 patients
100%76 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%430 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
2 suppliers24 claims24 services$3,750.90 avg. paid by Medicare
Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf L0172
DME-Orthotic Devices · category DF000N
2 suppliers11 claims11 services$109.50 avg. paid by Medicare
Cervical, multiple post collar, occipital/mandibular supports, adjustable L0180
DME-Orthotic Devices · category DF000N
1 supplier25 claims25 services$312.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Acute Care)
13136 DALLAS PKWY STE 540A
FRISCO, TX 75033
Neurological Surgery
13136 DALLAS PKWY STE 540A
FRISCO, TX 75033

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 Ripul Panchal's NPI number?

The NPI number for Ripul Panchal is 1245400167. It was assigned to this individual provider in the NPPES registry on March 6, 2008.

Where is Ripul Panchal located?

Ripul Panchal practices at 13136 Dallas Pkwy Ste 540A, Frisco, TX 75033. The listed phone number is (972) 806-1188.

What is Ripul Panchal's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Ripul Panchal enrolled in Medicare?

Yes. Ripul Panchal 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 Ripul Panchal accept?

Health plans from Baylor Scott and White Health Plan, Molina Healthcare and Oscar Insurance Company list Ripul Panchal 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 Ripul Panchal affiliated with any hospitals?

According to CMS data, Ripul Panchal is affiliated with Methodist Richardson Medical Center, Medical City Plano, Methodist Mckinney Hospital and Texas Health Hospital Frisco.

When was this NPI record last updated?

The NPPES record for Ripul Panchal was last updated on June 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.