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ANANT I PATEL M.D.
NPI 1295710655
Neurological Surgery in Austin, TX

Active since December 08, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
12180 N MOPAC EXPY, STE B, AUSTIN, TX 78758(512) 617-2810(512) 814-0018 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 1, 2022, Dec 6, 2019 (2 updates tracked since 2019).

About Anant I Patel M.d. NPPES

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

ANANT I PATEL M.D. (NPI 1295710655) is an individual neurological surgery provider in Austin, Texas, licensed in Texas (K4982) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Wake Forest University School Of Medicine (1989).

NPPES Registry Identity

NPI1295710655
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameANANT I PATELCredential: M.D.
Location Address12180 N MOPAC EXPY, STE BAustin, TX 78758-2909
Mailing Address12180 N Mopac Expy, Ste BAustin, TX 78758-2909 · (512) 617-6767 · Fax (512) 617-5598
Phone(512) 617-2810
Fax(512) 814-0018
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 1989
Enumeration DateDecember 8, 2005
Last NPPES UpdateFebruary 1, 20222 updates tracked since enumeration
✔ NPI 1295710655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in TX · K4982
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.
12180 N MOPAC EXPY, Austin, TX 78758
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Other Identifiers 1

Medicaid030342202TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas 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

Anant I 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 ID1052346707
PECOS Enrollment IDI20050930000356
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 10

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.
192 services142 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
95 services95 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
85 services85 patients
Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays 61886
This procedure involves placing a small device, called a neurostimulator, in your brain. It sends electrical impulses via 2 or more connected electrodes to specific brain areas to help control symptoms. It's a safe and common procedure.
67 services67 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
46 services46 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
43 services31 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

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

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450718
Location2400 Round Rock AveRound Rock, TX 78681 · Williamson 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 78758 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

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

Reported Quality Measures

e-Prescribing
83%87 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%366 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.

Other Providers at the Same Location NPPES 5

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

ANANT I PATEL, MD PA
Neurological Surgery
12180 N MOPAC EXPY, STE B
AUSTIN, TX 78758
Travis County (512) 617-2810
SAN ANTONIO OSTEO RELIEF CENTER PA
Durable Medical Equipment & Medical Supplies
12180 N MOPAC EXPY, SUITE B
AUSTIN, TX 78758
Travis County (512) 836-8800
JEFFERSON T. MILEY, M.D.,P.A.
Psychiatry & Neurology (Neurology)
12180 N MOPAC EXPY, STE B
AUSTIN, TX 78758
Travis County (512) 617-6767
DR. LISA DIANE PERSYN MD
Physical Medicine & Rehabilitation
12180 N MOPAC EXPY
AUSTIN, TX 78758
Travis County (512) 836-8800
INSTITUTE OF MEDICAL AND HEALTH PHYSICIANS OF AUSTIN PLLC
Physical Medicine & Rehabilitation
12180 N MOPAC EXPY, STE D
AUSTIN, TX 78758
Travis County (512) 719-3223

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 Anant Patel's NPI number?

The NPI number for Anant Patel is 1295710655. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Anant Patel located?

Anant Patel practices at 12180 N Mopac Expy Ste B, Austin, TX 78758. The listed phone number is (512) 617-2810.

What is Anant Patel's specialty?

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

Is Anant Patel enrolled in Medicare?

Yes. Anant Patel 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 Anant Patel accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc. and Oscar Insurance Company and 2 other insurers list Anant Patel 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 Anant Patel affiliated with any hospitals?

According to CMS data, Anant Patel is affiliated with Ascension Seton Medical Center Austin, St David's Medical Center, Round Rock Medical Center and North Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Anant Patel was last updated on February 1, 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.