DR. LAV A KAPADIA MD
NPI 1437153418
Otolaryngology in Frisco, TX

Q: What is Lav Kapadia's NPI number?

The NPI number for Lav Kapadia is 1437153418. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Q: What is Lav Kapadia's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Lav Kapadia was last updated on May 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 08, 2005PECOS EnrolledAccepts Medicare Assignment

87.73/100

CMS Quality Rating

4401 COIT RD, SUITE 411, FRISCO, TX 75035(972) 731-7654(972) 731-6226 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Lav A Kapadia Md NPPES

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

DR. LAV A KAPADIA MD (NPI 1437153418) is an individual otolaryngology provider in Frisco, Texas, licensed in Texas (J8618) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Centennial, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1994).

NPPES Registry Identity

NPI1437153418

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. LAV A KAPADIACredential: MD

Location Address4401 COIT RD, SUITE 411Frisco, TX 75035-0500

Mailing Address10740 N Gessner Rd Ste 310Houston, TX 77064-1240 · (281) 897-0416 · Fax (800) 876-1456

Phone(972) 731-7654

Fax(972) 731-6226

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1994

Enumeration DateJune 8, 2005

Last NPPES UpdateMay 2, 2023

NPPES CertifiedMay 2, 2023

✔ NPI 1437153418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in TX · J8618

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

4401 COIT RD, Frisco, TX 75035

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Other Identifiers 1

Medicaid0456865-01TX

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

Dr. Lav A Kapadia 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 ID7113838459

PECOS Enrollment IDI20080311000418

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 15

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.

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

250 services162 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.

232 services185 patients

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.

225 services164 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

196 services147 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.

156 services156 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

134 services115 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

120 services111 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.

118 services96 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.

62 services62 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

60 services48 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.

55 services55 patients

Repositioning exercises of head for treatment of dizziness, each day 95992

Repositioning exercises of the head help manage dizziness by training your brain to cope with the signals that trigger this sensation. Daily, gentle movements of the head and body can reduce symptoms and improve balance.

36 services29 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

12 services12 patients

Removal of nasal air passage under lining tissue 30140

This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.

11 services11 patients

Reshaping of nasal cartilage 30520

Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.

11 services11 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 - Centennial

Acute Care Hospitals · Frisco, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number450885

Location12505 Lebanon RoadFrisco, TX 75035 · Collin County

Emergency services Birthing friendly

Baylor Scott & White Medical Center Plano

Acute Care Hospitals · Plano, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number450890

Location4700 Alliance BoulevardPlano, TX 75093 · Collin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75035 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.

87.73/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

75.47

Improvement Activities

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.

FRANCISCO GONZALEZ-ROSALES MD

Internal Medicine

4401 COIT RD, 301
FRISCO, TX 75035

Collin County (972) 335-4124

DR. OCTAVIO A DE LA PENA M.D.

Internal Medicine (Gastroenterology)

4401 COIT RD, SITE 201
FRISCO, TX 75035

Collin County (972) 335-7306

ANA CECILA LORENZO, MD, PA

Surgery

4401 COIT RD, MEDICAL PAVILLION I, SUITE 401
FRISCO, TX 75035

Collin County (972) 792-5700

MINH C. NGUYEN MD, PA

Surgery

4401 COIT RD, STE 301
FRISCO, TX 75035

Collin County (469) 865-9530

PROGRESSIVE HEARING HEALTH, PA

Audiologist (Assistive Technology Supplier)

4401 COIT RD, SUITE 411
FRISCO, TX 75035

Collin County (972) 731-7654

MS. RENA MARIE GRIFFIN WHNP-BC

Nurse Practitioner (Obstetrics & Gynecology)

4401 COIT RD, SUITE 205
FRISCO, TX 75035

Collin County (972) 377-6553

STARWOOD ORTHOPAEDICS AND SPORTS MEDICINE

Specialist

4401 COIT RD, SUITE 407
FRISCO, TX 75035

Collin County (214) 472-8100

NEELA SHAH, MD, PLLC

Internal Medicine

4401 COIT RD, SUITE 401
FRISCO, TX 75035

Collin County (214) 387-4202

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 Lav Kapadia's NPI number?

The NPI number for Lav Kapadia is 1437153418. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is Lav Kapadia located?

Lav Kapadia practices at 4401 Coit Rd Suite 411, Frisco, TX 75035. The listed phone number is (972) 731-7654.

What is Lav Kapadia's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Lav Kapadia enrolled in Medicare?

Yes. Lav Kapadia 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 Lav Kapadia accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Lav Kapadia 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 Lav Kapadia affiliated with any hospitals?

According to CMS data, Lav Kapadia is affiliated with Baylor Scott & White Medical Center - Centennial and Baylor Scott & White Medical Center Plano.

When was this NPI record last updated?

The NPPES record for Lav Kapadia was last updated on May 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.