PRAGYA BARAL NP-C
NPI 1467900928
Nurse Practitioner - Family in Denton, TX

Q: What is Pragya Baral's NPI number?

The NPI number for Pragya Baral is 1467900928. It was assigned to this individual provider in the NPPES registry on September 13, 2016.

Q: What is Pragya Baral's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Pragya Baral was last updated on January 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 13, 2016PECOS EnrolledAccepts Medicare Assignment

86.29/100

CMS Quality Rating

1801 S LOOP 288, DENTON, TX 76205(940) 220-2123 Get Directions Write a Review

NPPES record last updated: January 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2018, Sep 13, 2016 (2 updates tracked since 2016).

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About Pragya Baral Np-c NPPES

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

PRAGYA BARAL NP-C (NPI 1467900928) is an individual family provider in Denton, Texas, licensed in Texas (AP131443) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1467900928

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePRAGYA BARALCredential: NP-C

Location Address1801 S LOOP 288Denton, TX 76205-4801

Mailing Address1801 S Loop 288Denton, TX 76205-4801 · (940) 220-2123

Phone(940) 220-2123

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 13, 2016

Last NPPES UpdateJanuary 23, 20182 updates tracked since enumeration

✔ NPI 1467900928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP131443

1801 S LOOP 288, Denton, TX 76205

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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

Pragya Baral Np-c 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 ID840551511

PECOS Enrollment IDI20180221002250

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 2

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.

16 services16 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.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76205 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

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.

86.29/100

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

Scored as part of a group practice

Quality

79.36

Improvement Activities

Cost

92.14

Other Providers at the Same Location NPPES 16

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

MR. TIMOTHY ANDREW OGUREK

Pharmacist