ROSHAN PATEL MD
NPI 1487117271
Family Medicine in Lacy Lakeview, TX

Active since April 09, 2019PECOS EnrolledAccepts Medicare Assignment
74.33/100
CMS Quality Rating
1130 N LOOP 340, LACY LAKEVIEW, TX 76705(254) 870-6500 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2023, Apr 9, 2019 (2 updates tracked since 2019).

About Roshan Patel Md NPPES

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

ROSHAN PATEL MD (NPI 1487117271) is an individual family medicine provider in Lacy Lakeview, Texas, licensed in Texas (T9316) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1487117271
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROSHAN PATELCredential: MD
Location Address1130 N LOOP 340Lacy Lakeview, TX 76705-2400
Mailing Address1130 N Loop 340Waco, TX 76705-2400 · (254) 870-6500
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 9, 2019
Last NPPES UpdateFebruary 9, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2023
NPI 1487117271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TX · T9316 Licensed in MI · 4301506577
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1130 N LOOP 340, Lacy Lakeview, TX 76705

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

Roshan Patel 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 ID1355718131
PECOS Enrollment IDI20221108001483
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 6

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.
150 services88 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.
78 services64 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
66 services66 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
51 services51 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Ascension Providence

Acute Care Hospitals · Waco, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450042
Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76705 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.

74.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.69
Promoting Interoperability100
Improvement Activities40
Cost41.75

Reported Quality Measures

Advance Care Plan
74%308 patients3/55-star benchmark: 100%
Breast Cancer Screening
57%214 patients3/55-star benchmark: 93%
Cervical Cancer Screening
54%303 patients3/55-star benchmark: 98%
Childhood Immunization Status
25%32 patients
Chlamydia Screening for Women
26%100 patients
Closing the Referral Loop: Receipt of Specialist Report
38%523 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
46%482 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
64%381 patients3/55-star benchmark: 91%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
38%132 patients2/55-star benchmark: 100%
Diabetes: Eye Exam
24%169 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
30%169 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,617 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
61%296 patients3/55-star benchmark: 100%
HIV Screening
19%776 patients2/55-star benchmark: 60%
Non-Recommended Cervical Cancer Screening in Adolescent Females
Lower rates are better for this measure.
7%28 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
34%958 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
61%809 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
27%906 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 91% · 892 patients
Patients screened: 96% · 892 patients
77%204 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 47% · 553 patients
46%553 patients
Screening for Osteoporosis for Women Aged 65-85 Years of Age
47%126 patients2/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%263 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 310 patients
Patients totalRate: 17% · 319 patients
18%319 patients3/55-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 4

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

Clinic/Center (Urgent Care)
1130 N LOOP 340
LACY LAKEVIEW, TX 76705
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
1130 N LOOP 340
WACO, TX 76705
Durable Medical Equipment & Medical Supplies
1130 N LOOP 340
LACY LAKEVIEW, TX 76705
Physical Therapist
1130 N LOOP 340
LACY LAKEVIEW, TX 76705

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 Roshan Patel's NPI number?

The NPI number for Roshan Patel is 1487117271. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Roshan Patel located?

Roshan Patel practices at 1130 N Loop 340, Lacy Lakeview, TX 76705. The listed phone number is (254) 870-6500.

What is Roshan Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Roshan Patel enrolled in Medicare?

Yes. Roshan 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 Roshan Patel 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 1 other insurer list Roshan 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 Roshan Patel affiliated with any hospitals?

According to CMS data, Roshan Patel is affiliated with Ascension Providence.

When was this NPI record last updated?

The NPPES record for Roshan Patel was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.