VIDYA PAI MD
NPI 1639402340
Pediatrics - Sleep Medicine in Gainesville, TX

Active since September 13, 2009PECOS EnrolledAccepts Medicare Assignment
801 N GRAND AVE, GAINESVILLE, TX 76240(940) 612-8750(940) 612-8750 Get Directions Write a Review

NPPES record last updated: April 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 11, 2025, Sep 20, 2018, Sep 13, 2018 and 2 more (5 updates tracked since 2016).

About Vidya Pai Md NPPES

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

VIDYA PAI MD (NPI 1639402340) is an individual sleep medicine provider in Gainesville, Texas, licensed in Texas (Q6354) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2011).

NPPES Registry Identity

NPI1639402340
Entity TypeIndividualFemale
Primary Taxonomy2080S0012X
Provider Legal NameVIDYA PAICredential: MD
Location Address801 N GRAND AVEGainesville, TX 76240
Mailing Address801 N Grand Ave Ste 1Gainesville, TX 76240-3574 · (940) 612-8750 · Fax (940) 612-8750
Fax(940) 612-8750
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2011
Enumeration DateSeptember 13, 2009
Last NPPES UpdateApril 11, 20255 updates tracked since enumeration
NPPES CertifiedApril 11, 2025
✔ NPI 1639402340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatrics · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0012X
License✔ Licensed in TX · Q6354
Definition
A Pediatrician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedFamily MedicineTaxonomy 207Q00000X · License Q6354 (TX)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License Q6354 (TX)
Also ListedPediatricsTaxonomy 208000000X · License Q6354 (TX)
801 N GRAND AVE, Gainesville, TX 76240

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vidya Pai 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 ID3870730211
PECOS Enrollment IDI20160525002425
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Vidya Pai reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sleep Medicine
310 W HIGHLAND ST
Southlake, TX 76092
  • Reassigned Medicare billing, Texas enrollment
Internal Medicine
921 E FM 1187 STE A
Crowley, TX 76036
  • Reassigned Medicare billing, Texas enrollment
  • 22 clinicians in this Medicare group
Clinic/Center
5304 MILE STRETCH DR
Holiday, FL 34690
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
20 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76240 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 16

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers80 claims80 services$44.06 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers42 claims42 services$108.02 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers43 claims123 services$42.23 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers34 claims195 services$24.56 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers22 claims121 services$16.69 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
9 suppliers65 claims65 services$68.19 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 11

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

General Practice
801 N GRAND AVE, SUITE 4
GAINESVILLE, TX 76240
Nurse Practitioner (Family)
801 N GRAND AVE
GAINESVILLE, TX 76240
Nurse Practitioner (Family)
801 N GRAND AVE
GAINESVILLE, TX 76240
Nurse Practitioner (Family)
801 N GRAND AVE
GAINESVILLE, TX 76240
Clinic/Center (Rural Health)
801 N GRAND AVE, SUITE 1
GAINESVILLE, TX 76240
Nurse Practitioner
801 N GRAND AVE
GAINESVILLE, TX 76240
Clinic/Center (Rural Health)
801 N GRAND AVE, STE 4
GAINESVILLE, TX 76240
Nurse Practitioner (Family)
801 N GRAND AVE
GAINESVILLE, TX 76240

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 Vidya Pai's NPI number?

The NPI number for Vidya Pai is 1639402340. It was assigned to this individual provider in the NPPES registry on September 13, 2009.

Where is Vidya Pai located?

Vidya Pai practices at 801 N Grand Ave, Gainesville, TX 76240. The listed phone number is (940) 612-8750.

What is Vidya Pai's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sleep Medicine, with taxonomy code 2080S0012X.

Is Vidya Pai enrolled in Medicare?

Yes. Vidya Pai 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.

Which organizations bill Medicare for Vidya Pai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vidya Pai reassigns Medicare benefits to 3 organizations: American Sleep Apnea Associates Inc (Southlake, TX), D & j Grace Team LLC (Crowley, TX) and Hmv Diagnostics (Holiday, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vidya Pai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vidya Pai accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas and Cigna Healthcare and 3 other insurers list Vidya Pai 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.

When was this NPI record last updated?

The NPPES record for Vidya Pai was last updated on April 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.