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: August 02, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

What insurance does Vidya Pai accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare, Oscar Insurance Company and UnitedHealthcare and 1 other insurer 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 15 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.