DR. PUNAM M PATIL MD
NPI 1790933547
Family Medicine in Plano, TX

Active since September 05, 2008PECOS EnrolledAccepts Medicare Assignment
4800 HEDGCOXE RD, SUITE 200, PLANO, TX 75024(469) 800-6120(469) 800-6129 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2022, Jan 19, 2017 (2 updates tracked since 2017).

About Dr. Punam M Patil Md NPPES

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

DR. PUNAM M PATIL MD (NPI 1790933547) is an individual family medicine provider in Plano, Texas, licensed in Texas (P7328) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1790933547
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PUNAM M PATILCredential: MD
Location Address4800 HEDGCOXE RD, SUITE 200Plano, TX 75024-2403
Mailing Address4800 Hedgcoxe Rd, Suite 200Plano, TX 75024-2403 · (469) 800-6120 · Fax (469) 800-6129
Fax(469) 800-6129
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 5, 2008
Last NPPES UpdateApril 7, 20222 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
NPI 1790933547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · P7328
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.
4800 HEDGCOXE RD, Plano, TX 75024

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

Dr. Punam M Patil 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 ID7719003714
PECOS Enrollment IDI20140130001787
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 9

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.
249 services120 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
176 services109 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.
89 services89 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.
74 services74 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.
26 services26 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.
24 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

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

Baylor Scott And White Medical Center Mckinney

Acute Care Hospitals · Mc Kinney, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670082
Location5252 West University DriveMc Kinney, TX 75071 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75024 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers15 claims24 services$5.54 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 4

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

Clinic/Center (Dental)
4800 HEDGCOXE RD, SUITE # 150
PLANO, TX 75024
Dentist
4800 HEDGCOXE RD, SUITE 150
PLANO, TX 75024
Family Medicine
4800 HEDGCOXE RD, SUITE 200
PLANO, TX 75024
Family Medicine
4800 HEDGCOXE RD, SUITE 200
PLANO, TX 75024

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 Punam Patil's NPI number?

The NPI number for Punam Patil is 1790933547. It was assigned to this individual provider in the NPPES registry on September 5, 2008.

Where is Punam Patil located?

Punam Patil practices at 4800 Hedgcoxe Rd Suite 200, Plano, TX 75024. The listed phone number is (469) 800-6120.

What is Punam Patil's specialty?

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

Is Punam Patil enrolled in Medicare?

Yes. Punam Patil 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 Punam Patil accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Punam Patil 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 Punam Patil affiliated with any hospitals?

According to CMS data, Punam Patil is affiliated with Medical City Plano, Texas Health Presbyterian Hospital Plano, Baylor Scott & White Medical Center - Centennial, Baylor Scott & White Medical Center Plano and Baylor Scott And White Medical Center Mckinney.

When was this NPI record last updated?

The NPPES record for Punam Patil was last updated on April 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.