KAVITA GURAGAIN NP
NPI 1891203097
Nurse Practitioner - Family in Frisco, TX

Active since January 22, 2018PECOS EnrolledAccepts Medicare Assignment
86.29/100
CMS Quality Rating
4401 COIT RD STE 411, FRISCO, TX 75035(972) 731-7654 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kavita Guragain Np NPPES

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

KAVITA GURAGAIN NP (NPI 1891203097) is an individual family provider in Frisco, Texas, licensed in Texas (AP135891) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Plano, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1891203097
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAVITA GURAGAINCredential: NP
Location Address4401 COIT RD STE 411Frisco, TX 75035-0520
Mailing Address10740 N Gessner Rd Ste 310Houston, TX 77064-1240 · (281) 897-0416 · Fax (800) 346-9037
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 22, 2018
Last NPPES UpdateApril 28, 2023
NPPES CertifiedApril 28, 2023
NPI 1891203097 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 · AP135891
4401 COIT RD STE 411, Frisco, TX 75035

Secondary Practice Location 1

Location 16313 Preston Rd Ste 400Plano, TX 75024-2716 · Phone (972) 473-7300

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

Kavita Guragain Np 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 ID6709149818
PECOS Enrollment IDI20180423002959
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
218 services207 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
216 services206 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
62 services57 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
48 services46 patients
New patient office or other outpatient visit, 30-44 minutes 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.
27 services27 patients
Test for eardrum and muscle function 92550
This test assesses the health of your eardrum and muscles linked to hearing. A small device is placed in your ear that creates pressure changes and sounds. Your ear's responses are recorded to determine if they are functioning properly.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75035 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
Quality79.36
Improvement Activities40
Cost92.14

Referred Medical Equipment & Supplies CMS DME claims 2

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

Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers11 claims33 services$30.34 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers12 claims72 services$1.93 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 6

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

Physician Assistant
4401 COIT RD STE 411
FRISCO, TX 75035
Otolaryngology (Plastic Surgery within the Head & Neck)
4401 COIT RD STE 411
FRISCO, TX 75035
Audiologist
4401 COIT RD STE 411
FRISCO, TX 75035
Audiologist
4401 COIT RD STE 411
FRISCO, TX 75035
Audiologist
4401 COIT RD STE 411
FRISCO, TX 75035
Physician Assistant
4401 COIT RD STE 411
FRISCO, TX 75035

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891203097, enumerated as an "individual" on January 22, 2018.

The provider is located at 4401 COIT RD STE 411 FRISCO, TX 75035 and the phone number is (972) 731-7654.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.