ARJUN NAIR M.D.
NPI 1982866968
Internal Medicine - Cardiovascular Disease in Plano, TX

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
3801 W 15TH ST, BLDG B, SUITE 320, PLANO, TX 75075(972) 985-8838(844) 292-1457 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2023, Sep 23, 2022 (2 updates tracked since 2022).

About Arjun Nair M.d. NPPES

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

ARJUN NAIR M.D. (NPI 1982866968) is an individual cardiovascular disease provider in Plano, Texas, licensed in Texas (Q6351) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Medical City Dallas Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1982866968
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameARJUN NAIRCredential: M.D.
Location Address3801 W 15TH ST, BLDG B, SUITE 320Plano, TX 75075-4737
Mailing Address3801 W 15th St Ste 320Plano, TX 75075-7767 · (972) 985-8838 · Fax (844) 292-1457
Fax(844) 292-1457
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 30, 2008
Last NPPES UpdateMay 18, 20232 updates tracked since enumeration
NPPES CertifiedMay 18, 2023
NPI 1982866968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · Q6351
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License Q6351 (TX)
3801 W 15TH ST, Plano, TX 75075

Other Identifiers 3

Medicaid354081702TX
Medicaid354081703TX
Medicaid354081701TX

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

Arjun Nair M.d. 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 ID8123247442
PECOS Enrollment IDI20160212001312
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 22

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.
486 services295 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
390 services350 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.
158 services132 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
147 services146 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
126 services125 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
110 services54 patients

Hospital Affiliations CMS Care Compare 3

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

Medical City Dallas Hospital

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450647
Location7777 Forest LaneDallas, TX 75230 · Dallas County
Emergency services Birthing friendly

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

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670025
Location1100 Allied DrivePlano, TX 75093 · Collin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75075 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality77.62
Promoting Interoperability100
Improvement Activities40
Cost82.65

Reported Quality Measures

Advance Care Plan
43%1,041 patients2/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
24%34 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
74%867 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
84%25 patients4/55-star benchmark: 100%
Coronary Artery Disease (CAD): Antiplatelet Therapy
85%439 patients4/55-star benchmark: 100%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
85%33 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
93%2,605 patients4/55-star benchmark: 100%
e-Prescribing
99%733 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%791 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%1,475 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
27%792 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 91% · 703 patients
Patients screened: 94% · 703 patients
26%23 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
94%633 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%720 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 835 patients
Patients totalRate: 0% · 835 patients
0%835 patients5/55-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 20

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

Internal Medicine (Interventional Cardiology)
3801 W 15TH ST, BLDG B, SUITE 320
PLANO, TX 75075
Obstetrics & Gynecology
3801 W 15TH ST, SUITE 270
PLANO, TX 75075
Family Medicine
3801 W 15TH ST, 350-B
PLANO, TX 75075
Surgery (Surgical Oncology)
3801 W 15TH ST, BLDG A, SUITE 210
PLANO, TX 75075
Internal Medicine (Clinical Cardiac Electrophysiology)
3801 W 15TH ST, BLDG B, SUITE 320
PLANO, TX 75075
Nurse Anesthetist, Certified Registered
3801 W 15TH ST, SUITE 150
PLANO, TX 75075
Internal Medicine (Cardiovascular Disease)
3801 W 15TH ST, BLDG B, SUITE 320
PLANO, TX 75075
Ophthalmology
3801 W 15TH ST, A-110
PLANO, TX 75075

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 Arjun Nair's NPI number?

The NPI number for Arjun Nair is 1982866968. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Arjun Nair located?

Arjun Nair practices at 3801 W 15th St Bldg B, Suite 320, Plano, TX 75075. The listed phone number is (972) 985-8838.

What is Arjun Nair's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Arjun Nair enrolled in Medicare?

Yes. Arjun Nair 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 Arjun Nair accept?

Health plans from Baylor Scott and White Health Plan and Oscar Insurance Company list Arjun Nair 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 Arjun Nair affiliated with any hospitals?

According to CMS data, Arjun Nair is affiliated with Medical City Dallas Hospital, Medical City Plano and Baylor Scott & White The Heart Hospital - Plano.

When was this NPI record last updated?

The NPPES record for Arjun Nair was last updated on May 18, 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.