Doctor profile · Federal record
Dr. Kalpesh Mistry, MD
Family Medicine Physician (CMS: Family Practice) · Toccoa, GA
- NPI 1740717669
- Accepts Medicare
- MIPS 89.9 / 100 · 2023
- 10 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
115 Rock Quarry RD
Toccoa, GA 305778734
(706) 282-5815
fax (706) 898-5716 - Mailing address
-
163 Hospital Dr
Toccoa, GA 305776820
Credentials & registration
- NPI registered
- May 2017 — 9 yrs on file
- Profile last updated
- June 30, 2020
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Georgia #83153
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1740717669. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,784
Distinct HCPCS
10
Medicare allowed
$87,163
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97597 |
Removal of tissue from wound, 20.0 sq cm or less | 488 | 80 | $34 | |
97598 |
Removal of tissue from wound, each additional 20.0 sq cm | 289 | 21 | $24 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 179 | 127 | $85 | |
J1100 |
Injection, dexamethasone sodium phosphate, 1 mg | 160 | 18 | $0 | |
11042 |
Removal of skin and tissue, 20.0 sq cm or less | 81 | 25 | $54 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 74 | 74 | $105 | |
87635 |
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 72 | 66 | $50 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 63 | 44 | $62 | |
87880 |
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 60 | 55 | $16 | |
87804 |
Detection test by immunoassay with direct visual observation for influenza virus | 57 | 40 | $16 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 112. This provider delivers 16× the peer median.Open Payments
Industry payments received
All-time total
$324
Transactions
19
Manufacturers
10
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Smith+Nephew, Inc. | 9 | $147.66 | |
| Organogenesis Inc. | 1 | $27.40 | |
| ProgenaCare Global, LLC | 1 | $24.59 | |
| Kerecis Limited | 1 | $22.70 | |
| Medline Industries LP | 1 | $20.59 | |
| Reprise Biomedical, Inc. | 2 | $18.49 | |
| Next Science LLC | 1 | $17.05 | |
| Boston Scientific Corporation | 1 | $16.88 | |
| Aroa Biosurgery Incorporated | 1 | $15.35 | |
| Solventum Corporation | 1 | $13.17 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
240
Patients
205
Total drug cost
$2,587
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Doxycycline Hyclate | Generic | 55 | 44 | $772 |
| Ciprofloxacin Hcl | Generic | 37 | 34 | $552 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 30 | 27 | $213 |
| Prednisone | Generic | 28 | 27 | $54 |
| Amoxicillin | Generic | 20 | 15 | $162 |
| Cephalexin | Generic | 17 | 16 | $177 |
| Fluticasone Propionate | Generic | 16 | 16 | $141 |
| Methylprednisolone | Generic | 14 | 14 | $115 |
| Azithromycin | Generic | 12 | 12 | $74 |
| Cefdinir | Generic | 11 | 0 | $326 |
Hospital affiliations
Frequently asked questions
What is Dr. Kalpesh Mistry's medical specialty?
Dr. Kalpesh Mistry practices Family Medicine Physician in Toccoa, GA.
Where does Dr. Kalpesh Mistry practice?
Dr. Kalpesh Mistry practices at 115 Rock Quarry RD, Toccoa, GA 305778734. Office phone: 7062825815.
What is Dr. Kalpesh Mistry's NPI?
Dr. Kalpesh Mistry's National Provider Identifier (NPI) is 1740717669, issued by NPPES.
Does Dr. Kalpesh Mistry accept Medicare assignment?
Yes. Dr. Kalpesh Mistry accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kalpesh Mistry commonly perform?
Top Medicare-reported procedures in 2023: Removal of tissue from wound, 20.0 sq cm or less (HCPCS 97597); Removal of tissue from wound, each additional 20.0 sq cm (HCPCS 97598); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.