Doctor profile · Federal record

Dr. Achal Patel, M.D.

Neurological Surgery Physician (CMS: Neurosurgery) · Edinburg, TX

  • NPI 1265723019
  • Accepts Medicare
  • MIPS 82.5 / 100 · 2023
  • 15 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
5519 Doctors Dr
Edinburg, TX 785395563
(956) 362-8500
fax (956) 362-8505
Mailing address
Po Box 749
Pharr, TX 785771614

Credentials & registration

NPPES · NUCC
NPI registered
April 2011 — 15 yrs on file
Profile last updated
July 11, 2024
Year of graduation
2011 — 15 yrs since
Specialty taxonomy
207T00000X — NUCC code
State license (1)
Texas #R4302

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1265723019. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
175
Distinct HCPCS
4
Medicare allowed
$13,466
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 80 61 $64
99203 New patient office or other outpatient visit, 30-44 minutes 62 62 $80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 17 17 $122
99221 Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 16 15 $81

In context: peer comparison

Among 4 peers in Edinburg Neurological Surgery Physician, average services per provider: 27. This provider delivers 6.5× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
19
Patients
17
Total drug cost
$160
Drug Type Claims Patients Total cost
Acetaminophen-Codeine (Acetaminophen With Codeine) Brand 19 17 $160

Frequently asked questions

Auto-generated from federal data
What is Dr. Achal Patel's medical specialty?
Dr. Achal Patel practices Neurological Surgery Physician in Edinburg, TX.
Where does Dr. Achal Patel practice?
Dr. Achal Patel practices at 5519 Doctors Dr, Edinburg, TX 785395563. Office phone: 9563628500.
What is Dr. Achal Patel's NPI?
Dr. Achal Patel's National Provider Identifier (NPI) is 1265723019, issued by NPPES.
Does Dr. Achal Patel accept Medicare assignment?
Yes. Dr. Achal Patel accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Achal Patel commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99203); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222). Source: CMS Medicare Physician & Other Practitioners file.