Doctor profile · Federal record
Dr. Mithula Gopalam
Internal Medicine Physician (CMS: Internal Medicine) · Georgetown, TX
- NPI 1093931974
- Accepts Medicare
- 21 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
4945 Williams Dr
Georgetown, TX 786332008
(512) 819-0500
fax (512) 819-0520 - Mailing address
-
Po Box 844658
Dallas, TX 752844658
Credentials & registration
- NPI registered
- April 2007 — 19 yrs on file
- Profile last updated
- December 16, 2021
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Texas #N3685
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093931974. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,688
Distinct HCPCS
10
Medicare allowed
$186,196
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 561 | 382 | $94 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 420 | 295 | $137 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 402 | 402 | $124 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 166 | 147 | $63 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 41 | 41 | $166 | |
G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 25 | 22 | $50 | |
99443 |
Telephone medical discussion with physician, 21-30 minutes | 22 | 22 | $93 | |
G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 22 | 22 | $126 | |
G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 15 | 15 | $158 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 14 | 14 | $34 |
In context: peer comparison
Among 8 peers in Georgetown Internal Medicine Physician, average services per provider: 143. This provider delivers 12× the peer median.Open Payments
Industry payments received
All-time total
$21
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Pfizer INC. | 1 | $21.23 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
3,351
Patients
1,027
Total drug cost
$51,640
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 516 | 151 | $8,760 |
| Atorvastatin Calcium | Generic | 500 | 153 | $7,539 |
| Amlodipine Besylate | Generic | 262 | 76 | $2,495 |
| Losartan Potassium | Generic | 252 | 81 | $3,890 |
| Lisinopril | Generic | 248 | 80 | $2,473 |
| Trazodone Hcl | Generic | 204 | 70 | $2,400 |
| Gabapentin | Generic | 185 | 56 | $4,175 |
| Simvastatin | Generic | 174 | 50 | $2,482 |
| Metformin Hcl | Generic | 168 | 50 | $1,895 |
| Omeprazole | Generic | 168 | 49 | $2,560 |
Hospital affiliations
Frequently asked questions
What is Dr. Mithula Gopalam's medical specialty?
Dr. Mithula Gopalam practices Internal Medicine Physician in Georgetown, TX.
Where does Dr. Mithula Gopalam practice?
Dr. Mithula Gopalam practices at 4945 Williams Dr, Georgetown, TX 786332008. Office phone: 5128190500.
What is Dr. Mithula Gopalam's NPI?
Dr. Mithula Gopalam's National Provider Identifier (NPI) is 1093931974, issued by NPPES.
Does Dr. Mithula Gopalam accept Medicare assignment?
Yes. Dr. Mithula Gopalam accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mithula Gopalam commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99215); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.