Achal Patel, M.D.
Neurological Surgery Physician · Edinburg, TX
Achal Patel, M.D. is a neurological surgery physician with a practice address in Edinburg, Texas, and NPI 1265723019, issued on Apr 27, 2011. Check the license (Texas R4302, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.
- Name
- Achal Patel
- Credential
- M.D.
- Primary taxonomy
- Neurological Surgery Physician 207T00000X
- License number
- R4302 TX
Self-reported in NPPES; status is on the state search - Practice location
- 5519 Doctors Dr, Edinburg, TX 78539
- Phone
- (956) 362-8500
- Enumerated
- Apr 27, 2011
- Record last updated
- Jul 11, 2024
- Fax
- (956) 362-8505
- Medicare enrollment
- Enrolled (PECOS I20180604002027); accepts Medicare assignment
- Medical or professional school
- University Of Arkansas College Of Medicine, 2011
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest neurological surgery physician records → All 669 in Texas → Look up another NPI →
Also registered at 5519 Doctors Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Teresa Alonzo, FNPFamily Nurse Practitioner1194487934
- Michelle Alvarez, FNPFamily Nurse Practitioner1922591189
- Inad Atassi, M.D.Neurological Surgery Physician1851493571
- Jeremias Briseno, PAPhysician Assistant1003547332
- Robert Crous, MDOrthopaedic Trauma Physician1932199759
- Jacinto Manon, MDNeurological Surgery Physician1326246638
Verify Achal Patel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTexas Medical Board
Search for license R4302Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
44% fewer Medicare Part D claims than the average neurological surgery physician in 2024
96 Medicare Part D claims for 56 beneficiaries, against an average of 172 among the 4,378 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 31 claims were for opioids.
Most prescribed
- Acetaminophen-Codeine24 claims
- Gabapentin23 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 92.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Renaissance Medical FoundationEdinburg, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Achal Patel among 669 neurological surgery physician records in Texas
Achal Patel, M.D. is one of 669 neurological surgery physician records with a practice address in Texas. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 68% of them.
- NPI issued2011 · 68% of these records are older, 29% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated2011 · median 2004 among the 451 with a school on file
- Record last updated2024 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207T00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Neurological Surgery Physician providers in Texas
There are 669 neurological surgery physician records in Texas.
All 669 in Texas → Every provider in Edinburg → Neurological Surgery Physician nationwide →
The 8 neurological surgery physician records with the nearest ZIP codes
- Inad Atassi, M.D.Edinburg, TX 785391851493571
- Michael Burke, MD,FACS,FAAPEdinburg, TX 785391538141932
- Jacinto Manon, MDEdinburg, TX 785391326246638
- Eduardo Martinez Del Campo, MDEdinburg, TX 785391811345689
- Neel Patel, M.D.Edinburg, TX 785391487187142
- Juan Torres-Reveron, M.D./ PH.D.Edinburg, TX 785391689858706
- Sohum Desai, M.D.Harlingen, TX 785501700106721
- Jose Dones Vazquez, M.D.Harlingen, TX 785501316008071
Common questions
What is Achal Patel, M.D.'s NPI number?
Achal Patel, M.D.'s National Provider Identifier (NPI) is 1265723019, issued on Apr 27, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Achal Patel, M.D. located?
The NPPES record lists a practice address at 5519 Doctors Dr, Edinburg, TX, 78539. Phone: (956) 362-8500. Providers update this record themselves, so call before visiting.
How can I verify Achal Patel, M.D.'s license?
NPPES lists Texas license number R4302, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Achal Patel, M.D. prescribe under Medicare Part D?
In 2024, Achal Patel, M.D. had 96 Medicare Part D claims for 56 beneficiaries; the average among neurological surgery physician prescribers was 172. Part D covers Medicare prescriptions only.
What is Achal Patel, M.D.'s MIPS final score?
The 2023 MIPS final score is 92.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.