NPPES file of Aug 9, 2026

Paul Barringer Gravel, MD

Internal Medicine Physician · Kerrville, TX

Paul Barringer Gravel, MD is an internal medicine physician with a practice address in Kerrville, Texas, and NPI 1689834319, issued on Jun 16, 2008. Check the license (Texas P8134, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1689834319
Name
Paul Barringer Gravel
Credential
MD
Primary taxonomy
Internal Medicine Physician 207R00000X
License number
P8134 TX
Self-reported in NPPES; status is on the state search
Practice location
551 Hill Country Dr, Kerrville, TX 78028
Phone
(830) 258-6516
Enumerated
Jun 16, 2008
Record last updated
Jun 28, 2026
Medicare enrollment
Enrolled (PECOS I20140602001382); accepts Medicare assignment
Medical or professional school
University Of Texas Medical School At San Antonio, 2008
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 551 Hill Country Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Aaron Beckett, FNP-CFamily Nurse Practitioner1538965645
  2. Jennifer Burgess, RNObstetrics & Gynecology Physician1184574824
  3. Kristin Corradini, PA-CPhysician Assistant1417434879
  4. Ana Cruz, RN, BSNGeneral Practice Registered Nurse1245790492
  5. Bailey Faulkenbery, PAPhysician Assistant1760333660
  6. Kathryn FigerInternal Medicine Physician1760865505

Verify Paul Barringer Gravel in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license P8134
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Texas license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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86% fewer Medicare Part D claims than the average internal medicine physician in 2024

443 Medicare Part D claims for 216 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims. 29 claims were for opioids.

  1. Paul Gravel443
  2. Specialty average3,176

Most prescribed

  1. Amlodipine Besylate33 claims
  2. Prednisone23 claims
  3. Potassium Chloride21 claims
  4. Hydrocodone-Acetaminophen20 claims
  5. Cefuroxime19 claims
  6. Furosemide18 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 MIPS final score for 2023 (Medicare payment program): 68.8 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score86.3
  2. Costout of 100 · 30%67.4
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities0 of 40 points · 15%0.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $123.18

5 payments; by number, the most common kind was food and beverage; the largest payer was Janssen Pharmaceuticals, Inc. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Paul Gravel$123.18
  2. Specialty average$1,303.06

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Trumen Physicians And Associates PLLCHouston, TX
  2. Usacs Integrated Acute Care Services OF Texas, PLLCCedar Park, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Paul Barringer Gravel among 9,175 internal medicine physician records in Texas

Paul Barringer Gravel, MD is one of 9,175 internal medicine physician records with a practice address in Texas. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 50% of them.

  • NPI issued2008 · 50% of these records are older, 46% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 66% of these records are
  • Graduated2008 · median 2004 among the 6,088 with a school on file
  • Record last updated2026 · 49% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

32 internal medicine physician records list a practice address in Kerrville

They are 32 of the 852 NPPES records with a practice address in Kerrville, and 9,175 internal medicine physician records in Texas.

The 8 internal medicine physician records with the nearest ZIP codes

  1. Pamela Cantu, M.D.Kerrville, TX 780281437107901
  2. Murray Colgin, MDKerrville, TX 780281710987383
  3. Cathy Hurley, MDKerrville, TX 780281265432835
  4. Aziz Klavon, MDKerrville, TX 780281568415578
  5. Jeanette Masek, M.D.Kerrville, TX 780281578582458
  6. David Miloy, M.D.Kerrville, TX 780281912935990
  7. William Morris, M.D.Kerrville, TX 780281205833464
  8. Don Murrmann, M.D.Kerrville, TX 780281821027038

Common questions

What is Paul Barringer Gravel, MD's NPI number?

Paul Barringer Gravel, MD's National Provider Identifier (NPI) is 1689834319, issued on Jun 16, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Paul Barringer Gravel, MD located?

The NPPES record lists a practice address at 551 Hill Country Dr, Kerrville, TX, 78028. Phone: (830) 258-6516. Providers update this record themselves, so call before visiting.

How can I verify Paul Barringer Gravel, MD's license?

NPPES lists Texas license number P8134, 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 Paul Barringer Gravel, MD prescribe under Medicare Part D?

In 2024, Paul Barringer Gravel, MD had 443 Medicare Part D claims for 216 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

What is Paul Barringer Gravel, MD's MIPS final score?

The 2023 MIPS final score is 68.8 of 100. 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.