Prashant K. Upadhyaya, MD
Plastic and Reconstructive Surgery Physician · Round Rock, TX
Prashant K. Upadhyaya, MD is a plastic and reconstructive surgery physician with a practice address in Round Rock, Texas, and NPI 1861699506, issued on Jun 27, 2007. Check the license (Texas P4722, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.
- Name
- Prashant K. Upadhyaya
- Credential
- MD
- Primary taxonomy
- Plastic and Reconstructive Surgery Physician 2086S0122X
- License numbers
- P4722 TX
5159 NE
269241 NY
Self-reported in NPPES; status is on the state search - Practice location
- 301 Seton Pkwy Ste 103, Round Rock, TX 78665
- Phone
- (512) 324-4815
- Enumerated
- Jun 27, 2007
- Record last updated
- Aug 25, 2022
- Medicaid ID
- 03586041 NY
- Medicare enrollment
- Enrolled (PECOS I20220808003319); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest plastic and reconstructive surgery physician records → All 392 in Texas → Look up another NPI →
Also registered at 301 Seton Pkwy Ste 103
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sarah Reed, PA-CPhysician Assistant1851712731
- Benjamin Yarbrough, M.D.Plastic and Reconstructive Surgery Physician1912394651
Verify Prashant K. Upadhyaya in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTexas Medical Board
Search for license P4722Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 72.5 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).
Industry payments in 2024: $270.35
6 payments; by number, the most common kind was food and beverage; the largest payer was Tela Bio, Inc. The 2,042 providers of this specialty with any payment received $2,814.09 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Seton Family OF DoctorsGeorgetown, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Prashant K. Upadhyaya among 392 plastic and reconstructive surgery physician records in Texas
Prashant K. Upadhyaya, MD is one of 392 plastic and reconstructive surgery physician records with a practice address in Texas. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 32% of them.
- NPI issued2007 · 32% of these records are older, 51% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 54% of these records are
- Graduated2001 · median 2005 among the 213 with a school on file
- Record last updated2022 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2086S0122X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Plastic and Reconstructive Surgery Physician providers in Texas
There are 392 plastic and reconstructive surgery physician records in Texas.
All 392 in Texas → Every provider in Round Rock → Plastic and Reconstructive Surgery Physician nationwide →
The 8 plastic and reconstructive surgery physician records with the nearest ZIP codes
- Staci Hix-Hernandez, M.D.Round Rock, TX 786651689849812
- Susan Pike, M. D.Round Rock, TX 786651700810280
- Benjamin Yarbrough, M.D.Round Rock, TX 786651912394651
- Daniela Atencio Bohorquez, M.D.Round Rock, TX 786811396003281
- Mahlon Kerr, MDRound Rock, TX 786811952523839
- Brian Kelley, MDKyle, TX 786401992092449
- Juling Ong, M.D.Austin, TX 787011477985166
- Adam Weinfeld, M.D.Austin, TX 787011346363280
Common questions
What is Prashant K. Upadhyaya, MD's NPI number?
Prashant K. Upadhyaya, MD's National Provider Identifier (NPI) is 1861699506, issued on Jun 27, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Prashant K. Upadhyaya, MD located?
The NPPES record lists a practice address at 301 Seton Pkwy Ste 103, Round Rock, TX, 78665. Phone: (512) 324-4815. Providers update this record themselves, so call before visiting.
How can I verify Prashant K. Upadhyaya, MD's license?
NPPES lists Texas license number P4722, 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.
What is Prashant K. Upadhyaya, MD's MIPS final score?
The 2023 MIPS final score is 72.5 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.