DR. RIPUL RAJEN PANCHAL (DO) – Neurological Surgery Physician, NPI 1245400167

DR. RIPUL RAJEN PANCHAL (DO) is a healthcare provider. based in Plano, Texas. specializing in NEUROSURGERY. They hold the professional credentials DO. They hold a License No. 20A9785 (CA). The NPI Number for DR. RIPUL RAJEN PANCHAL (DO) is 1245400167

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. RIPUL RAJEN PANCHAL (DO)
NPI
1245400167
Phone
(800) 616-2542
Address
1600 COIT RD STE 406
Enumeration Date
6 March 2008
Last Update Date
23 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9728061188
Graduation Year
2005 (21 years ago)
PAC ID
9931377447
Group Practice PAC ID
7113289521
Professional Enrollment ID
I20171013000761
Address ID
TX750334247FR13136PKWY303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

588 NEUROSURGERY in TX

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Provider Addresses for DR. RIPUL RAJEN PANCHAL (DO)

  • 406, Coit Road, Cowley, Plano, Collin County, Texas, 75075, United States

    PLANO, TX 750756173

    Phone: (800) 616-2542

    Fax: (702) 297-6537

    Type: Mailing

  • 13136 DALLAS PKWY STE 540A

    FRISCO, TX 750334247

    Phone: (972) 806-1188

    Fax: (888) 843-8304

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 101 Open Payments records for all available years, with a total value of $90,294.

Total Amount is formed as General ($90,294) + Research ($0) + Ownership ($0) = $90,294.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Evolution Spine, LLC ($66,149).

Total Amount

$90,294

General + Research + Ownership

Payments

101

Total payment records

General Amount

$90,294

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110727000208INeurosurgeryCATBD
I20171013000761INeurosurgeryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes214138$0
99215Established patient office or other outpatient visit, 40-54 minutes155119$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion12243$0
99204New patient office or other outpatient visit, 45-59 minutes9797$0
72050X-ray of upper spine, 4-5 views7965$0
View full utilization report →

Insurance plans in this area (ZIP 75075)

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Provider's Procedures

DR. RIPUL RAJEN PANCHAL (DO) performs procedures in NEUROSURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROSURGERYTX22842Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments1212

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113289521View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantTX

Reviews

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Frequently asked questions

What unique ID ties claims to DR. RIPUL RAJEN PANCHAL (DO)?
NPI 1245400167 is assigned to DR. RIPUL RAJEN PANCHAL (DO) under the national enumeration system.
Is DR. RIPUL RAJEN PANCHAL (DO)'s NPI currently valid?
The extract we use shows DR. RIPUL RAJEN PANCHAL (DO) as active.
What kind of provider is DR. RIPUL RAJEN PANCHAL (DO)?
The page reflects Neurological Surgery Physician for DR. RIPUL RAJEN PANCHAL (DO). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. RIPUL RAJEN PANCHAL (DO)?
The page summarizes Plano, Texas for DR. RIPUL RAJEN PANCHAL (DO); expand the address list for detail.
Is DR. RIPUL RAJEN PANCHAL (DO) a real provider?
This page reflects official NPPES data for NPI 1245400167. Always confirm identity and privileges with the practice and licensing boards.

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