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Plastic and Reconstructive Surgery

Prashant K. Upadhyaya

Works at hospitals in Round Rock, TX · Texas

Summary

Prashant K. Upadhyaya is a plastic surgeon at 1101 Wolf Lake Dr, Georgetown, TX 78628. Phone: (512) 324-7300. Accepts Medicare assignment. In 2024, Prashant K. Upadhyaya had 59 Original Medicare patients and 195 services. NPI 1861699506. Source: CMS National Downloadable File, updated October 2, 2026; CMS Facility Affiliation Data, updated October 2, 2026; CMS Medicare Physician & Other Practitioners, data year 2024.

  • Specialty: Plastic surgeon (Medicare lists Plastic and Reconstructive Surgery)
  • Address: 1101 Wolf Lake Dr, Georgetown, TX 78628 · Directions (6 more locations)
  • Phone: (512) 324‑7300
  • Medicare: Accepts Medicare assignment
  • Hospital: Ascension Seton Williamson
  • Group practice: Seton Family of Doctors
  • Medical school: graduated 2001 (25 years since medical school)
  • Gender (as listed): Male

From official Medicare data

This page shows what Medicare's official clinician data says about Prashant K. Upadhyaya, joined by NPI number (data updated October 2, 2026). It is not a recommendation or a rating. Call the office or hospital to confirm before you go.

In a medical emergency, call 911.

Quick answers

Does Prashant K. Upadhyaya accept Medicare assignment?
Yes. Medicare's clinician data says Prashant K. Upadhyaya accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
How many Medicare patients does Prashant K. Upadhyaya see?
In 2024, CMS data shows 59 Original Medicare patients and 195 services for Prashant K. Upadhyaya. This counts Original Medicare only and measures volume, not quality.
What is Prashant K. Upadhyaya's NPI number?
1861699506. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.

Medicare activity in 2024

Official CMS public-use data for Prashant K. Upadhyaya, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.

Original Medicare patients59
Services billed to Medicare195
Different services or procedures50
Participating Medicare providerYes
Average age of these patients68

Most frequent services

  1. Creation of muscle graft to trunk (15734)19 services
  2. New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)13 services
  3. New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more (99203)12 services

Chronic conditions among these patients

Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).

  • High blood pressure75%
  • High cholesterol73%
  • Arthritis59%
  • Depression44%
  • Anxiety41%
  • Diabetes39%

Hospitals where Prashant K. Upadhyaya works

Medicare's Facility Affiliation Data lists Prashant K. Upadhyaya at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.

Practice locations

Addresses where Prashant K. Upadhyaya is enrolled with Medicare (CMS data updated October 2, 2026). The first 5 of 7; the Medicare profile lists all.

Group practices

Medicare enrollment lists Prashant K. Upadhyaya as a member of this group (CMS data updated October 2, 2026).

  • Seton Family of Doctors792 clinicians in the group

Specialties

Find other Plastic and Reconstructive Surgery doctors in Texas →

Other plastic surgeons in Texas

Clinicians with the same Medicare primary specialty in Texas — not a recommendation.

All plastic surgeons in Texas →

Other clinicians in Seton Family of Doctors

Medicare enrollment lists these clinicians in the same group practice — not a recommendation.

Clinician information

Graduation year2001 (25 years since medical school)
Gender (as listed)Male
Medicare assignmentAccepts (Medicare-approved amount as full payment)
NPI (National Provider Identifier)1861699506
CorrectionsReport an error or suggest an update →

Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.

Sources

  1. Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
  2. Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
  3. National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
  4. Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
  5. NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
  6. Medicare Care Compare — official Medicare tool to look up clinicians