Kalpesh Mistry, MD
NPI 1740717669ActiveIndividual· Family Medicine· Toccoa, GA
Family Medicine (MD) with Stephens County Hospital Physician Group LLC, practicing in Toccoa, Georgia. In 2024 Medicare paid $85,071 for 249 patients, and Part D covered 206 of their prescriptions, 79% of them generic. Mimedx Group, Inc. was the largest of 8 companies reporting payments in 2025, $540.92 in all, mostly food and beverage. Lists Northeast Georgia Medical Center Habersham and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1740717669 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 23, 2017 |
| Last updated in NPPES | Jun 30, 2020 |
| Certified by provider | Jun 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 83153 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 249 |
|---|---|
| Services billed | 2,074 across 46 procedure codes |
| Paid by Medicare | $85,071 |
Part D prescriptions in 2024
| Prescriptions (claims) | 206 · 207 30-day fills |
|---|---|
| Patients | 121 |
| Total drug cost | $14,586 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- Stephens County Hospital Physician Group LLCToccoa, GA · 11 clinicians
Hospital affiliations
- Northeast Georgia Medical Center HabershamDemorest, GA
- Northeast Georgia Medical Center, IncGainesville, GA
- Piedmont Cartersville Medical CenterCartersville, GA
- Stephens County HospitalToccoa, GA
Other facilities
- Enhabit Home HealthHome health agency · Gainesville, GA
- Northeast Georgia Home Health III, LLCHome health agency · Demorest, GA
- Tugaloo Home Health Agency, An Amedisys CompanyHome health agency · Lavonia, GA
Industry payments (Open Payments)
- 2025$540.92 · 31 payments from 8 companies
- 2024$323.88 · 19 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Mimedx Group, Inc. | $176.87 | 8 |
| Smith+nephew, Inc. | $161.29 | 12 |
| Ets Wound Care LLC | $52.74 | 4 |
| Tactile Systems Technology Inc | $40.85 | 2 |
| Reprise Biomedical, Inc. | $30.78 | 2 |
What the 2025 payments were for
- Food and Beverage$540.92 · 31 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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