Dr. Paul B. Gravel

Name: Dr. Paul B. Gravel, MD

Specialty: Internal Medicine | Hospital Medicine / Hospitalist

Qualification/Board Certification:  The University of Texas Health Science Center at San Antonio

Affiliation(s): Peterson Regional Medical Center

Location (City/State): Kerrville, Texas Languages Spoken: English

Accepting New Patients: Yes

NPI Number: 1689834319

About the Doctor

Dr. Paul B. Gravel is an experienced internist and hospital medicine specialist serving the Kerrville, Texas community through his practice at Hospitalist Medicine Physicians of Texas, PLLC. He earned his medical degree from The University of Texas Health Science Center at San Antonio — one of Texas’ premier medical institutions — and completed his residency in Internal Medicine at the University of Texas Health Science Center San Antonio’s Joe and Teresa Lozano Long School of Medicine from 2008 to 2011. With between 11 and 20 years of clinical experience, Dr. Gravel has developed deep expertise in diagnosing and managing a wide range of acute and chronic adult medical conditions.

As a hospitalist, Dr. Gravel’s primary focus is on the care of patients admitted to Peterson Regional Medical Center in Kerrville, Texas. In this role, he serves as the physician responsible for overseeing and coordinating all aspects of a patient’s inpatient care — from admission through discharge — ensuring that every patient receives timely, evidence-based treatment during critical periods of illness. His areas of clinical strength include stroke management, hypertension, cardiomyopathy, congestive heart failure, sepsis, and pneumonia, conditions that frequently require urgent and highly coordinated hospital-based intervention.

Dr. Gravel holds an active Texas State Medical License through 2026 and previously held licensure in Georgia, reflecting his broad clinical background and continued commitment to professional excellence.

Education & Training

• Medical School – The University of Texas Health Science Center at San Antonio
• Residency – Internal Medicine, University of Texas Health Science Center San Antonio – Joe and Teresa Lozano Long School of Medicine (2008–2011)
• Fellowship/Additional Training – Hospital Medicine / Hospitalist Practice

Medical Conditions Treated

• Chronic Hypertension (High Blood Pressure)
• Stroke and Cerebrovascular Disease
• Cardiomyopathy (Heart Muscle Disease)
• Congestive Heart Failure (CHF)
• Sepsis and Severe Infections
• Pneumonia and Respiratory Infections
• Chronic Obstructive Pulmonary Disease (COPD)
• Diabetes and Hyperglycemia Management
• Acute Kidney Injury and Chronic Kidney Disease
• Deep Vein Thrombosis (DVT) and Pulmonary Embolism
• Electrolyte Imbalances and Metabolic Disorders
• Anemia and Blood Disorders
• Liver and Gastrointestinal Conditions
• Neurological and Altered Mental Status Conditions
• Post-Surgical and Post-Procedural Medical Management

Medical Procedures Performed

• Comprehensive inpatient medical evaluations and assessments
• Acute stroke evaluation and initial management
• Sepsis protocol initiation and critical care coordination
• Congestive heart failure monitoring and treatment
• Intravenous (IV) medication administration and fluid management
• Diagnostic laboratory test ordering and interpretation
• Chest X-ray, CT scan, and imaging review and interpretation
• Electrocardiogram (ECG/EKG) evaluation
• Central line and arterial line oversight
• Blood pressure and hemodynamic monitoring
• Respiratory assessment and oxygen therapy management
• Patient discharge planning and care transition coordination
• Specialist consultation and multidisciplinary team collaboration
• Preventive deep vein thrombosis (DVT) management
• Medication reconciliation and management during hospitalization

Services Offered

Dr. Gravel’s practice is centered on delivering high-quality, comprehensive inpatient medical care to adult patients at Peterson Regional Medical Center. As a hospitalist physician, he provides round-the-clock medical oversight for patients admitted with a wide range of acute and complex conditions, serving as the primary point of coordination among the hospital’s nursing staff, specialists, and ancillary care teams.

One of the most critical aspects of Dr. Gravel’s role is managing patients presenting with time-sensitive emergencies such as stroke, sepsis, and acute heart failure. His training in internal medicine equips him with the breadth of knowledge required to stabilize patients quickly, initiate appropriate treatment protocols, and mobilize specialist support when necessary. His expertise in hypertension and cardiomyopathy also allows him to provide nuanced cardiac care for patients whose conditions require careful hemodynamic management during hospitalization.

Beyond acute crisis management, Dr. Gravel also provides ongoing in-hospital management of chronic disease exacerbations — including COPD flare-ups, diabetic emergencies, and kidney disease complications — ensuring that patients receive medically sound, individualized care throughout their entire hospital stay. He places strong emphasis on discharge planning and care transitions, working to ensure that patients leave the hospital with a clear, actionable plan for recovery and follow-up care.

Services include:

• Inpatient hospital medicine and hospitalist care
• Acute illness diagnosis and emergency stabilization
• Stroke evaluation and acute neurological management
• Sepsis identification and treatment protocol management
• Congestive heart failure monitoring and intervention
• Chronic disease exacerbation management (COPD, diabetes, kidney disease)
• Hemodynamic and cardiovascular monitoring
• Respiratory condition assessment and oxygen therapy
• Multidisciplinary care coordination with hospital specialists
• Medication management and reconciliation during hospital stay
• Patient and family communication and care plan education
• Discharge planning and care transition support
• Post-hospitalization follow-up coordination

Accepted Insurances

• Blue Cross Blue Shield of Massachusetts (Medicare, PPO)
• Blue Cross Blue Shield of Michigan (HMO, POS, PPO)
• Cigna (PPO)
• CMS Medicare
• CO State Medicaid (Medicaid)
• Elevance (EPO, HMO, Medicare, POS, PPO)
• HCSC (HMO)
• Molina (HMO, Medicare)

Practice Locations

Location 1 Hospitalist Medicine Physicians of Texas, PLLC 551 Hill Country Dr Kerrville, TX 78028 📞 (830) 896-4200

Hospital Affiliations

• Peterson Regional Medical Center — Kerrville, TX