Gaurang Patel, M.D.
Pulmonary Disease Physician · Denville, NJ
Gaurang Patel, M.D. is a pulmonary disease physician with a practice address in Denville, New Jersey, and NPI 1538123542, issued on Apr 14, 2006. Check the license (New Jersey 25MA07928600, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Gaurang Patel
- Credential
- M.D.
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License number
- 25MA07928600 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 16 Pocono RD 217, Denville, NJ 07834
- Phone
- (800) 750-8616
- Enumerated
- Apr 14, 2006
- Record last updated
- Jun 14, 2023
- Fax
- (845) 362-8474
- Medicaid ID
- 0111619 NJ
- Medicare enrollment
- Enrolled (PECOS I20060817000007); accepts Medicare assignment
- Entity
- Type 1 · individual
Verify Gaurang Patel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA07928600Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
70% fewer Medicare Part D claims than the average pulmonary disease physician in 2024
424 Medicare Part D claims for 131 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 53% of claims.
Most prescribed
- Anoro Ellipta45 claims
- Trelegy Ellipta41 claims
- Breo Ellipta34 claims
- Montelukast Sodium30 claims
- Albuterol Sulfate Hfa28 claims
- Fluticasone-Salmeterol28 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
No measured MIPS final score for 2023
CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $62.55
3 payments; by number, the most common kind was food and beverage; the largest payer was GlaxoSmithKline, LLC. The 8,806 providers of this specialty with any payment received $5,159.88 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
- Trudoc LLCClifton, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Pulmonary Disease Physician providers in New Jersey
There are 509 pulmonary disease physician records in New Jersey.
Other pulmonary disease physician records in New Jersey
- Yazan Abdeen, M.D.Newark, NJ1679983605
- Samir Abdelhadi, DOEdgewater, NJ1689858011
- Wissam Abouzgheib, M.D.Camden, NJ1841246451
- James Abraham, M.D.Passaic, NJ1770754632
- Khaled Abu Ihweij, MDLodi, NJ1952720310
- Vincent Acampora, DOCherry Hill, NJ1447223698
- Pankaja Achar, MDNewark, NJ1003876186
- Abhishek Agarwal, MDMarlton, NJ1417365438
- Vinod Aggarwal, MD FCCPHolmdel, NJ1023075363
- Gary Agia, D.O.Turnersville, NJ1154408516
Common questions
What is Gaurang Patel, M.D.'s NPI number?
Gaurang Patel, M.D.'s National Provider Identifier (NPI) is 1538123542, issued on Apr 14, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Gaurang Patel, M.D. located?
The NPPES record lists a practice address at 16 Pocono RD 217, Denville, NJ, 07834. Phone: (800) 750-8616. Providers update this record themselves, so call before visiting.
How can I verify Gaurang Patel, M.D.'s license?
NPPES lists New Jersey license number 25MA07928600, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Gaurang Patel, M.D. prescribe under Medicare Part D?
In 2024, Gaurang Patel, M.D. had 424 Medicare Part D claims for 131 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Gaurang Patel, M.D.'s MIPS final score?
CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.
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.