NPPES file of Aug 9, 2026

Gnanesh R. Patel, MD

Rheumatology Physician · Wilkes Barre, PA

Gnanesh R. Patel, MD is a rheumatology physician with a practice address in Wilkes Barre, Pennsylvania, and NPI 1316238298, issued on Apr 26, 2011. Check the license (Pennsylvania MD449967, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1316238298
Name
Gnanesh R. Patel
Credential
MD
Primary taxonomy
Rheumatology Physician 207RR0500X
License numbers
MD449967 PA
066301 GA
Self-reported in NPPES; status is on the state search
Practice location
150 Mundy St, Wilkes Barre, PA 18702
Phone
(570) 824-7117
Enumerated
Apr 26, 2011
Record last updated
Apr 10, 2014 (not updated in 12 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20131230001520); accepts Medicare assignment
Medical or professional school
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2008
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 150 Mundy St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Gregory Basting, M.D.Physical Medicine & Rehabilitation Physician1255324729
  2. Joan Behm, LCSWClinical Social Worker1881695344
  3. Brooke Casey, PA-CMedical Physician Assistant1407044803
  4. Christopher Connor, D.OInterventional Pain Medicine Physician1891080024
  5. Kaitlyn ConnorsChiropractor1700217890
  6. Laura Decker, LMTMassage Therapist1275076432

Verify Gnanesh R. Patel in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD449967
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

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62% more Medicare Part D claims than the average rheumatology physician in 2024

3,201 Medicare Part D claims for 592 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. Brand-name drugs were 8% of claims.

  1. Gnanesh Patel3,201
  2. Specialty average1,978

Most prescribed

  1. Methotrexate901 claims
  2. Hydroxychloroquine Sulfate786 claims
  3. Prednisone608 claims
  4. Allopurinol166 claims
  5. Alendronate Sodium136 claims
  6. Leflunomide109 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.

The MIPS final score for 2023 (Medicare payment program): 91.2 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score82.4
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $2,662.58

150 payments; by number, the most common kind was food and beverage; the largest payer was Janssen Biotech, Inc. The 4,486 providers of this specialty with any payment received $8,538.33 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Gnanesh Patel$2,662.58
  2. Specialty average$8,538.33

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

  1. H2 Health And Rehabilitation Services LLCWilkes Barre, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Gnanesh R. Patel among 413 rheumatology physician records in Pennsylvania

Gnanesh R. Patel, MD is one of 413 rheumatology physician records with a practice address in Pennsylvania. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 69% of them.

  • NPI issued2011 · 69% of these records are older, 27% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated2008 · median 2004 among the 275 with a school on file
  • Record last updated2014 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RR0500X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Rheumatology Physician providers in Pennsylvania

There are 413 rheumatology physician records in Pennsylvania.

The 8 rheumatology physician records with the nearest ZIP codes

  1. Martin Blidner, MDWilkes Barre, PA 187021598827792
  2. Brian Delvecchio, D.O.Wilkes Barre, PA 187021215993613
  3. Nancy Desai, M.D.Wilkes Barre, PA 187021912438003
  4. Zahid Husain, MDWilkes Barre, PA 187021104988310
  5. Omair Khan, MBBSWilkes Barre, PA 187021073285391
  6. Victor Labbate, MDWilkes Barre, PA 187021689736894
  7. David Pugliese, D.O.Wilkes Barre, PA 187021548225543
  8. Birju Bhatt, MDWilkes Barre, PA 187111881912236

Common questions

What is Gnanesh R. Patel, MD's NPI number?

Gnanesh R. Patel, MD's National Provider Identifier (NPI) is 1316238298, issued on Apr 26, 2011. An NPI identifies a provider in billing; it is not a license.

Where is Gnanesh R. Patel, MD located?

The NPPES record lists a practice address at 150 Mundy St, Wilkes Barre, PA, 18702. Phone: (570) 824-7117. Providers update this record themselves, so call before visiting.

How can I verify Gnanesh R. Patel, MD's license?

NPPES lists Pennsylvania license number MD449967, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Gnanesh R. Patel, MD prescribe under Medicare Part D?

In 2024, Gnanesh R. Patel, MD had 3,201 Medicare Part D claims for 592 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.

What is Gnanesh R. Patel, MD's MIPS final score?

The 2023 MIPS final score is 91.2 of 100. The average among 454,083 clinicians with a measured score was 83.5.

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.