2026 NPPES data Pulmonary Disease Physician NPI 1396953469 MD
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MANOJKUMAR PATEL, MD

Pulmonary Disease Physician in CHESAPEAKE, Virginia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 202 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
45%
generic claims · 55% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.7K
69 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MANOJKUMAR PATEL, MD filed 1,185 Medicare Part D claims in 2023 as a Pulmonary Disease Physician in CHESAPEAKE, Virginia, prescribing 45% generic.

1K
Part D claims, 2023
45%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

MANOJKUMAR PATEL, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,185 Top 23% higher than 77% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). This entry sits in this band. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

MANOJKUMAR PATEL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about MANOJKUMAR PATEL, MD?

Quality data not reported

NPI registry status

Active

Issued 05/20/2007

NPI 1396953469

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

1,185 19% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

Specialty distribution in Virginia

How Pulmonary Disease Physician compares to other specialties among Virginia providers

Virginia providers

Pulmonary Disease Physician share within Virginia

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Virginia

Specialty board-certification context

Estimated specialty board-certified rate — Pulmonary Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pulmonary Disease Physician ABMS/AOA estimate

Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MANOJKUMAR PATEL, MD is a Pulmonary Disease Physician provider practicing in CHESAPEAKE, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1396953469. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MANOJKUMAR PATEL, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 725 VOLVO PKWY, CHESAPEAKE, VA, 23320, with a listed phone of (757) 609-3380. NPI 1396953469 was issued on 05/20/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PATEL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,185 prescription claims written by this provider, covering 202 Medicare beneficiaries and totaling roughly $495K in drug spend, split 55% brand-name and 45% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

725 VOLVO PKWY
CHESAPEAKE, VA 23320

Provider Details

NPI 1396953469
Specialty Pulmonary Disease Physician
Credentials MD
Gender Male
NPI Issued 05/20/2007

Hospital and facility affiliations

Facilities where MANOJKUMAR PATEL, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

BAYVIEW PHYSICIAN SERVICES PC
CHESAPEAKE, VA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for MANOJKUMAR PATEL, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.7K

Largest payer

ANI Pharmaceuticals, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Brand-heavy

MANOJKUMAR PATEL, MD — brand share 55.0%
Specialty average (est.)

55% brand-name claims vs 45% generic, on 1,185 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,185
Total Claims
$495K
Total Drug Cost
202
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,930
Total Day Supply
54,525
Brand vs Generic
55% brand / 45% generic
Brand Drug Cost
$472K
Antibiotic Claims
41

Patient Demographics

Average Patient Age
72.0 years
Avg HCC Risk Score
1.83
Gender Split
63% female / 37% male
Age Distribution
<65: 32, 65-74: 94, 75-84: 61, 85+: 15

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Montelukast Sodium
175
Albuterol Sulfate Hfa
Albuterol Sulfate
171
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
117
Breo Ellipta
Fluticasone/Vilanterol
71
Spiriva Respimat
Tiotropium Bromide
49
Prednisone
48
Symbicort
Budesonide/Formoterol Fumarate
47
Fluticasone-Salmeterol
Fluticasone Propion/Salmeterol
46
Fluticasone Propionate
36
Roflumilast
30

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pulmonary Disease Physician Overview

How MANOJKUMAR PATEL, MD fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

MANOJKUMAR PATEL, MD's 1,185 claims are below the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Virginia

Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as PATEL.

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MANOJKUMAR PATEL, MD's specialty?
MANOJKUMAR PATEL, MD specializes in Pulmonary Disease Physician and practices in CHESAPEAKE, Virginia. Credentials: MD.
How much does MANOJKUMAR PATEL, MD prescribe under Medicare Part D?
In 2023, MANOJKUMAR PATEL, MD wrote 1,185 Medicare Part D claims totaling $495K in drug costs for 202 beneficiaries.
Where is MANOJKUMAR PATEL, MD located?
MANOJKUMAR PATEL, MD is located at 725 VOLVO PKWY, CHESAPEAKE, VA, 23320. Phone: (757) 609-3380.
What is MANOJKUMAR PATEL, MD's NPI number?
MANOJKUMAR PATEL, MD's National Provider Identifier (NPI) is 1396953469, issued on 05/20/2007.
Does MANOJKUMAR PATEL, MD prescribe more brand-name or generic drugs?
MANOJKUMAR PATEL, MD's prescribing is 55% brand-name and 45% generic drugs by claim count, with $472K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does MANOJKUMAR PATEL, MD prescribe most often?
Based on 2023 Medicare Part D data, MANOJKUMAR PATEL, MD's most frequently prescribed drugs include Montelukast Sodium, Albuterol Sulfate Hfa, Trelegy Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MANOJKUMAR PATEL, MD accept Medicare?
MANOJKUMAR PATEL, MD appears in CMS Medicare data with 1,185 Part D claims and 202 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MANOJKUMAR PATEL, MD's credentials?
MANOJKUMAR PATEL, MD's NPI is 1396953469 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology