2026 NPPES data Oral & Maxillofacial Surgery (D.M.D.) NPI 1922237981 DDS
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NEERAJ PANCHAL, DDS

Oral & Maxillofacial Surgery (D.M.D.) in PHILADELPHIA, Pennsylvania. 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
84
Medicare Part D claims · 33 beneficiaries · Oral & Maxillofacial Surgery (D.M.D.) avg: 324
MIPS score
85.4852/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$23.1K
13 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NEERAJ PANCHAL, DDS is a Oral & Maxillofacial Surgery (D.M.D.) ([object Object]) practicing in PHILADELPHIA, Pennsylvania with a Medicare Part D prescribing footprint of 84 claims across 33 beneficiaries . Their CMS MIPS Final Score of 85.4852/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $23.1K across 13 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NEERAJ PANCHAL, DDS reported a CMS MIPS final score of 85.4852 out of 100, above the 83.1 national average, and filed 84 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

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

NEERAJ PANCHAL, DDS at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/10/2009

NPI 1922237981

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)

Niche

1,112 US NPIs in this specialty

Medicare Part D claims

84 74% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

85.4852/100 2.3852000000000118% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Oral & Maxillofacial Surgery (D.M.D.) compares to other specialties among Pennsylvania providers

Pennsylvania providers

Oral & Maxillofacial Surgery (D.M.D.) share within Pennsylvania

1. Oral & Maxillofacial Surgery (D.M.D.)42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Oral & Maxillofacial Surgery (D.M.D.) share within Pennsylvania

Medicare quality performance — MIPS

NEERAJ PANCHAL, DDS's 2023 MIPS final score plotted against the Oral & Maxillofacial Surgery (D.M.D.) national average

High performer (top quartile)
MIPS Final Score
85.4852/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Oral & Maxillofacial Surgery (D.M.D.)) — 85.4852/100 vs national avg 83.1

0%100%National avg83%85.5%
MIPS final score (Oral & Maxillofacial Surgery (D.M.D.)) — 85.4852/100 vs national avg 83.1

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).

NEERAJ PANCHAL, DDS is a Oral & Maxillofacial Surgery (D.M.D.) provider practicing in PHILADELPHIA, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DDS. NPI: 1922237981. 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.

NEERAJ PANCHAL, DDS appears in the CMS NPPES registry as a Oral & Maxillofacial Surgery (D.M.D.) provider holding DDS credentials at 3400 CIVIC CENTER BLVD., PHILADELPHIA, PA, 19104, with a listed phone of (215) 662-3580. NPI 1922237981 was issued on 07/10/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PANCHAL 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 84 prescription claims written by this provider, covering 33 Medicare beneficiaries and totaling roughly $825 in drug spend. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.4852/100 for the 2023 performance year (Quality 73.6095), compared with the national average of 83.1.

Oral & Maxillofacial Surgery (D.M.D.) is a narrow specialty nationwide, with 1,112 enrolled providers across 52 states and an average of 324 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

3400 CIVIC CENTER BLVD.
PHILADELPHIA, PA 19104

Provider Details

NPI 1922237981
Specialty Oral & Maxillofacial Surgery (D.M.D.)
Credentials DDS
Gender Male
NPI Issued 07/10/2009

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

85.4852
Final Score
Avg: 83.1
73.6095
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NEERAJ PANCHAL, DDS 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.

UNIVERSITY OF PENN-MEDICAL GROUP
PHILADELPHIA, PA

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 NEERAJ PANCHAL, DDS. Source: openpaymentsdata.cms.gov.

Total received

$23.1K

Largest payer

Envista Holdings Corporation

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.

License & disciplinary context — Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to NEERAJ PANCHAL, DDS. To verify NEERAJ PANCHAL, DDS's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

84
Total Claims
$825
Total Drug Cost
33
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
90
Total Day Supply
1,511
Brand Drug Cost
$0
Generic Drug Cost
$825
Antibiotic Claims
21

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
1.54
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Chlorhexidine Gluconate
36

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

Oral & Maxillofacial Surgery (D.M.D.) Overview

How NEERAJ PANCHAL, DDS fits within the Oral & Maxillofacial Surgery (D.M.D.) landscape nationally.

1,112
Oral & Maxillofacial Surgery (D.M.D.) Providers in US
52
States with Oral & Maxillofacial Surgery (D.M.D.)
324
Avg Claims per Provider

NEERAJ PANCHAL, DDS's 84 claims are below the specialty average of 324.

Nearby Oral & Maxillofacial Surgery (D.M.D.) Providers in Pennsylvania

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

Compare Oral & Maxillofacial Surgery (D.M.D.) nationally: see state-by-state distribution →

Frequently Asked Questions

What is NEERAJ PANCHAL, DDS's specialty?
NEERAJ PANCHAL, DDS specializes in Oral & Maxillofacial Surgery (D.M.D.) and practices in PHILADELPHIA, Pennsylvania. Credentials: DDS.
How much does NEERAJ PANCHAL, DDS prescribe under Medicare Part D?
In 2023, NEERAJ PANCHAL, DDS wrote 84 Medicare Part D claims totaling $825 in drug costs for 33 beneficiaries.
What is NEERAJ PANCHAL, DDS's Medicare quality score?
NEERAJ PANCHAL, DDS has a CMS MIPS Final Score of 85.4852/100 (Quality: 73.6095). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NEERAJ PANCHAL, DDS located?
NEERAJ PANCHAL, DDS is located at 3400 CIVIC CENTER BLVD., PHILADELPHIA, PA, 19104. Phone: (215) 662-3580.
What is NEERAJ PANCHAL, DDS's NPI number?
NEERAJ PANCHAL, DDS's National Provider Identifier (NPI) is 1922237981, issued on 07/10/2009.
How many Oral & Maxillofacial Surgery (D.M.D.) providers are there in the US?
There are 1,112 Oral & Maxillofacial Surgery (D.M.D.) providers across 52 states in the US. The average Oral & Maxillofacial Surgery (D.M.D.) provider writes 324 Medicare Part D claims per year.
What drugs does NEERAJ PANCHAL, DDS prescribe most often?
Based on 2023 Medicare Part D data, NEERAJ PANCHAL, DDS's most frequently prescribed drugs include Chlorhexidine Gluconate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NEERAJ PANCHAL, DDS accept Medicare?
NEERAJ PANCHAL, DDS appears in CMS Medicare data with 84 Part D claims and 33 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NEERAJ PANCHAL, DDS's credentials?
NEERAJ PANCHAL, DDS's NPI is 1922237981 with credentials DDS. 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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