2026 NPPES data Gastroenterology Physician NPI 1295712446 M.D.
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PARTHIV RAVAL, M.D.

Gastroenterology Physician in CLIFTON, New Jersey. 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
4K
Medicare Part D claims · 724 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$985.22
67 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PARTHIV RAVAL, M.D. filed 3,901 Medicare Part D claims in 2023 as a Gastroenterology Physician in CLIFTON, New Jersey, prescribing 82% generic.

4K
Part D claims, 2023
82%
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.

PARTHIV RAVAL, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

3,901 Top 9% higher than 91% 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%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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)

PARTHIV RAVAL, M.D. 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 PARTHIV RAVAL, M.D.?

Quality data not reported

NPI registry status

Active

Issued 12/29/2005

NPI 1295712446

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

3,901 368% vs specialty avg

2023 prescription claims

Specialty avg: 833

Specialty distribution in New Jersey

How Gastroenterology Physician compares to other specialties among New Jersey providers

New Jersey providers

Gastroenterology Physician share within New Jersey

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within New Jersey

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Gastroenterology 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).

PARTHIV RAVAL, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 1100 CLIFTON AVE, CLIFTON, NJ, 07013, with a listed phone of (973) 614-9700. NPI 1295712446 was issued on 12/29/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RAVAL 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 3,901 prescription claims written by this provider, covering 724 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 18% brand-name and 82% 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.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

1100 CLIFTON AVE
CLIFTON, NJ 07013

Provider Details

NPI 1295712446
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 12/29/2005

Hospital and facility affiliations

Facilities where PARTHIV RAVAL, M.D. 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.

GASTROENTEROLOGY ASSOCIATES OF NEW JERSEY LLC
CLIFTON, NJ

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 PARTHIV RAVAL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$985

Largest payer

ABBVIE 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 · Typical

PARTHIV RAVAL, M.D. — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 3,901 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.

3,901
Total Claims
$1.2M
Total Drug Cost
724
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,746
Total Day Supply
155,639
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$989K
Generic Drug Cost
$226K
Antibiotic Claims
171

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
1.38
Gender Split
59% female / 41% male
Age Distribution
<65: 88, 65-74: 390, 75-84: 203, 85+: 43

Top Prescribed Drugs (Medicare Part D)

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

What PARTHIV RAVAL, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Omeprazole
650
Linzess
Linaclotide
245
Lactulose
223
Famotidine
135
Creon
Lipase/Protease/Amylase
101
Pantoprazole Sodium
99
Esomeprazole Magnesium
97
Ursodiol
77
Atorvastatin Calcium
75
Mesalamine
75

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

Gastroenterology Physician Overview

How PARTHIV RAVAL, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

PARTHIV RAVAL, M.D.'s 3,901 claims are above the specialty average of 833.

Nearby Gastroenterology Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as RAVAL.

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PARTHIV RAVAL, M.D.'s specialty?
PARTHIV RAVAL, M.D. specializes in Gastroenterology Physician and practices in CLIFTON, New Jersey. Credentials: M.D..
How much does PARTHIV RAVAL, M.D. prescribe under Medicare Part D?
In 2023, PARTHIV RAVAL, M.D. wrote 3,901 Medicare Part D claims totaling $1.2M in drug costs for 724 beneficiaries.
Where is PARTHIV RAVAL, M.D. located?
PARTHIV RAVAL, M.D. is located at 1100 CLIFTON AVE, CLIFTON, NJ, 07013. Phone: (973) 614-9700.
What is PARTHIV RAVAL, M.D.'s NPI number?
PARTHIV RAVAL, M.D.'s National Provider Identifier (NPI) is 1295712446, issued on 12/29/2005.
Does PARTHIV RAVAL, M.D. prescribe more brand-name or generic drugs?
PARTHIV RAVAL, M.D.'s prescribing is 18% brand-name and 82% generic drugs by claim count, with $989K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does PARTHIV RAVAL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PARTHIV RAVAL, M.D.'s most frequently prescribed drugs include Omeprazole, Linzess, Lactulose. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PARTHIV RAVAL, M.D. accept Medicare?
PARTHIV RAVAL, M.D. appears in CMS Medicare data with 3,901 Part D claims and 724 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PARTHIV RAVAL, M.D.'s credentials?
PARTHIV RAVAL, M.D.'s NPI is 1295712446 with credentials M.D.. 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