2026 NPPES data Internal Medicine Physician NPI 1588779110 M.D.
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PRABIR BANIK, M.D.

Internal Medicine Physician in LAKE CITY, Florida. 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
5K
Medicare Part D claims · 435 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]

What the federal data shows

PRABIR BANIK, M.D. reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 4,906 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
5K
Part D claims, 2023
90%
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.

PRABIR BANIK, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

PRABIR BANIK, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 PRABIR BANIK, M.D.?

Below national average

NPI registry status

Active

Issued 08/21/2006

NPI 1588779110

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

4,906 81% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Internal Medicine Physician compares to other specialties among Florida providers

Florida providers

Internal Medicine Physician share within Florida

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Florida

Medicare quality performance — MIPS

PRABIR BANIK, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Internal Medicine Physician) — 75/100 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).

PRABIR BANIK, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 619 S MARION AVE, LAKE CITY, FL, 32025, with a listed phone of (386) 755-3016. NPI 1588779110 was issued on 08/21/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BANIK 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 4,906 prescription claims written by this provider, covering 435 Medicare beneficiaries and totaling roughly $345K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 5.7%. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

619 S MARION AVE
LAKE CITY, FL 32025

Provider Details

NPI 1588779110
Specialty Internal Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 08/21/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Individual

License & disciplinary context — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to PRABIR BANIK, M.D.. To verify PRABIR BANIK, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

PRABIR BANIK, M.D. — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 4,906 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.

4,906
Total Claims
$345K
Total Drug Cost
435
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,736
Total Day Supply
275,769
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$235K
Generic Drug Cost
$109K
Opioid Claims
280 (5.7% rate)
Antibiotic Claims
325

Patient Demographics

Average Patient Age
82.0 years
Avg HCC Risk Score
1.42
Gender Split
68% female / 32% male

Top Prescribed Drugs (Medicare Part D)

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

What PRABIR BANIK, 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
Losartan Potassium
195
Levothyroxine Sodium
192
Amlodipine Besylate
168
Atorvastatin Calcium
162
Montelukast Sodium
115
Potassium Chloride
111
Tramadol Hcl
104
Furosemide
101
Metoprolol Succinate
101
Prednisone
101

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

Internal Medicine Physician Overview

How PRABIR BANIK, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

PRABIR BANIK, M.D.'s 4,906 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Florida

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PRABIR BANIK, M.D.'s specialty?
PRABIR BANIK, M.D. specializes in Internal Medicine Physician and practices in LAKE CITY, Florida. Credentials: M.D..
How much does PRABIR BANIK, M.D. prescribe under Medicare Part D?
In 2023, PRABIR BANIK, M.D. wrote 4,906 Medicare Part D claims totaling $345K in drug costs for 435 beneficiaries.
What is PRABIR BANIK, M.D.'s Medicare quality score?
PRABIR BANIK, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PRABIR BANIK, M.D. located?
PRABIR BANIK, M.D. is located at 619 S MARION AVE, LAKE CITY, FL, 32025. Phone: (386) 755-3016.
What is PRABIR BANIK, M.D.'s NPI number?
PRABIR BANIK, M.D.'s National Provider Identifier (NPI) is 1588779110, issued on 08/21/2006.
Does PRABIR BANIK, M.D. prescribe more brand-name or generic drugs?
PRABIR BANIK, M.D.'s prescribing is 10% brand-name and 90% generic drugs by claim count, with $235K in brand drug costs.
Does PRABIR BANIK, M.D. prescribe opioids?
Yes, PRABIR BANIK, M.D. had 280 opioid claims in 2023 with an opioid prescribing rate of 5.7%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does PRABIR BANIK, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PRABIR BANIK, M.D.'s most frequently prescribed drugs include Losartan Potassium, Levothyroxine Sodium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRABIR BANIK, M.D. accept Medicare?
PRABIR BANIK, M.D. appears in CMS Medicare data with 4,906 Part D claims and 435 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRABIR BANIK, M.D.'s credentials?
PRABIR BANIK, M.D.'s NPI is 1588779110 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.
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