2026 NPPES data Otolaryngology Physician NPI 1790310258 MD
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PRACHI PATEL, MD

Otolaryngology Physician in BOSTON, Massachusetts. 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
24
Medicare Part D claims · 17 beneficiaries · Otolaryngology Physician avg: 509
Industry payments
$37.26
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PRACHI PATEL, MD is a Otolaryngology Physician ([object Object]) practicing in BOSTON, Massachusetts with a Medicare Part D prescribing footprint of 24 claims across 17 beneficiaries . Industry payments of $37.26 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PRACHI PATEL, MD filed 24 Medicare Part D claims in 2023 across BOSTON, Massachusetts. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

PRACHI PATEL, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

PRACHI PATEL, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 03/05/2020

NPI 1790310258

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

24 95% vs specialty avg

2023 prescription claims

Specialty avg: 509

Specialty distribution in Massachusetts

How Otolaryngology Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Otolaryngology Physician share within Massachusetts

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

Specialty board-certification context

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

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

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

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

PRACHI PATEL, MD is a Otolaryngology Physician provider practicing in BOSTON, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1790310258. 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.

PRACHI PATEL, MD appears in the CMS NPPES registry as a Otolaryngology Physician provider holding MD credentials at 800 HARRISON AVE FL 5, BOSTON, MA, 02118, with a listed phone of (617) 638-8124. NPI 1790310258 was issued on 03/05/2020. 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 24 prescription claims written by this provider, covering 17 Medicare beneficiaries and totaling roughly $412 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.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

800 HARRISON AVE FL 5
BOSTON, MA 02118

Provider Details

NPI 1790310258
Specialty Otolaryngology Physician
Credentials MD
Gender Female
NPI Issued 03/05/2020

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 PRACHI PATEL, MD. Source: openpaymentsdata.cms.gov.

Total received

$37

Largest payer

Lilly USA, LLC

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 — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to PRACHI PATEL, MD. To verify PRACHI PATEL, MD's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts 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.

24
Total Claims
$412
Total Drug Cost
17
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
24
Total Day Supply
405
Brand Drug Cost
$0
Generic Drug Cost
$412

Patient Demographics

Average Patient Age
65.5 years
Avg HCC Risk Score
1.22

Otolaryngology Physician Overview

How PRACHI PATEL, MD fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

PRACHI PATEL, MD's 24 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in Massachusetts

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

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

Frequently Asked Questions

What is PRACHI PATEL, MD's specialty?
PRACHI PATEL, MD specializes in Otolaryngology Physician and practices in BOSTON, Massachusetts. Credentials: MD.
How much does PRACHI PATEL, MD prescribe under Medicare Part D?
In 2023, PRACHI PATEL, MD wrote 24 Medicare Part D claims totaling $412 in drug costs for 17 beneficiaries.
Where is PRACHI PATEL, MD located?
PRACHI PATEL, MD is located at 800 HARRISON AVE FL 5, BOSTON, MA, 02118. Phone: (617) 638-8124.
What is PRACHI PATEL, MD's NPI number?
PRACHI PATEL, MD's National Provider Identifier (NPI) is 1790310258, issued on 03/05/2020.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
Does PRACHI PATEL, MD accept Medicare?
PRACHI PATEL, MD appears in CMS Medicare data with 24 Part D claims and 17 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRACHI PATEL, MD's credentials?
PRACHI PATEL, MD's NPI is 1790310258 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