Prafull K. Dave, MD PA
Specialist · Frederick, MD
Prafull K. Dave, MD PA is a specialist with a practice address in Frederick, Maryland, and NPI 1326008582, issued on Mar 23, 2006. Check the license (Maryland D0020922, as entered in NPPES) with the Maryland board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Prafull K. Dave
- Credential
- MD PA
- Primary taxonomy
- Specialist 174400000X
- License number
- D0020922 MD
Self-reported in NPPES; status is on the state search - Practice location
- 188 Thomas Johnson Drive, Frederick, MD 21702
- Phone
- (301) 898-3010
- Enumerated
- Mar 23, 2006
- Record last updated
- Mar 25, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (301) 695-5485
- Medicare enrollment
- Enrolled (PECOS I20110512000014); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest specialist records → All 938 in Maryland → Look up another NPI →
Verify Prafull K. Dave in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Maryland board licenses this profession
Search for license D0020922Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.5 times the Medicare Part D claims of the average specialist in 2024
3,440 Medicare Part D claims for 241 beneficiaries, against an average of 1,380 among the 8,233 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims. 181 claims were for opioids.
Most prescribed
- Gabapentin170 claims
- Amitriptyline Hcl155 claims
- Duloxetine Hcl133 claims
- Levetiracetam127 claims
- Clonazepam106 claims
- Meloxicam78 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 93.3 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,906.49
115 payments; by number, the most common kind was food and beverage; the largest payer was Novartis Pharmaceuticals Corporation. The 5,844 providers of this specialty with any payment received $4,760.79 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Meritus Medical Center IncHagerstown, MD
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Prafull K. Dave among 938 specialist records in Maryland
Prafull K. Dave, MD PA is one of 938 specialist records with a practice address in Maryland. 36% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 17% of them.
- NPI issued2006 · 17% of these records are older, 39% newer
- In a Medicare fileYes · 36% of these records are
- In the CMS Doctors and Clinicians fileYes · 23% of these records are
- Graduated1975 · median 1989 among the 220 with a school on file
- Record last updated2016 · 72% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 174400000X and a Maryland practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Specialist providers in Maryland
There are 938 specialist records in Maryland.
All 938 in Maryland → Every provider in Frederick → Specialist nationwide →
The 8 specialist records with the nearest ZIP codes
- Mark Chilton, M.D.Frederick, MD 217021689644072
- Laura Copaken, MDFrederick, MD 217021043268642
- Melissa Esposito, M.D.Frederick, MD 217021023003464
- Jeffrey Gilsdorf, M.D.Frederick, MD 217021477524486
- John Henry, M.D.Frederick, MD 217021013982784
- Robert Jackson, M.D.Frederick, MD 217021164442406
- Charles Kim, M.DFrederick, MD 217021295736338
- David Kossoff, M.D.Frederick, MD 217021629152582
Common questions
What is Prafull K. Dave, MD PA's NPI number?
Prafull K. Dave, MD PA's National Provider Identifier (NPI) is 1326008582, issued on Mar 23, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Prafull K. Dave, MD PA located?
The NPPES record lists a practice address at 188 Thomas Johnson Drive, Frederick, MD, 21702. Phone: (301) 898-3010. Providers update this record themselves, so call before visiting.
How can I verify Prafull K. Dave, MD PA's license?
NPPES lists Maryland license number D0020922, as entered by the provider. Search the Maryland board that licenses this profession; the NPPES record confirms identity only.
How much does Prafull K. Dave, MD PA prescribe under Medicare Part D?
In 2024, Prafull K. Dave, MD PA had 3,440 Medicare Part D claims for 241 beneficiaries; the average among specialist prescribers was 1,380. Part D covers Medicare prescriptions only.
What is Prafull K. Dave, MD PA's MIPS final score?
The 2023 MIPS final score is 93.3 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.