Pragnesh A. Patel, M.D.
Interventional Cardiology Physician · Jefferson City, TN
Pragnesh A. Patel, M.D. is an interventional cardiology physician with a practice address in Jefferson City, Tennessee, and NPI 1568529006, issued on Jan 3, 2007. Check the license (Tennessee MD0000045390, as entered in NPPES) on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Pragnesh A. Patel
- Credential
- M.D.
- Primary taxonomy
- Interventional Cardiology Physician 207RI0011X
- License number
- MD0000045390 TN
Self-reported in NPPES; status is on the state search - Practice location
- 120 Hospital Dr Ste 260, Jefferson City, TN 37760
- Phone
- (423) 839-2525
- Enumerated
- Jan 3, 2007
- Record last updated
- Mar 15, 2023
- Fax
- (423) 839-2424
- Medicare enrollment
- Enrolled (PECOS I20100217000377); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 120 Hospital Dr Ste 260
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Evan Foulke, MDSurgery Physician1376064634
- Hanna-Rae Green, NPFamily Nurse Practitioner1568024396
- Herbert Ridyard, MDSurgery Physician1043246887
Verify Pragnesh A. Patel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTennessee Board of Medical Examiners
Search for license MD0000045390Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
82% more Medicare Part D claims than the average interventional cardiology physician in 2024
5,786 Medicare Part D claims for 952 beneficiaries, against an average of 3,179 among the 6,605 providers of this specialty who prescribed in Part D. Brand-name drugs were 26% of claims.
Most prescribed
- Atorvastatin Calcium470 claims
- Clopidogrel437 claims
- Metoprolol Tartrate413 claims
- Xarelto337 claims
- Eliquis326 claims
- Metoprolol Succinate250 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): 100 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: $1,788.91
73 payments; by number, the most common kind was food and beverage; the largest payer was AngioDynamics, Inc. The 6,394 providers of this specialty with any payment received $7,062.29 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
- Genesis Heart And Vascular Associates, PLLCJefferson City, TN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Interventional Cardiology Physician providers in Tennessee
There are 215 interventional cardiology physician records in Tennessee.
Other interventional cardiology physician records in Tennessee
- Abdul-Rahman Abdel-Karim, M.D.Memphis, TN1093014441
- Ahmad Abu-Halimah, M.D.Nashville, TN1013958776
- James AckerLoudon, TN1063910529
- Kylie Adamek, MDNashville, TN1972966786
- Milton Addington, MDGermantown, TN1790752566
- Syed Agha, MDCleveland, TN1164420741
- Adeeb Ahmed, MDMurfreesboro, TN1245217603
- Joseph Akamah, MDNashville, TN1598822967
- Yasir Akhtar, M.D.Powell, TN1013001098
- Steven Akins, MDGermantown, TN1720088297
Common questions
What is Pragnesh A. Patel, M.D.'s NPI number?
Pragnesh A. Patel, M.D.'s National Provider Identifier (NPI) is 1568529006, issued on Jan 3, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Pragnesh A. Patel, M.D. located?
The NPPES record lists a practice address at 120 Hospital Dr Ste 260, Jefferson City, TN, 37760. Phone: (423) 839-2525. Providers update this record themselves, so call before visiting.
How can I verify Pragnesh A. Patel, M.D.'s license?
NPPES lists Tennessee license number MD0000045390, as entered by the provider. Search the Tennessee Board of Medical Examiners at https://www.tn.gov/health/licensure/me.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Pragnesh A. Patel, M.D. prescribe under Medicare Part D?
In 2024, Pragnesh A. Patel, M.D. had 5,786 Medicare Part D claims for 952 beneficiaries; the average among interventional cardiology physician prescribers was 3,179. Part D covers Medicare prescriptions only.
What is Pragnesh A. Patel, M.D.'s MIPS final score?
The 2023 MIPS final score is 100 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.