Prakash Pandalai, MD
Surgical Oncology Physician · Lexington, KY
Prakash Pandalai, MD is a surgical oncology physician with a practice address in Lexington, Kentucky, and NPI 1275735789, issued on Jun 5, 2007. Check the license (Kentucky 53095, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Prakash Pandalai
- Credential
- MD
- Primary taxonomy
- Surgical Oncology Physician 2086X0206X
- License numbers
- 53095 KY
TP594 KY
35085025 OH
Self-reported in NPPES; status is on the state search - Practice location
- 800 Rose St, Lexington, KY 40536
- Phone
- (859) 323-6542
- Enumerated
- Jun 5, 2007
- Record last updated
- May 5, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (859) 323-2074
- Medicare enrollment
- Enrolled (PECOS I20190808000722); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest surgical oncology physician records → All 33 in Kentucky → Look up another NPI →
Also registered at 800 Rose St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Prakash Pandalai in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 53095Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
36% fewer Medicare Part D claims than the average surgical oncology physician in 2024
56 Medicare Part D claims for 29 beneficiaries, against an average of 87 among the 1,237 providers of this specialty who prescribed in Part D. Brand-name drugs were 29% of 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 practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $5,477.38
21 payments; by number, the most common kind was travel and lodging; the largest payer was Intuitive Surgical, Inc. The 1,132 providers of this specialty with any payment received $4,224.74 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
- Kentucky Medical Services Foundation, IncLexington, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Prakash Pandalai among 33 surgical oncology physician records in Kentucky
Prakash Pandalai, MD is one of 33 surgical oncology physician records with a practice address in Kentucky. 91% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 33% of them.
- NPI issued2007 · 33% of these records are older, 48% newer
- In a Medicare fileYes · 91% of these records are
- In the CMS Doctors and Clinicians fileYes · 76% of these records are
- Graduated2001 · median 2004 among the 25 with a school on file
- Record last updated2021 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2086X0206X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgical Oncology Physician providers in Kentucky
There are 33 surgical oncology physician records in Kentucky.
All 33 in Kentucky → Every provider in Lexington → Surgical Oncology Physician nationwide →
The 8 surgical oncology physician records with the nearest ZIP codes
- Mautin Barry-Hundeyin, M.D.Lexington, KY 405361902161896
- Michael Cavnar, M.D.Lexington, KY 405361699970426
- Irada Ibrahim-Zada, MDLexington, KY 405361265842991
- Veronica Jones, MDLexington, KY 405361063874162
- Patrick McGrath, MDLexington, KY 405361801846241
- David Sloan, MDLexington, KY 405361114976982
- Jennifer Whittington, MDLexington, KY 405361104145101
- Leah Winer, M.D.Lexington, KY 405361124415922
Common questions
What is Prakash Pandalai, MD's NPI number?
Prakash Pandalai, MD's National Provider Identifier (NPI) is 1275735789, issued on Jun 5, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Prakash Pandalai, MD located?
The NPPES record lists a practice address at 800 Rose St, Lexington, KY, 40536. Phone: (859) 323-6542. Providers update this record themselves, so call before visiting.
How can I verify Prakash Pandalai, MD's license?
NPPES lists Kentucky license number 53095, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Prakash Pandalai, MD prescribe under Medicare Part D?
In 2024, Prakash Pandalai, MD had 56 Medicare Part D claims for 29 beneficiaries; the average among surgical oncology physician prescribers was 87. Part D covers Medicare prescriptions only.
What is Prakash Pandalai, MD's MIPS final score?
The 2023 MIPS final score is 100 of 100, reported for the practice group. 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.