2026 NPPES data Emergency Medicine Physician NPI 1558384099 M.D.
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PRAKASHCHANDRA PATEL, M.D.

Emergency Medicine Physician in SMYRNA, Tennessee. 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
32
Medicare Part D claims · 12 beneficiaries · Emergency Medicine Physician avg: 352
Generic prescribing
34%
generic claims · 66% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$180.22
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PRAKASHCHANDRA PATEL, M.D. filed 32 Medicare Part D claims in 2023 as a Emergency Medicine Physician in SMYRNA, Tennessee, prescribing 34% generic.

32
Part D claims, 2023
34%
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.

PRAKASHCHANDRA PATEL, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

32 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

PRAKASHCHANDRA PATEL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — 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 PRAKASHCHANDRA PATEL, M.D.?

Quality data not reported

NPI registry status

Active

Issued 07/25/2006

NPI 1558384099

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

32 91% vs specialty avg

2023 prescription claims

Specialty avg: 352

Specialty distribution in Tennessee

How Emergency Medicine Physician compares to other specialties among Tennessee providers

Tennessee providers

Emergency Medicine Physician share within Tennessee

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

Specialty board-certification context

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

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

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

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

PRAKASHCHANDRA PATEL, M.D. appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding M.D. credentials at 13181 OLD NASHVILLE HWY, SMYRNA, TN, 37167, with a listed phone of (615) 355-5105. NPI 1558384099 was issued on 07/25/2006. 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 32 prescription claims written by this provider, covering 12 Medicare beneficiaries and totaling roughly $13K in drug spend, split 66% brand-name and 34% generic by claim count. 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.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

13181 OLD NASHVILLE HWY
SMYRNA, TN 37167

Provider Details

NPI 1558384099
Specialty Emergency Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 07/25/2006

Hospital and facility affiliations

Facilities where PRAKASHCHANDRA PATEL, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ADVANCED DIAGNOSTIC IMAGING PC
GOODLETTSVILLE, TN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 PRAKASHCHANDRA PATEL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$180

Largest payer

AstraZeneca Pharmaceuticals LP

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.

Brand vs generic prescribing mix · Brand-heavy

PRAKASHCHANDRA PATEL, M.D. — brand share 66.0%
Specialty average (est.)

66% brand-name claims vs 34% generic, on 32 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.

32
Total Claims
$13K
Total Drug Cost
12
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
40
Total Day Supply
955
Brand vs Generic
66% brand / 34% generic
Brand Drug Cost
$13K
Generic Drug Cost
$140

Patient Demographics

Average Patient Age
69.6 years
Avg HCC Risk Score
1.74

Emergency Medicine Physician Overview

How PRAKASHCHANDRA PATEL, M.D. fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

PRAKASHCHANDRA PATEL, M.D.'s 32 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Tennessee

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

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

Frequently Asked Questions

What is PRAKASHCHANDRA PATEL, M.D.'s specialty?
PRAKASHCHANDRA PATEL, M.D. specializes in Emergency Medicine Physician and practices in SMYRNA, Tennessee. Credentials: M.D..
How much does PRAKASHCHANDRA PATEL, M.D. prescribe under Medicare Part D?
In 2023, PRAKASHCHANDRA PATEL, M.D. wrote 32 Medicare Part D claims totaling $13K in drug costs for 12 beneficiaries.
Where is PRAKASHCHANDRA PATEL, M.D. located?
PRAKASHCHANDRA PATEL, M.D. is located at 13181 OLD NASHVILLE HWY, SMYRNA, TN, 37167. Phone: (615) 355-5105.
What is PRAKASHCHANDRA PATEL, M.D.'s NPI number?
PRAKASHCHANDRA PATEL, M.D.'s National Provider Identifier (NPI) is 1558384099, issued on 07/25/2006.
Does PRAKASHCHANDRA PATEL, M.D. prescribe more brand-name or generic drugs?
PRAKASHCHANDRA PATEL, M.D.'s prescribing is 66% brand-name and 34% generic drugs by claim count, with $13K in brand drug costs.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
Does PRAKASHCHANDRA PATEL, M.D. accept Medicare?
PRAKASHCHANDRA PATEL, M.D. appears in CMS Medicare data with 32 Part D claims and 12 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRAKASHCHANDRA PATEL, M.D.'s credentials?
PRAKASHCHANDRA PATEL, M.D.'s NPI is 1558384099 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.
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