2026 NPPES data Pulmonary Disease Physician NPI 1669426953 MD
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PRAMTHESH DESAI, MD

Pulmonary Disease Physician in WILKES BARRE, Pennsylvania. 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
2K
Medicare Part D claims · 368 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
28%
generic claims · 72% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
58.1912/100
▼ 25 pts below national avg 83.1 · [object Object]
Industry payments
$3.6K
169 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PRAMTHESH DESAI, MD is a Pulmonary Disease Physician ([object Object]) practicing in WILKES BARRE, Pennsylvania with a Medicare Part D prescribing footprint of 2K claims across 368 beneficiaries — 72% brand-name prescribing . Their CMS MIPS Final Score of 58.1912/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $3.6K across 169 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PRAMTHESH DESAI, MD reported a CMS MIPS final score of 58.1912 out of 100, below the 83.1 national average, and filed 1,725 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PRAMTHESH DESAI, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

PRAMTHESH DESAI, MD at a glance

Below national average

NPI registry status

Active

Issued 05/20/2006

NPI 1669426953

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

1,725 18% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

58.1912/100 24.908799999999992% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Pulmonary Disease Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Pulmonary Disease Physician share within Pennsylvania

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Pennsylvania

Medicare quality performance — MIPS

PRAMTHESH DESAI, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

Below national average
MIPS Final Score
58.1912/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pulmonary Disease Physician) — 58.1912/100 vs national avg 83.1

0%100%National avg83%58.2%
MIPS final score (Pulmonary Disease Physician) — 58.1912/100 vs national avg 83.1

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).

PRAMTHESH DESAI, MD is a Pulmonary Disease Physician provider practicing in WILKES BARRE, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1669426953. 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.

PRAMTHESH DESAI, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 545 N RIVER ST, WILKES BARRE, PA, 18702, with a listed phone of (570) 270-4480. NPI 1669426953 was issued on 05/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DESAI 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 1,725 prescription claims written by this provider, covering 368 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 72% brand-name and 28% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 58.1912/100 for the 2023 performance year (Quality 100, Cost 54.9935), compared with the national average of 83.1.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

545 N RIVER ST
WILKES BARRE, PA 18702

Provider Details

NPI 1669426953
Specialty Pulmonary Disease Physician
Credentials MD
Gender Male
NPI Issued 05/20/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

58.1912
Final Score
Avg: 83.1
100
Quality
54.9935
Cost

Reporting: Individual

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 PRAMTHESH DESAI, MD. Source: openpaymentsdata.cms.gov.

Total received

$3.6K

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.

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to PRAMTHESH DESAI, MD. To verify PRAMTHESH DESAI, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

PRAMTHESH DESAI, MD — brand share 72.0%
Specialty average (est.)

72% brand-name claims vs 28% generic, on 1,725 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.

1,725
Total Claims
$1.2M
Total Drug Cost
368
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,799
Total Day Supply
80,278
Brand vs Generic
72% brand / 28% generic
Brand Drug Cost
$1.1M
Generic Drug Cost
$27K
Antibiotic Claims
15

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
1.62
Gender Split
55% female / 45% male
Age Distribution
<65: 53, 65-74: 159, 75-84: 127, 85+: 29

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
447
Albuterol Sulfate Hfa
Albuterol Sulfate
265
Montelukast Sodium
135
Breo Ellipta
Fluticasone/Vilanterol
126
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
122
Symbicort
Budesonide/Formoterol Fumarate
95
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
69
Prednisone
69
Ventolin Hfa
Albuterol Sulfate
50
Stiolto Respimat
Tiotropium Br/Olodaterol Hcl
47

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pulmonary Disease Physician Overview

How PRAMTHESH DESAI, MD fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

PRAMTHESH DESAI, MD's 1,725 claims are above the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Pennsylvania

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

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PRAMTHESH DESAI, MD's specialty?
PRAMTHESH DESAI, MD specializes in Pulmonary Disease Physician and practices in WILKES BARRE, Pennsylvania. Credentials: MD.
How much does PRAMTHESH DESAI, MD prescribe under Medicare Part D?
In 2023, PRAMTHESH DESAI, MD wrote 1,725 Medicare Part D claims totaling $1.2M in drug costs for 368 beneficiaries.
What is PRAMTHESH DESAI, MD's Medicare quality score?
PRAMTHESH DESAI, MD has a CMS MIPS Final Score of 58.1912/100 (Quality: 100, Cost: 54.9935). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PRAMTHESH DESAI, MD located?
PRAMTHESH DESAI, MD is located at 545 N RIVER ST, WILKES BARRE, PA, 18702. Phone: (570) 270-4480.
What is PRAMTHESH DESAI, MD's NPI number?
PRAMTHESH DESAI, MD's National Provider Identifier (NPI) is 1669426953, issued on 05/20/2006.
Does PRAMTHESH DESAI, MD prescribe more brand-name or generic drugs?
PRAMTHESH DESAI, MD's prescribing is 72% brand-name and 28% generic drugs by claim count, with $1.1M in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does PRAMTHESH DESAI, MD prescribe most often?
Based on 2023 Medicare Part D data, PRAMTHESH DESAI, MD's most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRAMTHESH DESAI, MD accept Medicare?
PRAMTHESH DESAI, MD appears in CMS Medicare data with 1,725 Part D claims and 368 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRAMTHESH DESAI, MD's credentials?
PRAMTHESH DESAI, MD's NPI is 1669426953 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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