2026 NPPES data Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician NPI 1104059823 MD
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PRANAV PATEL, MD

Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician in LUTHERVILLE, Maryland. 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
773
Medicare Part D claims · 262 beneficiaries · Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician avg: 642
Generic prescribing
59%
generic claims · 41% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.0925/100
▲ 3 pts above national avg 83.1 · [object Object]
Industry payments
$394.66
17 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PRANAV PATEL, MD reported a CMS MIPS final score of 86.0925/100 — above the 83.1 national average — and filed 773 Medicare Part D claims in 2023.

86.0925/100
MIPS score · +3 vs avg
773
Part D claims, 2023
59%
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.

PRANAV PATEL, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

86 Top 48% higher than 52% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

PRANAV PATEL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 PRANAV PATEL, MD?

High performer (top quartile)

NPI registry status

Active

Issued 08/27/2009

NPI 1104059823

Primary specialty

Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician

Rare

37 US NPIs in this specialty

Medicare Part D claims

773 20% vs specialty avg

2023 prescription claims

Specialty avg: 642

MIPS final score

86.0925/100 2.992500000000007% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Maryland

How Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician compares to other specialties among Maryland providers

Maryland providers

Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician share within Maryland

1. Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician share within Maryland

Medicare quality performance — MIPS

PRANAV PATEL, MD's 2023 MIPS final score plotted against the Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician national average

High performer (top quartile)
MIPS Final Score
86.0925/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician) — 86.0925/100 vs national avg 83.1

0%100%National avg83%86.1%
MIPS final score (Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician) — 86.0925/100 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).

PRANAV PATEL, MD appears in the CMS NPPES registry as a Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician provider holding MD credentials at 1209 YORK RD, LUTHERVILLE, MD, 21093, with a listed phone of (410) 821-9490. NPI 1104059823 was issued on 08/27/2009. 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 773 prescription claims written by this provider, covering 262 Medicare beneficiaries and totaling roughly $273K in drug spend, split 41% brand-name and 59% 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 86.0925/100 for the 2023 performance year (Quality 82.8955), compared with the national average of 83.1.

Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician is a narrow specialty nationwide, with 37 enrolled providers across 15 states and an average of 642 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

1209 YORK RD
LUTHERVILLE, MD 21093

Provider Details

NPI 1104059823
Specialty Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
Credentials MD
Gender Male
NPI Issued 08/27/2009

CMS Quality Score (MIPS)

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

86.0925
Final Score
Avg: 83.1
82.8955
Quality
85
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PRANAV PATEL, MD 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.

ARTURO BETANCOURT MD PA
GLEN BURNIE, MD

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 PRANAV PATEL, MD. Source: openpaymentsdata.cms.gov.

Total received

$395

Largest payer

Alcon Vision LLC

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 · Above average

PRANAV PATEL, MD — brand share 41.0%
Specialty average (est.)

41% brand-name claims vs 59% generic, on 773 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.

773
Total Claims
$273K
Total Drug Cost
262
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,463
Total Day Supply
42,042
Brand vs Generic
41% brand / 59% generic
Brand Drug Cost
$257K
Generic Drug Cost
$16K

Patient Demographics

Average Patient Age
74.6 years
Avg HCC Risk Score
1.20
Gender Split
66% female / 34% male
Age Distribution
<65: 24, 65-74: 110, 75-84: 91, 85+: 37

Top Prescribed Drugs (Medicare Part D)

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

What PRANAV PATEL, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Latanoprost
179
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
95
Prednisolone Acetate
65
Brimonidine Tartrate
62
Moxifloxacin
Moxifloxacin Hcl
43
Combigan
Brimonidine Tartrate/Timolol
38
Ketorolac Tromethamine
34
Restasis
Cyclosporine
29
Rocklatan
Netarsudil Mesylat/Latanoprost
25
Timolol Maleate
25

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

Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician Overview

How PRANAV PATEL, MD fits within the Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician landscape nationally.

37
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician Providers in US
15
States with Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
642
Avg Claims per Provider

PRANAV PATEL, MD's 773 claims are above the specialty average of 642.

Nearby Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician Providers in Maryland

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

Compare Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PRANAV PATEL, MD's specialty?
PRANAV PATEL, MD specializes in Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician and practices in LUTHERVILLE, Maryland. Credentials: MD.
How much does PRANAV PATEL, MD prescribe under Medicare Part D?
In 2023, PRANAV PATEL, MD wrote 773 Medicare Part D claims totaling $273K in drug costs for 262 beneficiaries.
What is PRANAV PATEL, MD's Medicare quality score?
PRANAV PATEL, MD has a CMS MIPS Final Score of 86.0925/100 (Quality: 82.8955). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PRANAV PATEL, MD located?
PRANAV PATEL, MD is located at 1209 YORK RD, LUTHERVILLE, MD, 21093. Phone: (410) 821-9490.
What is PRANAV PATEL, MD's NPI number?
PRANAV PATEL, MD's National Provider Identifier (NPI) is 1104059823, issued on 08/27/2009.
Does PRANAV PATEL, MD prescribe more brand-name or generic drugs?
PRANAV PATEL, MD's prescribing is 41% brand-name and 59% generic drugs by claim count, with $257K in brand drug costs.
How many Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician providers are there in the US?
There are 37 Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician providers across 15 states in the US. The average Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician provider writes 642 Medicare Part D claims per year.
What drugs does PRANAV PATEL, MD prescribe most often?
Based on 2023 Medicare Part D data, PRANAV PATEL, MD's most frequently prescribed drugs include Latanoprost, Dorzolamide-Timolol, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRANAV PATEL, MD accept Medicare?
PRANAV PATEL, MD appears in CMS Medicare data with 773 Part D claims and 262 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRANAV PATEL, MD's credentials?
PRANAV PATEL, MD's NPI is 1104059823 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