2026 NPPES data Hospitalist Physician NPI 1841879046 DO
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PRARAK PATEL, DO

Hospitalist Physician in SHEBOYGAN, Wisconsin. 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
525
Medicare Part D claims · 175 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

PRARAK PATEL, DO filed 525 Medicare Part D claims in 2023 as a Hospitalist Physician in SHEBOYGAN, Wisconsin, prescribing 78% generic.

525
Part D claims, 2023
78%
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.

PRARAK PATEL, DO's Medicare Part D volume vs every U.S. prescriber

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

525 Top 34% higher than 66% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 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)

PRARAK PATEL, DO 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 PRARAK PATEL, DO?

Quality data not reported

NPI registry status

Active

Issued 04/05/2021

NPI 1841879046

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

525 41% vs specialty avg

2023 prescription claims

Specialty avg: 888

Specialty distribution in Wisconsin

How Hospitalist Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Hospitalist Physician share within Wisconsin

1. Hospitalist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospitalist Physician share within Wisconsin

Specialty board-certification context

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

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

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

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

PRARAK PATEL, DO appears in the CMS NPPES registry as a Hospitalist Physician provider holding DO credentials at 3400 UNION AVE, SHEBOYGAN, WI, 53081, with a listed phone of (920) 802-2100. NPI 1841879046 was issued on 04/05/2021. 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 525 prescription claims written by this provider, covering 175 Medicare beneficiaries and totaling roughly $97K in drug spend, split 22% brand-name and 78% 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.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

3400 UNION AVE
SHEBOYGAN, WI 53081

Provider Details

NPI 1841879046
Specialty Hospitalist Physician
Credentials DO
Gender Male
NPI Issued 04/05/2021

Hospital and facility affiliations

Facilities where PRARAK PATEL, DO 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.

AURORA MEDICAL GROUP, INC.
SHEBOYGAN, WI

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

Brand vs generic prescribing mix · Typical

PRARAK PATEL, DO — brand share 22.0%
Specialty average (est.)

22% brand-name claims vs 78% generic, on 525 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.

525
Total Claims
$97K
Total Drug Cost
175
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
974
Total Day Supply
28,296
Brand vs Generic
22% brand / 78% generic
Brand Drug Cost
$85K
Generic Drug Cost
$11K

Patient Demographics

Average Patient Age
68.9 years
Avg HCC Risk Score
2.04
Gender Split
56% female / 44% male
Age Distribution
<65: 47, 65-74: 73, 75-84: 44, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

What PRARAK PATEL, DO 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
Amlodipine Besylate
33
Atorvastatin Calcium
32
Jardiance
Empagliflozin
19
Lisinopril
19
Albuterol Sulfate Hfa
Albuterol Sulfate
18
Levothyroxine Sodium
16
Farxiga
Dapagliflozin Propanediol
14
Omeprazole
14
Carvedilol
12
Metoprolol Succinate
12

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

Hospitalist Physician Overview

How PRARAK PATEL, DO fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

PRARAK PATEL, DO's 525 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Wisconsin

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

Compare Hospitalist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PRARAK PATEL, DO's specialty?
PRARAK PATEL, DO specializes in Hospitalist Physician and practices in SHEBOYGAN, Wisconsin. Credentials: DO.
How much does PRARAK PATEL, DO prescribe under Medicare Part D?
In 2023, PRARAK PATEL, DO wrote 525 Medicare Part D claims totaling $97K in drug costs for 175 beneficiaries.
Where is PRARAK PATEL, DO located?
PRARAK PATEL, DO is located at 3400 UNION AVE, SHEBOYGAN, WI, 53081. Phone: (920) 802-2100.
What is PRARAK PATEL, DO's NPI number?
PRARAK PATEL, DO's National Provider Identifier (NPI) is 1841879046, issued on 04/05/2021.
Does PRARAK PATEL, DO prescribe more brand-name or generic drugs?
PRARAK PATEL, DO's prescribing is 22% brand-name and 78% generic drugs by claim count, with $85K in brand drug costs.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does PRARAK PATEL, DO prescribe most often?
Based on 2023 Medicare Part D data, PRARAK PATEL, DO's most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Jardiance. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRARAK PATEL, DO accept Medicare?
PRARAK PATEL, DO appears in CMS Medicare data with 525 Part D claims and 175 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRARAK PATEL, DO's credentials?
PRARAK PATEL, DO's NPI is 1841879046 with credentials DO. 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