2026 NPPES data Hospitalist Physician NPI 1275771362 M.D.
Verify on CMS →

PRARTHANA GOYAL, M.D.

Hospitalist Physician in VIRGINIA BEACH, Virginia. 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
336
Medicare Part D claims · 157 beneficiaries · Hospitalist Physician avg: 888
What the federal data reveals: PRARTHANA GOYAL, M.D. is a Hospitalist Physician ([object Object]) practicing in VIRGINIA BEACH, Virginia with a Medicare Part D prescribing footprint of 336 claims across 157 beneficiaries .

What stands out: PRARTHANA GOYAL, M.D. filed 336 Medicare Part D claims in 2023 across VIRGINIA BEACH, Virginia. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PRARTHANA GOYAL, 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).

PRARTHANA GOYAL, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 01/27/2009

NPI 1275771362

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

336 62% vs specialty avg

2023 prescription claims

Specialty avg: 888

Specialty distribution in Virginia

How Hospitalist Physician compares to other specialties among Virginia providers

Virginia providers

Hospitalist Physician share within Virginia

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

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).

PRARTHANA GOYAL, M.D. is a Hospitalist Physician provider practicing in VIRGINIA BEACH, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1275771362. 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.

PRARTHANA GOYAL, M.D. appears in the CMS NPPES registry as a Hospitalist Physician provider holding M.D. credentials at 1060 FIRST COLONIAL RD, VIRGINIA BEACH, VA, 23454, with a listed phone of (757) 395-2323. NPI 1275771362 was issued on 01/27/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GOYAL 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 336 prescription claims written by this provider, covering 157 Medicare beneficiaries and totaling roughly $13K in drug spend. 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

1060 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454

Provider Details

NPI 1275771362
Specialty Hospitalist Physician
Credentials M.D.
Gender Female
NPI Issued 01/27/2009

Hospital and facility affiliations

Facilities where PRARTHANA GOYAL, 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.

BAYVIEW PHYSICIAN SERVICES PC
CHESAPEAKE, VA

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

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

336
Total Claims
$13K
Total Drug Cost
157
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
349
Total Day Supply
6,897
Generic Drug Cost
$5K
Antibiotic Claims
90

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
3.17
Gender Split
68% female / 32% male
Age Distribution
<65: 35, 65-74: 58, 75-84: 43, 85+: 21

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisone
29
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
26
Furosemide
16
Omeprazole
15
Atorvastatin Calcium
13
Carvedilol
13
Doxycycline Monohydrate
13
Hydralazine Hcl
11

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

Hospitalist Physician Overview

How PRARTHANA GOYAL, M.D. fits within the Hospitalist Physician landscape nationally.

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

PRARTHANA GOYAL, M.D.'s 336 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Virginia

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

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

Frequently Asked Questions

What is PRARTHANA GOYAL, M.D.'s specialty?
PRARTHANA GOYAL, M.D. specializes in Hospitalist Physician and practices in VIRGINIA BEACH, Virginia. Credentials: M.D..
How much does PRARTHANA GOYAL, M.D. prescribe under Medicare Part D?
In 2023, PRARTHANA GOYAL, M.D. wrote 336 Medicare Part D claims totaling $13K in drug costs for 157 beneficiaries.
Where is PRARTHANA GOYAL, M.D. located?
PRARTHANA GOYAL, M.D. is located at 1060 FIRST COLONIAL RD, VIRGINIA BEACH, VA, 23454. Phone: (757) 395-2323.
What is PRARTHANA GOYAL, M.D.'s NPI number?
PRARTHANA GOYAL, M.D.'s National Provider Identifier (NPI) is 1275771362, issued on 01/27/2009.
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 PRARTHANA GOYAL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PRARTHANA GOYAL, M.D.'s most frequently prescribed drugs include Prednisone, Amoxicillin-Clavulanate Potass, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRARTHANA GOYAL, M.D. accept Medicare?
PRARTHANA GOYAL, M.D. appears in CMS Medicare data with 336 Part D claims and 157 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRARTHANA GOYAL, M.D.'s credentials?
PRARTHANA GOYAL, M.D.'s NPI is 1275771362 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