NPI registry status
Active
2026 NPPES data Sleep Medicine (Internal Medicine) Physician NPI 1982806915 MD
Verify on CMS → Prashant Patel, MD
Sleep Medicine (Internal Medicine) Physician in Bridgewater, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 932 in Sleep Medicine (Internal Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 306 beneficiaries · Sleep Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
36%
generic claims · 64% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$2.3K
164 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Prashant Patel, MD carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 1,640 Medicare Part D claims in 2024.
- 75/100
- CMS neutral score · not measured
- 2K
- Part D claims, 2024
- 36%
- 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.
Federal trust snapshot
What official records show about Prashant Patel, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1982806915), first enumerated 06/01/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,640 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$2.3K in reported industry payments (164 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1982806915 · Sleep Medicine (Internal Medicine) Physician
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-NEUTRAL · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1982806915
- ENUM-MID 2007
- TAX-NARROW 932
- MIPS-NEUTRAL 75/100
- RX-MID 1,640
- BOOK-THIN 27 in New Jersey
- PHOTO-ENUM Shuxin Li, MD · 2007
Prashant Patel, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
1,640 ≥ 81st percentile 81% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Prashant 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 Prashant Patel, MD?
CMS neutral score, not measuredPrimary specialty
Sleep Medicine (Internal Medicine) Physician
Medicare Part D claims
1,640 27% vs specialty avg
MIPS final score
75/100
Specialty distribution in New Jersey
How Sleep Medicine (Internal Medicine) Physician compares to other specialties among New Jersey providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1982806915 |
|---|---|
| Specialty | Sleep Medicine (Internal Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/01/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Group practice
Hospital and facility affiliations
Facilities where Prashant 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.
Respacare PA
Bridgewater, NJ
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 Prashant Patel, MD. Source: openpaymentsdata.cms.gov.
Total received
$2.3K
Largest payer
GlaxoSmithKline, 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 · Brand-heavy
Prashant Patel, MD - brand share 64.0%
Sleep Medicine (Internal Medicine) Physician average
64% brand-name claims vs 36% generic, on 1,640 2024 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 2024.
1,640
Total Claims
$1.3M
Total Drug Cost
306
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,525.9
- Total Day Supply
- 73,615
- Brand vs Generic
- 64% brand / 36% generic
- Brand Drug Cost
- $1.3M
- Generic Drug Cost
- $19K
- Antibiotic Claims
- 33
Patient Demographics
- Average Patient Age
- 75.4 years
- Avg HCC Risk Score
- 1.81
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 15, 65-74: 127, 75-84: 133, 85+: 31
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Prashant Patel, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Trelegy Ellipta
Trelegy Ellipta
320 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
149 claims
- Breo Ellipta
Breo Ellipta
146 claims
- Montelukast Sodium
Montelukast Sodium
143 claims
- Anoro Ellipta
Anoro Ellipta
128 claims
- Fluticasone Propio… 105
Fluticasone Propionate
105 claims
- Breztri Aerosphere 75
Breztri Aerosphere
75 claims
- Prednisone 54
Prednisone
54 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 320 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 149 |
| Breo Ellipta Fluticasone/Vilanterol | 146 |
| Montelukast Sodium | 143 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 128 |
| Fluticasone Propionate | 105 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 75 |
| Prednisone | 54 |
| Stiolto Respimat Tiotropium Br/Olodaterol Hcl | 46 |
| Ofev Nintedanib Esylate | 37 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sleep Medicine (Internal Medicine) Physician in NJ →
All providers in New Jersey →
Compare specialties →
Sleep Medicine (Internal Medicine) Physician Overview
How Prashant Patel, MD fits within the Sleep Medicine (Internal Medicine) Physician landscape nationally.
932
Sleep Medicine (Internal Medicine) Physician Providers in US
52
States with Sleep Medicine (Internal Medicine) Physician
1,288
Avg Claims per Provider
Prashant Patel, MD's 1,640 claims are above the specialty average of 1,288.
Nationwide Sleep Medicine (Internal Medicine) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Patel, both outside New Jersey so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Sleep Medicine (Internal Medicine) Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Patel.
One of 27 Sleep Medicine (Internal Medicine) Physician providers enrolled in New Jersey, 5 are shown here.
Dr. Khaled Abu Ihweij
MD
Lodi, NJ
Dr. Carol Ash
DO
Red Bank, NJ
Dr. Iza Boesler
MD
Little Silver, NJ
Dr. Jennifer Chen
M.D.
New Brunswick, NJ
Dr. Arvind Das
MD
Somerset, NJ
Compare Sleep Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Prashant Patel, MD's specialty? ▼
Prashant Patel, MD specializes in Sleep Medicine (Internal Medicine) Physician and practices in Bridgewater, New Jersey. Credentials: MD.
How much does Prashant Patel, MD prescribe under Medicare Part D? ▼
In 2024, Prashant Patel, MD wrote 1,640 Medicare Part D claims totaling $1.3M in drug costs for 306 beneficiaries.
What is Prashant Patel, MD's Medicare quality score? ▼
Prashant Patel, MD has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Prashant Patel, MD located? ▼
Prashant Patel, MD is located at 489 UNION AVE, Bridgewater, NJ, 08807. Phone: (732) 356-9950.
What is Prashant Patel, MD's NPI number? ▼
Prashant Patel, MD's National Provider Identifier (NPI) is 1982806915, issued on 06/01/2007.
Does Prashant Patel, MD prescribe more brand-name or generic drugs? ▼
Prashant Patel, MD's prescribing is 64% brand-name and 36% generic drugs by claim count, with $1.3M in brand drug costs.
How many Sleep Medicine (Internal Medicine) Physician providers are there in the US? ▼
There are 932 Sleep Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Sleep Medicine (Internal Medicine) Physician provider writes 1,288 Medicare Part D claims per year.
What drugs does Prashant Patel, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Prashant Patel, MD's most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Breo Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Prashant Patel, MD accept Medicare? ▼
Prashant Patel, MD appears in CMS Medicare data with 1,640 Part D claims and 306 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Prashant Patel, MD's credentials? ▼
Prashant Patel, MD's NPI is 1982806915 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.