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 859 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
0%
generic claims · 64% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Industry payments
$2.3K
164 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Prashant Patel, MD reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 1,704 Medicare Part D claims in 2023.
- 75/100
- MIPS score · -8 vs avg
- 2K
- Part D claims, 2023
- 0%
- 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.
Prashant 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
75 15th percentile higher than 15% of 477,587 scored providers
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
Where Prashant Patel, MD sits
This provider among sleep medicine (internal medicine) physician peers
Across the 295 sleep medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Prashant Patel, MD writes more Part D claims than 69% of them and scores higher on MIPS quality than 15% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one sleep medicine (internal medicine) physician peer from a representative sample of 60; the gold marker is Prashant Patel, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
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?
Below national averagePrimary specialty
Sleep Medicine (Internal Medicine) Physician
Medicare Part D claims
1,704 30% vs specialty avg
MIPS final score
75/100 8.1 pts vs avg
Specialty distribution in New Jersey
How Sleep Medicine (Internal Medicine) Physician compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Prashant Patel, MD's 2023 MIPS final score plotted against the Sleep Medicine (Internal Medicine) Physician national average
- MIPS Final Score
- 75/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Sleep Medicine (Internal Medicine) Physician) - 75/100 vs national avg 83.1
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).
Prashant Patel, MD appears in the CMS NPPES registry as a Sleep Medicine (Internal Medicine) Physician provider holding MD credentials at 489 UNION AVE, Bridgewater, NJ, 08807, with a listed phone of (732) 356-9950. NPI 1982806915 was issued on 06/01/2007.
Medicare Part D records for calendar year 2023 show 1,704 prescription claims written by this provider, covering 306 Medicare beneficiaries and totaling roughly $1.3 million in drug spend, split 64% brand-name and 0% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.
Sleep Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 859 enrolled providers across 52 states and an average of 1,310 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
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
Avg: 83.1
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 0% generic, on 1,704 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.
1,704
Total Claims
$1.3M
Total Drug Cost
306
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,527
- Total Day Supply
- 72,651
- Brand vs Generic
- 64% brand / 0% generic
- Brand Drug Cost
- $1.3M
- Antibiotic Claims
- 41
Patient Demographics
- Average Patient Age
- 74.9 years
- Avg HCC Risk Score
- 1.79
- Gender Split
- 57% female / 43% male
- Age Distribution
- <65: 21, 65-74: 130, 75-84: 127, 85+: 28
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Prashant Patel, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Trelegy Ellipta
Trelegy Ellipta
351 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
194 claims
- Anoro Ellipta
Anoro Ellipta
176 claims
- Montelukast Sodium 119
Montelukast Sodium
119 claims
- Breo Ellipta 117
Breo Ellipta
117 claims
- Fluticasone Propio… 99
Fluticasone Propionate
99 claims
- Prednisone 84
Prednisone
84 claims
- Ofev 46
Ofev
46 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 351 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 194 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 176 |
| Montelukast Sodium | 119 |
| Breo Ellipta Fluticasone/Vilanterol | 117 |
| Fluticasone Propionate | 99 |
| Prednisone | 84 |
| Ofev Nintedanib Esylate | 46 |
| Ventolin Hfa Albuterol Sulfate | 36 |
| Symbicort Budesonide/Formoterol Fumarate | 33 |
* 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.
859
Sleep Medicine (Internal Medicine) Physician Providers in US
52
States with Sleep Medicine (Internal Medicine) Physician
1,310
Avg Claims per Provider
Prashant Patel, MD's 1,704 claims are above the specialty average of 1,310.
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.
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. Vasudev Daliparty
MD
New Brunswick, NJ
Compare Sleep Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sleep Medicine (Internal Medicine) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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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 2023, Prashant Patel, MD wrote 1,704 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. The national average MIPS Final Score is 83.1. 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 0% 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 859 Sleep Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Sleep Medicine (Internal Medicine) Physician provider writes 1,310 Medicare Part D claims per year.
What drugs does Prashant Patel, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Prashant Patel, MD's most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Anoro 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 1,704 Part D claims and 306 Medicare beneficiaries in 2023. 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 (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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.