Pratik Panchal, M.D.
Cardiovascular Disease Physician · Eatontown, NJ
Pratik Panchal, M.D. is a cardiovascular disease physician with a practice address in Eatontown, New Jersey, and NPI 1851681068, issued on Apr 10, 2011. Check the license (New Jersey 25MA09727600, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Pratik Panchal
- Credential
- M.D.
- Primary taxonomy
- Cardiovascular Disease Physician 207RC0000X
- License numbers
- 25MA09727600 NJ
261680 NY
Self-reported in NPPES; status is on the state search - Practice location
- 274 Highway 35, Eatontown, NJ 07724
- Phone
- (732) 440-7336
- Enumerated
- Apr 10, 2011
- Record last updated
- May 20, 2024
- Medicare enrollment
- Enrolled (PECOS I20150803000769); accepts Medicare assignment
- Medical or professional school
- Rutgers New Jersey Medical School, 2008
- Entity
- Type 1 · individual
Also registered at 274 Highway 35
A shared address usually means a shared clinic or building; it does not show who employs whom.
- David Anwar, DOInterventional Cardiology Physician1609196377
- Lynne Einbinder, M.D.Cardiovascular Disease Physician1780687129
- Scott Eisenberg, DOCardiovascular Disease Physician1891778353
- Julie Master, D.O.Cardiovascular Disease Physician1912044900
- Ajay Shah, MD, MS, FRCS, DNBCardiovascular Disease Physician1144486523
- Isaac Tawfik, MDInterventional Cardiology Physician1073612990
Verify Pratik Panchal in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA09727600Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
26% fewer Medicare Part D claims than the average cardiovascular disease physician in 2024
2,275 Medicare Part D claims for 388 beneficiaries, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D. Brand-name drugs were 20% of claims.
Most prescribed
- Metoprolol Succinate223 claims
- Rosuvastatin Calcium217 claims
- Atorvastatin Calcium209 claims
- Amlodipine Besylate197 claims
- Eliquis146 claims
- Clopidogrel120 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 93.7 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $2,793.74
96 payments; by number, the most common kind was food and beverage; the largest payer was E.R. Squibb & Sons, L.L.C. The 16,686 providers of this specialty with any payment received $3,819.56 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Barnabas Health Medical Group PCLong Branch, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
21 cardiovascular disease physician records list a practice address in Eatontown
They are 21 of the 731 NPPES records with a practice address in Eatontown, and 1,102 cardiovascular disease physician records in New Jersey.
All 21 in Eatontown → All 1,102 in New Jersey → Every provider in Eatontown →
Other cardiovascular disease physician records in New Jersey
- Michael Aaron, D.O.Neptune, NJ1336129071
- Kariann Abbate, MDRidgewood, NJ1548429582
- Rachel Abboud, DOPaterson, NJ1366931107
- Mary Abed, M.D.Jersey City, NJ1134185432
- Andrew Adelsheimer, MDNew Providence, NJ1881154235
- Baback Adibi, M.D.Teaneck, NJ1164491346
- Irfan AdmaniEdgewater, NJ1043228588
- Ashish Agarwal, MDRobbinsville, NJ1821174483
- Ashoke Agarwal, MD FACCPaterson, NJ1780649608
- Shashi Agarwal, M.D.East Orange, NJ1558416099
Common questions
What is Pratik Panchal, M.D.'s NPI number?
Pratik Panchal, M.D.'s National Provider Identifier (NPI) is 1851681068, issued on Apr 10, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Pratik Panchal, M.D. located?
The NPPES record lists a practice address at 274 Highway 35, Eatontown, NJ, 07724. Phone: (732) 440-7336. Providers update this record themselves, so call before visiting.
How can I verify Pratik Panchal, M.D.'s license?
NPPES lists New Jersey license number 25MA09727600, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Pratik Panchal, M.D. prescribe under Medicare Part D?
In 2024, Pratik Panchal, M.D. had 2,275 Medicare Part D claims for 388 beneficiaries; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.
What is Pratik Panchal, M.D.'s MIPS final score?
The 2023 MIPS final score is 93.7 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.