2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1629651575 MD
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PRATIK PATEL, MD

Retina Specialist (Ophthalmology) Physician in MIAMI, Florida. 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
661
Medicare Part D claims · 112 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
Generic prescribing
61%
generic claims · 39% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: PRATIK PATEL, MD is a Retina Specialist (Ophthalmology) Physician ([object Object]) practicing in MIAMI, Florida with a Medicare Part D prescribing footprint of 661 claims across 112 beneficiaries — 39% brand-name prescribing .

What stands out: PRATIK PATEL, MD filed 661 Medicare Part D claims in 2023 across MIAMI, Florida. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PRATIK PATEL, MD 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).

PRATIK PATEL, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 04/29/2021

NPI 1629651575

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

661 18% vs specialty avg

2023 prescription claims

Specialty avg: 558

Specialty distribution in Florida

How Retina Specialist (Ophthalmology) Physician compares to other specialties among Florida providers

Florida providers

Retina Specialist (Ophthalmology) Physician share within Florida

1. Retina Specialist (Ophthalmology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Retina Specialist (Ophthalmology) Physician share within Florida

Specialty board-certification context

Estimated specialty board-certified rate — Retina Specialist (Ophthalmology) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Retina Specialist (Ophthalmology) Physician ABMS/AOA estimate

Est. board-certified rate (Retina Specialist (Ophthalmology) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Retina Specialist (Ophthalmology) 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).

PRATIK PATEL, MD is a Retina Specialist (Ophthalmology) Physician provider practicing in MIAMI, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1629651575. 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.

PRATIK PATEL, MD appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding MD credentials at 900 NW 17TH ST, MIAMI, FL, 33136, with a listed phone of (130) 532-6600. NPI 1629651575 was issued on 04/29/2021. 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 661 prescription claims written by this provider, covering 112 Medicare beneficiaries and totaling roughly $56K in drug spend, split 39% brand-name and 61% 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.

Retina Specialist (Ophthalmology) Physician is a narrow specialty nationwide, with 913 enrolled providers across 48 states and an average of 558 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

900 NW 17TH ST
MIAMI, FL 33136

Provider Details

NPI 1629651575
Specialty Retina Specialist (Ophthalmology) Physician
Credentials MD
Gender Male
NPI Issued 04/29/2021

Hospital and facility affiliations

Facilities where PRATIK 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.

UNIVERSITY OF MIAMI
MIAMI, FL

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

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to PRATIK PATEL, MD. To verify PRATIK PATEL, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

PRATIK PATEL, MD — brand share 39.0%
Specialty average (est.)

39% brand-name claims vs 61% generic, on 661 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.

661
Total Claims
$56K
Total Drug Cost
112
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
805
Total Day Supply
21,874
Brand vs Generic
39% brand / 61% generic
Brand Drug Cost
$39K
Generic Drug Cost
$17K

Patient Demographics

Average Patient Age
74.6 years
Avg HCC Risk Score
1.50
Gender Split
58% female / 42% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Latanoprost
251
Brimonidine Tartrate
78
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
54
Combigan
Brimonidine Tartrate/Timolol
40
Brinzolamide
37
Rhopressa
Netarsudil Mesylate
32
Timolol Maleate
32
Prednisolone Acetate
24
Brimonidine Tartrate-Timolol
Brimonidine Tartrate/Timolol
22
Dorzolamide Hcl
21

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

Retina Specialist (Ophthalmology) Physician Overview

How PRATIK PATEL, MD fits within the Retina Specialist (Ophthalmology) Physician landscape nationally.

913
Retina Specialist (Ophthalmology) Physician Providers in US
48
States with Retina Specialist (Ophthalmology) Physician
558
Avg Claims per Provider

PRATIK PATEL, MD's 661 claims are above the specialty average of 558.

Nearby Retina Specialist (Ophthalmology) Physician Providers in Florida

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

Compare Retina Specialist (Ophthalmology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PRATIK PATEL, MD's specialty?
PRATIK PATEL, MD specializes in Retina Specialist (Ophthalmology) Physician and practices in MIAMI, Florida. Credentials: MD.
How much does PRATIK PATEL, MD prescribe under Medicare Part D?
In 2023, PRATIK PATEL, MD wrote 661 Medicare Part D claims totaling $56K in drug costs for 112 beneficiaries.
Where is PRATIK PATEL, MD located?
PRATIK PATEL, MD is located at 900 NW 17TH ST, MIAMI, FL, 33136. Phone: (130) 532-6600.
What is PRATIK PATEL, MD's NPI number?
PRATIK PATEL, MD's National Provider Identifier (NPI) is 1629651575, issued on 04/29/2021.
Does PRATIK PATEL, MD prescribe more brand-name or generic drugs?
PRATIK PATEL, MD's prescribing is 39% brand-name and 61% generic drugs by claim count, with $39K in brand drug costs.
How many Retina Specialist (Ophthalmology) Physician providers are there in the US?
There are 913 Retina Specialist (Ophthalmology) Physician providers across 48 states in the US. The average Retina Specialist (Ophthalmology) Physician provider writes 558 Medicare Part D claims per year.
What drugs does PRATIK PATEL, MD prescribe most often?
Based on 2023 Medicare Part D data, PRATIK PATEL, MD's most frequently prescribed drugs include Latanoprost, Brimonidine Tartrate, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRATIK PATEL, MD accept Medicare?
PRATIK PATEL, MD appears in CMS Medicare data with 661 Part D claims and 112 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRATIK PATEL, MD's credentials?
PRATIK PATEL, MD's NPI is 1629651575 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

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