NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1689012932 M.D.
Verify on CMS → Pratik Patel, M.D.
Emergency Medicine Physician in Gainesville, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,398 in Emergency 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
495
Medicare Part D claims · 300 beneficiaries · Emergency Medicine Physician avg: 352
Generic prescribing
92%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.6/100
▲ 6 pts above national avg 83.1 · Exceptional
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
Pratik Patel, M.D. reported a CMS MIPS final score of 89.6/100 - above the 83.1 national average - and filed 495 Medicare Part D claims in 2023.
- 89.6/100
- MIPS score · +6 vs avg
- 495
- Part D claims, 2023
- 92%
- 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.
Pratik Patel, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
90 Top 42% higher than 58% 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 Pratik Patel, M.D. sits
This provider among emergency medicine physician peers
Across the 14,967 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Pratik Patel, M.D. writes more Part D claims than 92% of them and scores higher on MIPS quality than 47% - 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 emergency medicine physician peer from a representative sample of 60; the gold marker is Pratik Patel, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Pratik Patel, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 4 hospital affiliations - 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 Pratik Patel, M.D.?
High performer (top quartile)Primary specialty
Emergency Medicine Physician
Medicare Part D claims
495 41% vs specialty avg
MIPS final score
89.6/100 6.5 pts vs avg
Specialty distribution in Florida
How Emergency Medicine Physician compares to other specialties among Florida providers
Medicare quality performance, MIPS
Pratik Patel, M.D.'s 2023 MIPS final score plotted against the Emergency Medicine Physician national average
- MIPS Final Score
- 89.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Emergency Medicine Physician) - 89.6/100 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).
Pratik Patel, M.D. appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding M.D. credentials at 1329 SW 16TH ST STE 1210, Gainesville, FL, 32610, with a listed phone of (352) 265-0559. NPI 1689012932 was issued on 06/10/2013.
Medicare Part D records for calendar year 2023 show 495 prescription claims written by this provider, covering 300 Medicare beneficiaries and totaling roughly $12K in drug spend, split 6% brand-name and 92% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 89.6/100 for the 2023 performance year (Quality 70.5, Cost 100), compared with the national average of 83.1.
Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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 | 1689012932 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/10/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
89.5594
Final Score
Avg: 83.1
70.4515
Quality
100
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Pratik Patel, 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.
According to CMS billing records, Pratik Patel, M.D. is affiliated with 4 Medicare-billing facilities across 2 states.
Cep America LLC
Terre Haute, IN
Emergency Medicine Services OF IN, LLC
Terre Haute, IN
Jasper Emergency Physicians PLLC
Jasper, TX
Jefferson Emergency Physicians PLLC
Beaumont, TX
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, M.D.. To verify Pratik Patel, M.D.'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 · Generic-heavy
Pratik Patel, M.D. - brand share 6.0%
Emergency Medicine Physician average
6% brand-name claims vs 92% generic, on 495 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.
495
Total Claims
$12K
Total Drug Cost
300
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 497
- Total Day Supply
- 4,650
- Brand vs Generic
- 6% brand / 92% generic
- Brand Drug Cost
- $6K
- Generic Drug Cost
- $6K
- Antibiotic Claims
- 198
Patient Demographics
- Average Patient Age
- 67.9 years
- Avg HCC Risk Score
- 1.72
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 98, 65-74: 103, 75-84: 71, 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 Pratik Patel, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Cephalexin
Cephalexin
67 claims
- Ondansetron Odt
Ondansetron Odt
65 claims
- Ketorolac Trometha…
Ketorolac Tromethamine
35 claims
- Dicyclomine Hcl
Dicyclomine Hcl
32 claims
- Doxycycline Hyclate
Doxycycline Hyclate
32 claims
- Prednisone
Prednisone
30 claims
- Cyclobenzaprine Hcl 25
Cyclobenzaprine Hcl
25 claims
- Nitrofurantoin Mon… 23
Nitrofurantoin Mono-Macro
23 claims
| Drug | Claims |
|---|---|
| Cephalexin | 67 |
| Ondansetron Odt Ondansetron | 65 |
| Ketorolac Tromethamine | 35 |
| Dicyclomine Hcl | 32 |
| Doxycycline Hyclate | 32 |
| Prednisone | 30 |
| Cyclobenzaprine Hcl | 25 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 23 |
| Amoxicillin | 17 |
| Azithromycin | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How Pratik Patel, M.D. fits within the Emergency Medicine Physician landscape nationally.
64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider
Pratik Patel, M.D.'s 495 claims are above the specialty average of 352.
Nearby Emergency Medicine Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Patel.
Dr. Rosemarie Abad
MD
Jacksonville, FL
Dr. Neal Abarbanell
MD
Miami, FL
Dr. Danny Abbruzzese
MD
Spring Hill, FL
Dr. Ahmed Abd El Aziz
MD
Fort Lauderdale, FL
Dr. Ahmed Abdelmagid
M.D.
Macclenny, FL
Compare Emergency 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 Florida medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Emergency 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 Pratik Patel, M.D.'s specialty? ▼
Pratik Patel, M.D. specializes in Emergency Medicine Physician and practices in Gainesville, Florida. Credentials: M.D..
How much does Pratik Patel, M.D. prescribe under Medicare Part D? ▼
In 2023, Pratik Patel, M.D. wrote 495 Medicare Part D claims totaling $12K in drug costs for 300 beneficiaries.
What is Pratik Patel, M.D.'s Medicare quality score? ▼
Pratik Patel, M.D. has a CMS MIPS Final Score of 89.6/100 (Quality: 70.5, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Pratik Patel, M.D. located? ▼
Pratik Patel, M.D. is located at 1329 SW 16TH ST STE 1210, Gainesville, FL, 32610. Phone: (352) 265-0559.
What is Pratik Patel, M.D.'s NPI number? ▼
Pratik Patel, M.D.'s National Provider Identifier (NPI) is 1689012932, issued on 06/10/2013.
Does Pratik Patel, M.D. prescribe more brand-name or generic drugs? ▼
Pratik Patel, M.D.'s prescribing is 6% brand-name and 92% generic drugs by claim count, with $6K in brand drug costs.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does Pratik Patel, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Pratik Patel, M.D.'s most frequently prescribed drugs include Cephalexin, Ondansetron Odt, Ketorolac Tromethamine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Pratik Patel, M.D. accept Medicare? ▼
Pratik Patel, M.D. appears in CMS Medicare data with 495 Part D claims and 300 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Pratik Patel, M.D.'s credentials? ▼
Pratik Patel, M.D.'s NPI is 1689012932 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
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.