2026 NPPES data Hospitalist Physician NPI 1871029280 MD
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PRATIVA PANDEY, MD

Hospitalist Physician in MURPHYSBORO, Illinois. 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
372
Medicare Part D claims · 152 beneficiaries · Hospitalist Physician avg: 888
MIPS score
69.8526/100
▼ 13 pts below national avg 83.1 · [object Object]

What the federal data shows

PRATIVA PANDEY, MD reported a CMS MIPS final score of 69.8526/100 — below the 83.1 national average — and filed 372 Medicare Part D claims in 2023.

69.8526/100
MIPS score · -13 vs avg
372
Part D claims, 2023
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.

PRATIVA PANDEY, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

70 8th percentile higher than 8% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

PRATIVA PANDEY, 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 PRATIVA PANDEY, MD?

Below national average

NPI registry status

Active

Issued 05/04/2017

NPI 1871029280

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

372 58% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

69.8526/100 13.247399999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Illinois

How Hospitalist Physician compares to other specialties among Illinois providers

Illinois providers

Hospitalist Physician share within Illinois

1. Hospitalist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospitalist Physician share within Illinois

Medicare quality performance — MIPS

PRATIVA PANDEY, MD's 2023 MIPS final score plotted against the Hospitalist Physician national average

Below national average
MIPS Final Score
69.8526/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 69.8526/100 vs national avg 83.1

0%100%National avg83%69.9%
MIPS final score (Hospitalist Physician) — 69.8526/100 vs national avg 83.1

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).

PRATIVA PANDEY, MD appears in the CMS NPPES registry as a Hospitalist Physician provider holding MD credentials at 2 S HOSPITAL DR, MURPHYSBORO, IL, 62966, with a listed phone of (618) 684-3156. NPI 1871029280 was issued on 05/04/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PANDEY 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 372 prescription claims written by this provider, covering 152 Medicare beneficiaries and totaling roughly $33K in drug spend. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 69.8526/100 for the 2023 performance year (Quality 57.55, Cost 68.1298), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

2 S HOSPITAL DR
MURPHYSBORO, IL 62966

Provider Details

NPI 1871029280
Specialty Hospitalist Physician
Credentials MD
Gender Female
NPI Issued 05/04/2017

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

69.8526
Final Score
Avg: 83.1
57.55
Quality
68.1298
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where PRATIVA PANDEY, 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.

BEAMAN PHYSICIAN SERVICES, PC
NASHVILLE, TN

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 — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to PRATIVA PANDEY, MD. To verify PRATIVA PANDEY, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

372
Total Claims
$33K
Total Drug Cost
152
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
390
Total Day Supply
7,502
Generic Drug Cost
$7K
Antibiotic Claims
84

Patient Demographics

Average Patient Age
71.3 years
Avg HCC Risk Score
2.42
Gender Split
63% female / 38% male
Age Distribution
<65: 41, 65-74: 46, 75-84: 48, 85+: 17

Top Prescribed Drugs (Medicare Part D)

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

What PRATIVA PANDEY, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Prednisone
29
Metoprolol Succinate
23
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
20
Levofloxacin
20
Eliquis
Apixaban
17
Doxycycline Hyclate
14
Pantoprazole Sodium
13
Metoprolol Tartrate
12
Atorvastatin Calcium
11

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

Hospitalist Physician Overview

How PRATIVA PANDEY, MD fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

PRATIVA PANDEY, MD's 372 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Illinois

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

Compare Hospitalist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PRATIVA PANDEY, MD's specialty?
PRATIVA PANDEY, MD specializes in Hospitalist Physician and practices in MURPHYSBORO, Illinois. Credentials: MD.
How much does PRATIVA PANDEY, MD prescribe under Medicare Part D?
In 2023, PRATIVA PANDEY, MD wrote 372 Medicare Part D claims totaling $33K in drug costs for 152 beneficiaries.
What is PRATIVA PANDEY, MD's Medicare quality score?
PRATIVA PANDEY, MD has a CMS MIPS Final Score of 69.8526/100 (Quality: 57.55, Cost: 68.1298). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PRATIVA PANDEY, MD located?
PRATIVA PANDEY, MD is located at 2 S HOSPITAL DR, MURPHYSBORO, IL, 62966. Phone: (618) 684-3156.
What is PRATIVA PANDEY, MD's NPI number?
PRATIVA PANDEY, MD's National Provider Identifier (NPI) is 1871029280, issued on 05/04/2017.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does PRATIVA PANDEY, MD prescribe most often?
Based on 2023 Medicare Part D data, PRATIVA PANDEY, MD's most frequently prescribed drugs include Prednisone, Metoprolol Succinate, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRATIVA PANDEY, MD accept Medicare?
PRATIVA PANDEY, MD appears in CMS Medicare data with 372 Part D claims and 152 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRATIVA PANDEY, MD's credentials?
PRATIVA PANDEY, MD's NPI is 1871029280 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.
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