2026 NPPES data Foot & Ankle Surgery Podiatrist NPI 1881019313 DPM
Verify on CMS →

PRAYASHKUMAR PATEL, DPM

Foot & Ankle Surgery Podiatrist in DURHAM, North Carolina. 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
360
Medicare Part D claims · 170 beneficiaries · Foot & Ankle Surgery Podiatrist avg: 309
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$1.9K
11 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PRAYASHKUMAR PATEL, DPM is a Foot & Ankle Surgery Podiatrist ([object Object]) practicing in DURHAM, North Carolina with a Medicare Part D prescribing footprint of 360 claims across 170 beneficiaries — 19% brand-name prescribing . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.9K across 11 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PRAYASHKUMAR PATEL, DPM reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 360 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

PRAYASHKUMAR PATEL, DPM at a glance

Below national average

NPI registry status

Active

Issued 02/20/2014

NPI 1881019313

Primary specialty

Foot & Ankle Surgery Podiatrist

Mid-sized

8,920 US NPIs in this specialty

Medicare Part D claims

360 17% vs specialty avg

2023 prescription claims

Specialty avg: 309

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in North Carolina

How Foot & Ankle Surgery Podiatrist compares to other specialties among North Carolina providers

North Carolina providers

Foot & Ankle Surgery Podiatrist share within North Carolina

1. Foot & Ankle Surgery Podiatrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Foot & Ankle Surgery Podiatrist share within North Carolina

Medicare quality performance — MIPS

PRAYASHKUMAR PATEL, DPM's 2023 MIPS final score plotted against the Foot & Ankle Surgery Podiatrist national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Foot & Ankle Surgery Podiatrist) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Foot & Ankle Surgery Podiatrist) — 0/100 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).

PRAYASHKUMAR PATEL, DPM is a Foot & Ankle Surgery Podiatrist provider practicing in DURHAM, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DPM. NPI: 1881019313. 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.

PRAYASHKUMAR PATEL, DPM appears in the CMS NPPES registry as a Foot & Ankle Surgery Podiatrist provider holding DPM credentials at 2511 OLD CORNWALLIS RD, DURHAM, NC, 27713, with a listed phone of (919) 932-5700. NPI 1881019313 was issued on 02/20/2014. 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 360 prescription claims written by this provider, covering 170 Medicare beneficiaries and totaling roughly $15K in drug spend, split 19% brand-name and 81% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Foot & Ankle Surgery Podiatrist is a mid-sized specialty nationwide, with 8,920 enrolled providers across 53 states and an average of 309 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

2511 OLD CORNWALLIS RD
DURHAM, NC 27713

Provider Details

NPI 1881019313
Specialty Foot & Ankle Surgery Podiatrist
Credentials DPM
Gender Male
NPI Issued 02/20/2014

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where PRAYASHKUMAR PATEL, DPM 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.

ROCKINGHAM FOOT AND ANKLE ASSOCIATES
DANVILLE, VA

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 PRAYASHKUMAR PATEL, DPM. Source: openpaymentsdata.cms.gov.

Total received

$1.9K

Largest payer

ConvaTec Inc.

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 · Typical

PRAYASHKUMAR PATEL, DPM — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 360 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.

360
Total Claims
$15K
Total Drug Cost
170
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
465
Total Day Supply
10,375
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$3K
Generic Drug Cost
$12K
Antibiotic Claims
96

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
1.94
Gender Split
53% female / 47% male
Age Distribution
<65: 23, 65-74: 81, 75-84: 48, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ketoconazole
59
Gabapentin
44
Silver Sulfadiazine
42
Doxycycline Hyclate
36
Ssd
Silver Sulfadiazine
21
Ciclopirox
17
Clindamycin Hcl
17
Meloxicam
15
Prednisone
13
Ammonium Lactate
11

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

Foot & Ankle Surgery Podiatrist Overview

How PRAYASHKUMAR PATEL, DPM fits within the Foot & Ankle Surgery Podiatrist landscape nationally.

8,920
Foot & Ankle Surgery Podiatrist Providers in US
53
States with Foot & Ankle Surgery Podiatrist
309
Avg Claims per Provider

PRAYASHKUMAR PATEL, DPM's 360 claims are above the specialty average of 309.

Nearby Foot & Ankle Surgery Podiatrist Providers in North Carolina

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

Compare Foot & Ankle Surgery Podiatrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is PRAYASHKUMAR PATEL, DPM's specialty?
PRAYASHKUMAR PATEL, DPM specializes in Foot & Ankle Surgery Podiatrist and practices in DURHAM, North Carolina. Credentials: DPM.
How much does PRAYASHKUMAR PATEL, DPM prescribe under Medicare Part D?
In 2023, PRAYASHKUMAR PATEL, DPM wrote 360 Medicare Part D claims totaling $15K in drug costs for 170 beneficiaries.
What is PRAYASHKUMAR PATEL, DPM's Medicare quality score?
PRAYASHKUMAR PATEL, DPM has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PRAYASHKUMAR PATEL, DPM located?
PRAYASHKUMAR PATEL, DPM is located at 2511 OLD CORNWALLIS RD, DURHAM, NC, 27713. Phone: (919) 932-5700.
What is PRAYASHKUMAR PATEL, DPM's NPI number?
PRAYASHKUMAR PATEL, DPM's National Provider Identifier (NPI) is 1881019313, issued on 02/20/2014.
Does PRAYASHKUMAR PATEL, DPM prescribe more brand-name or generic drugs?
PRAYASHKUMAR PATEL, DPM's prescribing is 19% brand-name and 81% generic drugs by claim count, with $3K in brand drug costs.
How many Foot & Ankle Surgery Podiatrist providers are there in the US?
There are 8,920 Foot & Ankle Surgery Podiatrist providers across 53 states in the US. The average Foot & Ankle Surgery Podiatrist provider writes 309 Medicare Part D claims per year.
What drugs does PRAYASHKUMAR PATEL, DPM prescribe most often?
Based on 2023 Medicare Part D data, PRAYASHKUMAR PATEL, DPM's most frequently prescribed drugs include Ketoconazole, Gabapentin, Silver Sulfadiazine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRAYASHKUMAR PATEL, DPM accept Medicare?
PRAYASHKUMAR PATEL, DPM appears in CMS Medicare data with 360 Part D claims and 170 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRAYASHKUMAR PATEL, DPM's credentials?
PRAYASHKUMAR PATEL, DPM's NPI is 1881019313 with credentials DPM. 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