2026 NPPES data General Practice Physician NPI 1144754177 MD
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PREMKUMAR PATEL, MD

General Practice Physician in HARRISBURG, Pennsylvania. 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
333
Medicare Part D claims · 147 beneficiaries · General Practice Physician avg: 3K
MIPS score
86.1822/100
▲ 3 pts above national avg 83.1 · [object Object]
What the federal data reveals: PREMKUMAR PATEL, MD is a General Practice Physician ([object Object]) practicing in HARRISBURG, Pennsylvania with a Medicare Part D prescribing footprint of 333 claims across 147 beneficiaries . Their CMS MIPS Final Score of 86.1822/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: PREMKUMAR PATEL, MD reported a CMS MIPS final score of 86.1822 out of 100, above the 83.1 national average, and filed 333 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PREMKUMAR PATEL, 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).

PREMKUMAR PATEL, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/17/2017

NPI 1144754177

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

333 88% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

MIPS final score

86.1822/100 3.0822000000000003% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How General Practice Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

General Practice Physician share within Pennsylvania

1. General Practice Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Physician share within Pennsylvania

Medicare quality performance — MIPS

PREMKUMAR PATEL, MD's 2023 MIPS final score plotted against the General Practice Physician national average

High performer (top quartile)
MIPS Final Score
86.1822/100
vs 83.1 national avg · 2023 performance year

MIPS final score (General Practice Physician) — 86.1822/100 vs national avg 83.1

0%100%National avg83%86.2%
MIPS final score (General Practice Physician) — 86.1822/100 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).

PREMKUMAR PATEL, MD is a General Practice Physician provider practicing in HARRISBURG, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1144754177. 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.

PREMKUMAR PATEL, MD appears in the CMS NPPES registry as a General Practice Physician provider holding MD credentials at 111 S FRONT ST, HARRISBURG, PA, 17101, with a listed phone of (717) 231-8772. NPI 1144754177 was issued on 04/17/2017. 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 333 prescription claims written by this provider, covering 147 Medicare beneficiaries and totaling roughly $22K in drug spend, with an opioid prescribing rate of 4.2%. 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 86.1822/100 for the 2023 performance year (Quality 84.5369, Cost 65.6231), compared with the national average of 83.1.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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

111 S FRONT ST
HARRISBURG, PA 17101

Provider Details

NPI 1144754177
Specialty General Practice Physician
Credentials MD
Gender Male
NPI Issued 04/17/2017

CMS Quality Score (MIPS)

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

86.1822
Final Score
Avg: 83.1
84.5369
Quality
65.6231
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where PREMKUMAR 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.

PINNACLE HEALTH HOSPITALIST SERVICES LLC
HARRISBURG, PA

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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to PREMKUMAR PATEL, MD. To verify PREMKUMAR PATEL, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania 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.

333
Total Claims
$22K
Total Drug Cost
147
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
340
Total Day Supply
6,645
Generic Drug Cost
$8K
Opioid Claims
14 (4.2% rate)
Antibiotic Claims
91

Patient Demographics

Average Patient Age
75.9 years
Avg HCC Risk Score
2.10
Gender Split
62% female / 38% male
Age Distribution
<65: 18, 65-74: 44, 75-84: 52, 85+: 33

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Cefuroxime
Cefuroxime Axetil
25
Ampicillin Sodium
24
Eliquis
Apixaban
18
Furosemide
13
Pantoprazole Sodium
13
Prednisone
13
Atorvastatin Calcium
12
Metoprolol Succinate
11

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

General Practice Physician Overview

How PREMKUMAR PATEL, MD fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

PREMKUMAR PATEL, MD's 333 claims are below the specialty average of 2,872.

Nearby General Practice Physician Providers in Pennsylvania

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

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PREMKUMAR PATEL, MD's specialty?
PREMKUMAR PATEL, MD specializes in General Practice Physician and practices in HARRISBURG, Pennsylvania. Credentials: MD.
How much does PREMKUMAR PATEL, MD prescribe under Medicare Part D?
In 2023, PREMKUMAR PATEL, MD wrote 333 Medicare Part D claims totaling $22K in drug costs for 147 beneficiaries.
What is PREMKUMAR PATEL, MD's Medicare quality score?
PREMKUMAR PATEL, MD has a CMS MIPS Final Score of 86.1822/100 (Quality: 84.5369, Cost: 65.6231). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PREMKUMAR PATEL, MD located?
PREMKUMAR PATEL, MD is located at 111 S FRONT ST, HARRISBURG, PA, 17101. Phone: (717) 231-8772.
What is PREMKUMAR PATEL, MD's NPI number?
PREMKUMAR PATEL, MD's National Provider Identifier (NPI) is 1144754177, issued on 04/17/2017.
Does PREMKUMAR PATEL, MD prescribe opioids?
Yes, PREMKUMAR PATEL, MD had 14 opioid claims in 2023 with an opioid prescribing rate of 4.2%.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does PREMKUMAR PATEL, MD prescribe most often?
Based on 2023 Medicare Part D data, PREMKUMAR PATEL, MD's most frequently prescribed drugs include Cefuroxime, Ampicillin Sodium, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PREMKUMAR PATEL, MD accept Medicare?
PREMKUMAR PATEL, MD appears in CMS Medicare data with 333 Part D claims and 147 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PREMKUMAR PATEL, MD's credentials?
PREMKUMAR PATEL, MD's NPI is 1144754177 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