Doctor profile · Federal record
Dr. Pratik Panchal, M.D.
Cardiovascular Disease Physician (CMS: Cardiovascular Disease (Cardiology)) · Internal Medicine Physician · Cardiovascular Disease Physician · Interventional Cardiology Physician · Eatontown, NJ
- NPI 1851681068
- Accepts Medicare
- MIPS 88.9 / 100 · 2023
- 18 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
274 Highway 35
Eatontown, NJ 077242105
(732) 440-7336 - Additional location
-
56-45 Main Street, Ny Hospital Queens Department of Cardiology
Flushing, NY 11355
(718) 670-1286 - Mailing address
-
379 Campus Dr Fl 4
Somerset, NJ 088731161
Credentials & registration
- NPI registered
- April 2011 — 15 yrs on file
- Profile last updated
- May 20, 2024
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 207RC0000X — NUCC code
- State licenses (2)
- New Jersey #25MA09727600 · New York #261680
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1851681068. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,411
Distinct HCPCS
10
Medicare allowed
$300,289
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 941 | 726 | $8 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 382 | 225 | $82 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 364 | 194 | $132 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 308 | 229 | $15 | |
93306 |
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 209 | 203 | $70 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 160 | 152 | $181 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 134 | 134 | $177 | |
J2785 |
Injection, regadenoson, 0.1 mg | 108 | 27 | $52 | |
93306 |
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 92 | 90 | $210 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 92 | 78 | $96 |
In context: peer comparison
Among 6 peers in this city , average services per provider: 120. This provider delivers 28× the peer median.Open Payments
Industry payments received
All-time total
$2,794
Transactions
65
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| E.R. Squibb & Sons, L.L.C. | 10 | $332.94 | |
| AstraZeneca Pharmaceuticals LP | 6 | $244.57 | |
| Boston Scientific Corporation | 4 | $172.91 | |
| Abbott Laboratories | 1 | $171.12 | |
| ABIOMED | 2 | $167.28 | |
| Actelion Pharmaceuticals US, Inc. | 7 | $117.80 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 7 | $113.85 | |
| Penumbra, Inc. | 1 | $110.15 | |
| ShockWave Medical, Inc | 2 | $107.39 | |
| Novartis Pharmaceuticals Corporation | 5 | $98.25 | |
| PFIZER INC. | 6 | $97.19 | |
| CVRx, Inc. | 2 | $94.73 | |
| Esperion Therapeutics, Inc. | 6 | $91.59 | |
| Cook Medical LLC | 1 | $91.17 | |
| Novo Nordisk Inc | 5 | $90.33 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
974
Patients
403
Total drug cost
$153,459
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 137 | 55 | $2,558 |
| Amlodipine Besylate | Generic | 112 | 48 | $932 |
| Eliquis (Apixaban) | Brand | 111 | 36 | $115,361 |
| Metoprolol Succinate | Generic | 103 | 56 | $1,931 |
| Rosuvastatin Calcium | Generic | 83 | 44 | $2,193 |
| Losartan Potassium | Generic | 69 | 24 | $792 |
| Clopidogrel (Clopidogrel Bisulfate) | Brand | 62 | 31 | $1,257 |
| Carvedilol | Generic | 50 | 19 | $842 |
| Lisinopril | Generic | 48 | 17 | $462 |
| Ezetimibe | Generic | 47 | 15 | $1,413 |
Frequently asked questions
What is Dr. Pratik Panchal's medical specialty?
Dr. Pratik Panchal practices Cardiovascular Disease Physician in Eatontown, NJ.
Where does Dr. Pratik Panchal practice?
Dr. Pratik Panchal practices at 274 Highway 35, Eatontown, NJ 077242105. Office phone: 7324407336.
What is Dr. Pratik Panchal's NPI?
Dr. Pratik Panchal's National Provider Identifier (NPI) is 1851681068, issued by NPPES.
Does Dr. Pratik Panchal accept Medicare assignment?
Yes. Dr. Pratik Panchal accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Pratik Panchal commonly perform?
Top Medicare-reported procedures in 2023: Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.