Doctor profile · Federal record
Dr. Pratik Patel, M.D.
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Internal Medicine Physician · Critical Care Medicine (Internal Medicine) Physician · Newark, NJ
- NPI 1952321077
- Accepts Medicare
- MIPS 88.9 / 100 · 2023
- 24 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
201 Lyons Ave # L-4
Newark, NJ 071122027
(973) 926-4430 - Mailing address
-
201 Lyons Ave Ste L4
Newark, NJ 071122027
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- November 17, 2022
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- New Jersey #25MA07973300
- Medicaid
- NJ #0102148
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1952321077. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
381
Distinct HCPCS
5
Medicare allowed
$67,934
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99291 |
Critical care, first 30-74 minutes | 248 | 71 | $226 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 76 | 27 | $85 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 27 | 21 | $71 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 19 | 16 | $105 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 11 | 11 | $140 |
In context: peer comparison
Among 7 peers in Newark Pulmonary Disease Physician, average services per provider: 83. This provider delivers 4.6× the peer median.Open Payments
Industry payments received
All-time total
$2,428
Transactions
107
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 19 | $723.35 | |
| United Therapeutics Corporation | 18 | $265.21 | |
| GlaxoSmithKline, LLC. | 14 | $212.36 | |
| AstraZeneca Pharmaceuticals Lp | 12 | $179.83 | |
| Genzyme Corporation | 6 | $108.61 | |
| Actelion Pharmaceuticals US, INC. | 6 | $93.05 | |
| Mylan Specialty L.P. | 5 | $90.76 | |
| Eurofins Viracor, LLC | 1 | $86.69 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 5 | $81.48 | |
| Takeda Pharmaceuticals U.S.A., INC. | 5 | $76.24 | |
| Astellas Pharma US INC | 4 | $72.42 | |
| Abiomed | 2 | $69.11 | |
| Merck Sharp & Dohme LLC | 4 | $59.15 | |
| Vifor Pharma, INC. | 3 | $51.00 | |
| Insmed, INC. | 3 | $46.93 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
767
Patients
200
Total drug cost
$206,232
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 264 | 74 | $7,571 |
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 85 | 21 | $63,029 |
| Spiriva Respimat (Tiotropium Bromide) | Brand | 66 | 16 | $44,612 |
| Ventolin Hfa (Albuterol Sulfate) | Brand | 46 | 11 | $2,834 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 43 | 11 | $18,369 |
| Incruse Ellipta (Umeclidinium Bromide) | Brand | 41 | 11 | $15,433 |
| Fluticasone Propionate | Generic | 36 | 21 | $571 |
| Montelukast Sodium | Generic | 32 | 0 | $731 |
| Advair Diskus (Fluticasone Propion/Salmeterol) | Brand | 31 | 0 | $16,200 |
| Stiolto Respimat (Tiotropium Br/Olodaterol Hcl) | Brand | 30 | 0 | $14,976 |
Hospital affiliations
Frequently asked questions
What is Dr. Pratik Patel's medical specialty?
Dr. Pratik Patel practices Pulmonary Disease Physician in Newark, NJ.
Where does Dr. Pratik Patel practice?
Dr. Pratik Patel practices at 201 Lyons Ave # L-4, Newark, NJ 071122027. Office phone: 9739264430.
What is Dr. Pratik Patel's NPI?
Dr. Pratik Patel's National Provider Identifier (NPI) is 1952321077, issued by NPPES.
Does Dr. Pratik Patel accept Medicare assignment?
Yes. Dr. Pratik Patel accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Pratik Patel commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.