Prabhat Tandon, M.D.
NPI 1245265941 · Endocrinology, Diabetes & Metabolism Physician · Summerfield, FL
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prabhat Tandon, M.D. is a Endocrinology, Diabetes & Metabolism Physician provider in Summerfield, FL (NPI 1245265941).
Provider details
- NPI number
- 1245265941
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD072463L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
6,339 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 972 | $125 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 694 | $16 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 648 | $9 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 492 | $10 |
| Blood Test, Thyroid Stimulating Hormone (tsh)84443 | 476 | $16 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 78 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 1,003 | 312 |
| Semaglutidebrand: Ozempic | 691 | 159 |
| Metformin Hcl | 525 | 188 |
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 507 | 194 |
| Metformin Hclbrand: Metformin Hcl Er | 337 | 112 |
| Empagliflozinbrand: Jardiance | 316 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,454 across 27 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2018-01-12
Frequently asked questions
- What is Prabhat Tandon's NPI number?
- Prabhat Tandon's National Provider Identifier (NPI) is 1245265941, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prabhat Tandon's specialty?
- Prabhat Tandon is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Prabhat Tandon located?
- Prabhat Tandon's practice location on file with NPPES is 10250 Se 167th Place Rd, Summerfield, FL 34491-8686.
- What is Prabhat Tandon's phone number?
- The practice phone number listed in the NPPES registry for Prabhat Tandon is (352) 307-9925.
- Does Prabhat Tandon accept Medicare?
- Prabhat Tandon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prabhat Tandon's NPI active?
- Yes — Prabhat Tandon's NPI (1245265941) is active in the NPPES registry as of the last update on 2018-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.