Prianca Patel
NPI 1255968772 · Physician Assistant · Itasca, IL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prianca Patel is a Physician Assistant provider in Itasca, IL (NPI 1255968772).
Provider details
- NPI number
- 1255968772
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
6 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,232 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) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 464 | $5 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 192 | $71 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 136 | $36 |
| Biopsy of Related Skin Growth, First Growth11102 | 126 | $67 |
| Destruction of Skin Growth, 1-14 Growths17110 | 91 | $83 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Mupirocin | 51 | 46 |
| Ketoconazole | 36 | 25 |
| Triamcinolone Acetonide | 25 | 24 |
| Clobetasol Propionate | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,743 across 134 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
- 2020-03-25
- Last updated
- 2020-06-30
- Certified
- 2020-06-30
Frequently asked questions
- What is Prianca Patel's NPI number?
- Prianca Patel's National Provider Identifier (NPI) is 1255968772, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prianca Patel's specialty?
- Prianca Patel is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Prianca Patel located?
- Prianca Patel's practice location on file with NPPES is 550 E Devon Ave Ste 200, Itasca, IL 60143-2639.
- What is Prianca Patel's phone number?
- The practice phone number listed in the NPPES registry for Prianca Patel is (864) 625-3376.
- Does Prianca Patel accept Medicare?
- Prianca Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prianca Patel's NPI active?
- Yes — Prianca Patel's NPI (1255968772) is active in the NPPES registry as of the last update on 2020-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.