Pragnesh Patel, M.D.
NPI 1568529006 · Interventional Cardiology Physician · Jefferson City, TN
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pragnesh Patel, M.D. is a Interventional Cardiology Physician provider in Jefferson City, TN (NPI 1568529006).
Provider details
- NPI number
- 1568529006
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD0000045390 (TN)
Specialties & taxonomies
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
5,804 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 | 1,463 | $124 |
| 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 | 1,071 | $16 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 554 | $13 |
| Technetium Tc-99m Sestamibi, Diagnostic, Per Study DoseA9500 | 352 | $115 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 307 | $186 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 56 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 470 | 162 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 437 | 139 |
| Metoprolol Tartrate | 413 | 140 |
| Rivaroxabanbrand: Xarelto | 337 | 98 |
| Apixabanbrand: Eliquis | 326 | 91 |
| Metoprolol Succinate | 250 | 77 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,789 across 73 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
- 2007-01-03
- Last updated
- 2023-03-15
- Certified
- 2023-03-15
Frequently asked questions
- What is Pragnesh Patel's NPI number?
- Pragnesh Patel's National Provider Identifier (NPI) is 1568529006, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pragnesh Patel's specialty?
- Pragnesh Patel is listed in the NPPES registry with a primary specialty of Interventional Cardiology Physician (Allopathic & Osteopathic Physicians).
- Where is Pragnesh Patel located?
- Pragnesh Patel's practice location on file with NPPES is 120 Hospital Dr Ste 260, Jefferson City, TN 37760-5283.
- What is Pragnesh Patel's phone number?
- The practice phone number listed in the NPPES registry for Pragnesh Patel is (423) 839-2525.
- Does Pragnesh Patel accept Medicare?
- Pragnesh Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pragnesh Patel's NPI active?
- Yes — Pragnesh Patel's NPI (1568529006) is active in the NPPES registry as of the last update on 2023-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.