Pradeep Patel, MD
NPI 1780105783 · Family Medicine Physician · Lumberton, NJ
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pradeep Patel, MD is a Family Medicine Physician provider in Lumberton, NJ (NPI 1780105783).
Provider details
- NPI number
- 1780105783
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA10967200 (NJ)
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
8 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
900 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 | 559 | $98 |
| 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 | 169 | $18 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 83 | $76 |
| Administration of Influenza Virus VaccineG0008 | 40 | $33 |
| Hemoglobin A1c Level83036 | 33 | $9 |
| Physician Or Allowed Practitioner Certification for Medicare-Covered Home Health Services Under a Home Health Plan of Care (patient Not Present), Including Contacts With Home Health Agency and Review of Reports of Patient Status Required By Physicians and |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 104 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 445 | 128 |
| Amlodipine Besylate | 410 | 123 |
| Lisinopril | 230 | 62 |
| Levothyroxine Sodium | 189 | 50 |
| Omeprazole | 185 | 51 |
| Hydrochlorothiazide | 169 | 47 |
| Rosuvastatin Calcium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$286 across 17 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
- 2017-06-29
- Last updated
- 2021-01-22
- Certified
- 2021-01-22
Frequently asked questions
- What is Pradeep Patel's NPI number?
- Pradeep Patel's National Provider Identifier (NPI) is 1780105783, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pradeep Patel's specialty?
- Pradeep Patel is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pradeep Patel located?
- Pradeep Patel's practice location on file with NPPES is 1613 Route 38 Fl 1, Lumberton, NJ 08048-2921.
- What is Pradeep Patel's phone number?
- The practice phone number listed in the NPPES registry for Pradeep Patel is (609) 444-5566.
- Does Pradeep Patel accept Medicare?
- Pradeep Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pradeep Patel's NPI active?
- Yes — Pradeep Patel's NPI (1780105783) is active in the NPPES registry as of the last update on 2021-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.