Pratik Panchal, M.D.
NPI 1851681068 · Cardiovascular Disease Physician · Eatontown, NJ
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pratik Panchal, M.D. is a Cardiovascular Disease Physician provider in Eatontown, NJ (NPI 1851681068).
Provider details
- NPI number
- 1851681068
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA09727600 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
3,983 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) |
|---|---|---|
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 1,035 | $8 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 678 | $136 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 482 | $15 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 361 | $82 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 205 | $70 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 33 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 223 | 84 |
| Rosuvastatin Calcium | 217 | 81 |
| Atorvastatin Calcium | 209 | 70 |
| Amlodipine Besylate | 197 | 78 |
| Apixabanbrand: Eliquis | 146 | 36 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 120 | 50 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,794 across 96 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
Additional practice locations (1)
- 56-45 Main StreetNy Hospital Queens Department of CardiologyFlushing, NY 11355Phone: (718) 670-1286
Registry dates
- Enumerated
- 2011-04-10
- Last updated
- 2024-05-20
- Certified
- 2024-05-20
Frequently asked questions
- What is Pratik Panchal's NPI number?
- Pratik Panchal's National Provider Identifier (NPI) is 1851681068, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pratik Panchal's specialty?
- Pratik Panchal is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Pratik Panchal located?
- Pratik Panchal's practice location on file with NPPES is 274 Highway 35, Eatontown, NJ 07724-2105.
- What is Pratik Panchal's phone number?
- The practice phone number listed in the NPPES registry for Pratik Panchal is (732) 440-7336.
- Does Pratik Panchal accept Medicare?
- Pratik Panchal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pratik Panchal's NPI active?
- Yes — Pratik Panchal's NPI (1851681068) is active in the NPPES registry as of the last update on 2024-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.