Prayashkumar Patel, DPM
NPI 1881019313 · Podiatrist · Durham, NC
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prayashkumar Patel, DPM is a Podiatrist provider in Durham, NC (NPI 1881019313).
Provider details
- NPI number
- 1881019313
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 006797 (NY)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 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
2,870 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) |
|---|---|---|
| Removal of Fingernails Or Toenails, 1-5 Nails11720 | 662 | $30 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 565 | $51 |
| Trimming of Fingernails Or Toenails11719 | 380 | $10 |
| Removal of Noncancer Thickened Skin Growth, 2-4 Growths11056 | 346 | $74 |
| Removal of Fingernails Or Toenails, 6 Or More Nails11721 | 306 | $40 |
| Removal of Noncancer Thickened Skin Growth, 1 Growth11055 | 196 | $64 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ketoconazole | 72 | 22 |
| Doxycycline Hyclate | 71 | 46 |
| Gabapentin | 69 | 34 |
| Silver Sulfadiazine | 51 | 46 |
| Silver Sulfadiazinebrand: Ssd | 38 | 32 |
| Meloxicam | 29 | 13 |
| Ciclopirox | 19 | 13 |
| Clindamycin Hcl | 15 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,904 across 11 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
- 2014-02-20
- Last updated
- 2017-01-31
Frequently asked questions
- What is Prayashkumar Patel's NPI number?
- Prayashkumar Patel's National Provider Identifier (NPI) is 1881019313, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prayashkumar Patel's specialty?
- Prayashkumar Patel is listed in the NPPES registry with a primary specialty of Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Prayashkumar Patel located?
- Prayashkumar Patel's practice location on file with NPPES is 2511 Old Cornwallis Rd, Durham, NC 27713-1869.
- What is Prayashkumar Patel's phone number?
- The practice phone number listed in the NPPES registry for Prayashkumar Patel is (919) 932-5700.
- Does Prayashkumar Patel accept Medicare?
- Prayashkumar Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prayashkumar Patel's NPI active?
- Yes — Prayashkumar Patel's NPI (1881019313) is active in the NPPES registry as of the last update on 2017-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.