Nikunjkumar Patel
NPI 1174039309ActiveIndividual· Internal Medicine, Endocrinology, Diabetes & Metabolism· Toms River, NJ
Internal Medicine, Endocrinology, Diabetes & Metabolism with Barnabas Health Medical Group PC and 1 other group, practicing in Toms River, New Jersey. Their prescriptions cost Medicare Part D more than their services did: $1,103,655 for 2,478 claims, against $488,271 paid for services in 2024. Novo Nordisk Inc was the largest of 27 companies reporting payments in 2025, $2,603 in all, mostly food and beverage. Lists Community Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1174039309 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 26, 2017 |
| Last updated in NPPES | Jul 7, 2023 |
| Certified by provider | Jul 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Endocrinology, Diabetes & Metabolism Primary | 207RE0101X | 25MA10366100 | NJ |
| Internal Medicine | 207R00000X | 25MA10366100 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Endocrinology (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,242 |
|---|---|
| Services billed | 6,720 across 20 procedure codes |
| Paid by Medicare | $488,271 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,478 · 5,660 30-day fills |
|---|---|
| Patients | 485 |
| Total drug cost | $1,103,655 |
| Generic share | 33% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Endocrinology |
| Secondary specialties | Internal Medicine |
Medical groups
- Barnabas Health Medical Group PCNewark, NJ · 1,070 clinicians
- Oceans Prime Diabetes and Endocrinology LLCToms River, NJ · 3 clinicians
Hospital affiliations
- Community Medical CenterToms River, NJ
- Jfk University Medical CenterEdison, NJ
- Monmouth Medical CenterLong Branch, NJ
- Ocean Medical CenterBrick, NJ
- Southern Ocean Medical CenterManahawkin, NJ
Industry payments (Open Payments)
- 2025$2,603 · 120 payments from 27 companies
- 2024$2,053 · 93 payments from 22 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $381.35 | 13 |
| Lilly USA, LLC | $338.62 | 17 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $206.14 | 7 |
| Insulet Corporation | $204.20 | 8 |
| Amneal Pharmaceuticals LLC | $181.07 | 10 |
What the 2025 payments were for
- Food and Beverage$2,486 · 117 payments
- Long term medical supply or device loan$74.97 · 2 payments
- Education$42.50 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other endocrinologists in Toms River
- 1255781548
- 1518214626
- 1669417788
- 1831659580
- 1164594990
- 1336311125
- 1710060892
- 1326298993
- 1639123755
- 1801885389