Priyankkumar Pravinkumar Patel, MD
NPI 1437460789ActiveIndividual· Internal Medicine, Hematology & Oncology· Urbana, IL
Internal Medicine, Hematology & Oncology (MD) with Carle Health Care Incorporated, practicing in Urbana, Illinois. Their prescriptions cost Medicare Part D more than their services did: $5,822,655 for 1,859 claims, against $65,019 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 12 companies reporting payments in 2025, $18,740 in all, mostly speaking and faculty fees. Lists Carle Foundation Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1437460789 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 1, 2010 |
| Last updated in NPPES | Mar 23, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Hematology & Oncology Primary | 207RH0003X | 036141621 | IL |
| Internal Medicine | 207R00000X | 277392 | NY |
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 - Internal Medicine (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 233 |
|---|---|
| Services billed | 3,297 across 30 procedure codes |
| Paid by Medicare | $65,019 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,859 · 2,439 30-day fills |
|---|---|
| Patients | 254 |
| Total drug cost | $5,822,655 |
| Generic share | 70% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Internal Medicine |
| Secondary specialties | Hematology/Oncology |
| Telehealth | Offers telehealth |
Medical group
- Carle Health Care IncorporatedUrbana, IL · 1,666 clinicians
Hospital affiliations
- Carle Foundation HospitalUrbana, IL
- Carle Hoopeston Regional Health CenterHoopeston, IL
- Kirby Medical CenterMonticello, IL
- Paris Community HospitalParis, IL
Other facilities
- Carle HospiceHospice · Champaign, IL
Industry payments (Open Payments)
- 2025$18,740 · 31 payments from 12 companies
- 2024$708.08 · 27 payments from 15 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $18,209 | 10 |
| Lilly USA, LLC | $107.05 | 1 |
| Astellas Pharma US Inc | $100.62 | 4 |
| Pfizer Inc. | $81.00 | 4 |
| Novartis Pharmaceuticals Corporation | $49.39 | 2 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$13,370 · 3 payments
- Consulting Fee$2,870 · 1 payment
- Travel and Lodging$1,727 · 2 payments
- Food and Beverage$630.64 · 22 payments
- Education$142.22 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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