Aarat Patel, MD
Pediatric Rheumatology Physician in Charlottesville, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 394 in Pediatric Rheumatology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Aarat Patel, MD filed 2,082 Medicare Part D claims in 2023 as a Pediatric Rheumatology Physician in Charlottesville, Virginia, prescribing 67% generic.
- 2K
- Part D claims, 2023
- 67%
- generic prescribing
- $88.3K
- industry payments (Sunshine Act)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Aarat Patel, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
2,082 Top 16% higher than 84% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
Aarat Patel, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Aarat Patel, MD?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Virginia
How Pediatric Rheumatology Physician compares to other specialties among Virginia providers
Pediatric Rheumatology Physician ranks #348 among Virginia's specialties (0% of in-state providers)
Each bar is a specialty's share of the Virginia provider total, by primary NUCC taxonomy. The highlighted bar is Pediatric Rheumatology Physician; the long tail of smaller specialties is omitted for legibility.
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pediatric Rheumatology Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Aarat Patel, MD appears in the CMS NPPES registry as a Pediatric Rheumatology Physician provider holding MD credentials at 1204 W MAIN ST, Charlottesville, VA, 22903, with a listed phone of (434) 982-3654. NPI 1528203874 was issued on 12/15/2008.
Medicare Part D records for calendar year 2023 show 2,082 prescription claims written by this provider, covering 266 Medicare beneficiaries and totaling roughly $4.7 million in drug spend, split 31% brand-name and 67% generic by claim count.
Pediatric Rheumatology Physician is a narrow specialty nationwide, with 394 enrolled providers across 43 states and an average of 200 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1528203874 |
|---|---|
| Specialty | Pediatric Rheumatology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 12/15/2008 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Aarat Patel, MD's current license status, disciplinary history, and board certifications with the Virginia Board of Medicine in Virginia before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1528203874 is the unique 10-digit identifier CMS uses to link Patel across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Aarat Patel, MD. Source: openpaymentsdata.cms.gov.
Total received
$88.3K
Largest payer
ABBVIE INC.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Above average
31% brand-name claims vs 67% generic, on 2,082 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 3,410
- Total Day Supply
- 97,577
- Brand vs Generic
- 31% brand / 67% generic
- Brand Drug Cost
- $4.6M
- Generic Drug Cost
- $70K
Patient Demographics
- Average Patient Age
- 68.8 years
- Avg HCC Risk Score
- 1.66
- Gender Split
- 76% female / 24% male
- Age Distribution
- <65: 64, 65-74: 120, 75-84: 71, 85+: 11
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Aarat Patel, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prednisone
Prednisone
326 claims
- Methotrexate
Methotrexate
292 claims
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
212 claims
- Leflunomide 122
Leflunomide
122 claims
- Humira(Cf) Pen 115
Humira(Cf) Pen
115 claims
- Diclofenac Sodium 70
Diclofenac Sodium
70 claims
- Rinvoq 68
Rinvoq
68 claims
- Enbrel Sureclick 67
Enbrel Sureclick
67 claims
| Drug | Claims |
|---|---|
| Prednisone | 326 |
| Methotrexate Methotrexate Sodium | 292 |
| Hydroxychloroquine Sulfate | 212 |
| Leflunomide | 122 |
| Humira(Cf) Pen Adalimumab | 115 |
| Diclofenac Sodium | 70 |
| Rinvoq Upadacitinib | 68 |
| Enbrel Sureclick Etanercept | 67 |
| Xeljanz Xr Tofacitinib Citrate | 56 |
| Azathioprine | 55 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Rheumatology Physician Overview
How Aarat Patel, MD fits within the Pediatric Rheumatology Physician landscape nationally.
Aarat Patel, MD's 2,082 claims are above the specialty average of 200.
Nearby Pediatric Rheumatology Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Patel.
Compare Pediatric Rheumatology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric Rheumatology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
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Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.
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