2026 NPPES data Internal Medicine Physician NPI 1811356199 D.O.
Verify on CMS →

ALPA PATEL, D.O.

Internal Medicine Physician in HACKENSACK, New Jersey. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
295
Medicare Part D claims · 110 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
75.8046/100
▼ 7 pts below national avg 83.1 · [object Object]

What the federal data shows

ALPA PATEL, D.O. reported a CMS MIPS final score of 75.8046/100 — below the 83.1 national average — and filed 295 Medicare Part D claims in 2023.

75.8046/100
MIPS score · -7 vs avg
295
Part D claims, 2023
Likely
board-certified (heuristic)

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.

ALPA PATEL, D.O.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

76 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

ALPA PATEL, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ALPA PATEL, D.O.?

Below national average

NPI registry status

Active

Issued 02/16/2016

NPI 1811356199

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

295 89% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

75.8046/100 7.295400000000001% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Jersey

How Internal Medicine Physician compares to other specialties among New Jersey providers

New Jersey providers

Internal Medicine Physician share within New Jersey

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within New Jersey

Medicare quality performance — MIPS

ALPA PATEL, D.O.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
75.8046/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 75.8046/100 vs national avg 83.1

0%100%National avg83%75.8%
MIPS final score (Internal Medicine Physician) — 75.8046/100 vs national avg 83.1

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).

ALPA PATEL, D.O. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding D.O. credentials at 30 PROSPECT AVE, HACKENSACK, NJ, 07601, with a listed phone of (556) 996-2000. NPI 1811356199 was issued on 02/16/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PATEL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 295 prescription claims written by this provider, covering 110 Medicare beneficiaries and totaling roughly $17K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75.8046/100 for the 2023 performance year (Quality 68.6551, Cost 50.6935), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

30 PROSPECT AVE
HACKENSACK, NJ 07601

Provider Details

NPI 1811356199
Specialty Internal Medicine Physician
Credentials D.O.
Gender Female
NPI Issued 02/16/2016

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75.8046
Final Score
Avg: 83.1
68.6551
Quality
50.6935
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ALPA PATEL, D.O. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
HACKENSACK, NJ

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

295
Total Claims
$17K
Total Drug Cost
110
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
307
Total Day Supply
6,662
Generic Drug Cost
$3K
Antibiotic Claims
45

Patient Demographics

Average Patient Age
75.4 years
Avg HCC Risk Score
3.10
Gender Split
57% female / 43% male
Age Distribution
<65: 15, 65-74: 33, 75-84: 34, 85+: 28

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What ALPA PATEL, D.O. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Prednisone
22
Pantoprazole Sodium
14
Metoprolol Succinate
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Internal Medicine Physician Overview

How ALPA PATEL, D.O. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

ALPA PATEL, D.O.'s 295 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as PATEL.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ALPA PATEL, D.O.'s specialty?
ALPA PATEL, D.O. specializes in Internal Medicine Physician and practices in HACKENSACK, New Jersey. Credentials: D.O..
How much does ALPA PATEL, D.O. prescribe under Medicare Part D?
In 2023, ALPA PATEL, D.O. wrote 295 Medicare Part D claims totaling $17K in drug costs for 110 beneficiaries.
What is ALPA PATEL, D.O.'s Medicare quality score?
ALPA PATEL, D.O. has a CMS MIPS Final Score of 75.8046/100 (Quality: 68.6551, Cost: 50.6935). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ALPA PATEL, D.O. located?
ALPA PATEL, D.O. is located at 30 PROSPECT AVE, HACKENSACK, NJ, 07601. Phone: (556) 996-2000.
What is ALPA PATEL, D.O.'s NPI number?
ALPA PATEL, D.O.'s National Provider Identifier (NPI) is 1811356199, issued on 02/16/2016.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does ALPA PATEL, D.O. prescribe most often?
Based on 2023 Medicare Part D data, ALPA PATEL, D.O.'s most frequently prescribed drugs include Prednisone, Pantoprazole Sodium, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ALPA PATEL, D.O. accept Medicare?
ALPA PATEL, D.O. appears in CMS Medicare data with 295 Part D claims and 110 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ALPA PATEL, D.O.'s credentials?
ALPA PATEL, D.O.'s NPI is 1811356199 with credentials D.O.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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