2026 NPPES data Gastroenterology Physician NPI 1003906751 M.D.
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Alpesh Patel, M.D.

Gastroenterology Physician in Mesa, Arizona. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 16,567 in Gastroenterology 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.

Federal data — no proprietary rating. We show these CMS records as-is — no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 701 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.2K
60 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Alpesh Patel, M.D. filed 2,242 Medicare Part D claims in 2023 as a Gastroenterology Physician in Mesa, Arizona, prescribing 95% generic.

2K
Part D claims, 2023
95%
generic prescribing
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.

Alpesh Patel, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

2,242 Top 15% higher than 85% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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

Board certification likely (heuristic — not verified)

Alpesh Patel, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 hospital affiliations — 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 Alpesh Patel, M.D.?

Quality data not reported

NPI registry status

Active

Issued 10/13/2006

NPI 1003906751

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

2,242 169% vs specialty avg

2023 prescription claims

Specialty avg: 833

Specialty distribution in Arizona

How Gastroenterology Physician compares to other specialties among Arizona providers

Arizona providers

Largest specialties in Arizona (% of in-state providers)

Pharmacist — 5.6%Pharmacist5.6%Behavior Technician — 5.6%Behavior Technician5.6%Family Nurse Practitioner — 4.3%Family Nurse Practitioner4.3%Physical Therapist — 4.2%Physical Therapist4.2%Speech-Language Pathologist — 3.5%Speech-Language Pathologist3.5%Student in an Organized Health Care Education/Training Program — 3.5%Student in an Organized Health Care Education/Training Program3.5%Gastroenterology Physician — 0.3%Gastroenterology Physician0.3%
Largest specialties in Arizona (% of in-state providers)

Specialty board-certification context

Estimated specialty board-certified rate — Gastroenterology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Gastroenterology Physician ABMS/AOA estimate

Est. board-certified rate (Gastroenterology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Gastroenterology Physician) — ABMS / AOA estimate

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).

Alpesh Patel, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 10238 E HAMPTON AVE STE 205, Mesa, AZ, 85209, with a listed phone of (480) 856-8252. NPI 1003906751 was issued on 10/13/2006. 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 2,242 prescription claims written by this provider, covering 701 Medicare beneficiaries and totaling roughly $384K in drug spend, split 5% brand-name and 95% generic by claim count. 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.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

10238 E HAMPTON AVE STE 205
Mesa, AZ 85209

Provider Details

NPI 1003906751
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 10/13/2006

Hospital and facility affiliations

Facilities where Alpesh Patel, M.D. 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.

North Carolina MG LLC
Raleigh, NC
The Group Gastro, LLC
Mesa, AZ
Unc Physicians Network LLC
Goldsboro, NC

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

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 Alpesh Patel, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.2K

Largest payer

Phathom Pharmaceuticals, 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 · Generic-heavy

Alpesh Patel, M.D. — brand share 5.0%
Gastroenterology Physician average

5% brand-name claims vs 95% generic, on 2,242 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.

2,242
Total Claims
$384K
Total Drug Cost
701
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,619
Total Day Supply
131,282
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$324K
Generic Drug Cost
$59K
Antibiotic Claims
72

Patient Demographics

Average Patient Age
69.3 years
Avg HCC Risk Score
1.05
Gender Split
60% female / 40% male
Age Distribution
<65: 138, 65-74: 389, 75-84: 157, 85+: 17

Top Prescribed Drugs (Medicare Part D)

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

What Alpesh Patel, M.D. 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
Pantoprazole Sodium
969
Omeprazole
303
Hydrocortisone
289
Famotidine
133
Procto-Med Hc
Hydrocortisone
94
Linzess
Linaclotide
54
Prednisone
31
Dicyclomine Hcl
30
Esomeprazole Magnesium
29
Lansoprazole
23

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

Gastroenterology Physician Overview

How Alpesh Patel, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

Alpesh Patel, M.D.'s 2,242 claims are above the specialty average of 833.

Nearby Gastroenterology Physician Providers in Arizona

Other clinicians with the same primary specialty enrolled in Arizona, drawn from the same CMS NPPES roster as Patel.

Compare Gastroenterology 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 Arizona medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Gastroenterology 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.

Frequently Asked Questions

What is Alpesh Patel, M.D.'s specialty?
Alpesh Patel, M.D. specializes in Gastroenterology Physician and practices in Mesa, Arizona. Credentials: M.D..
How much does Alpesh Patel, M.D. prescribe under Medicare Part D?
In 2023, Alpesh Patel, M.D. wrote 2,242 Medicare Part D claims totaling $384K in drug costs for 701 beneficiaries.
Where is Alpesh Patel, M.D. located?
Alpesh Patel, M.D. is located at 10238 E HAMPTON AVE STE 205, Mesa, AZ, 85209. Phone: (480) 856-8252.
What is Alpesh Patel, M.D.'s NPI number?
Alpesh Patel, M.D.'s National Provider Identifier (NPI) is 1003906751, issued on 10/13/2006.
Does Alpesh Patel, M.D. prescribe more brand-name or generic drugs?
Alpesh Patel, M.D.'s prescribing is 5% brand-name and 95% generic drugs by claim count, with $324K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Alpesh Patel, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Alpesh Patel, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Omeprazole, Hydrocortisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Alpesh Patel, M.D. accept Medicare?
Alpesh Patel, M.D. appears in CMS Medicare data with 2,242 Part D claims and 701 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Alpesh Patel, M.D.'s credentials?
Alpesh Patel, M.D.'s NPI is 1003906751 with credentials M.D.. 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.
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

Compiled from official public sources by the PlainDoctor editorial team.