2026 NPPES data Cardiovascular Disease Physician NPI 1043478118 MD
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ALPESH PATEL, MD

Cardiovascular Disease Physician in BRIDGEWATER, 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
3K
Medicare Part D claims · 351 beneficiaries · Cardiovascular Disease Physician avg: 3K
MIPS score
93.7128/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$829.19
37 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ALPESH PATEL, MD reported a CMS MIPS final score of 93.7128/100 — above the 83.1 national average — and filed 2,643 Medicare Part D claims in 2023.

93.7128/100
MIPS score · +11 vs avg
3K
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.

ALPESH PATEL, MD's MIPS score vs every scored U.S. clinician

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

94 Top 29% higher than 71% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

ALPESH PATEL, MD 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 ALPESH PATEL, MD?

High performer (top quartile)

NPI registry status

Active

Issued 05/27/2008

NPI 1043478118

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

2,643 13% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

93.7128/100 10.612800000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Cardiovascular Disease Physician compares to other specialties among New Jersey providers

New Jersey providers

Cardiovascular Disease Physician share within New Jersey

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

Medicare quality performance — MIPS

ALPESH PATEL, MD's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

High performer (top quartile)
MIPS Final Score
93.7128/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 93.7128/100 vs national avg 83.1

0%100%National avg83%93.7%
MIPS final score (Cardiovascular Disease Physician) — 93.7128/100 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).

ALPESH PATEL, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 245 UNION AVE STE 1A, BRIDGEWATER, NJ, 08807, with a listed phone of (908) 864-4027. NPI 1043478118 was issued on 05/27/2008. 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 2,643 prescription claims written by this provider, covering 351 Medicare beneficiaries and totaling roughly $476K 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 93.7128/100 for the 2023 performance year (Quality 77.7931), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

245 UNION AVE STE 1A
BRIDGEWATER, NJ 08807

Provider Details

NPI 1043478118
Specialty Cardiovascular Disease Physician
Credentials MD
Gender Male
NPI Issued 05/27/2008

CMS Quality Score (MIPS)

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

93.7128
Final Score
Avg: 83.1
77.7931
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where ALPESH PATEL, MD 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.

ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE
BRIDGEWATER, 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).

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, MD. Source: openpaymentsdata.cms.gov.

Total received

$829

Largest payer

Abbott Laboratories

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.

Medicare Part D Prescribing Data

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

2,643
Total Claims
$476K
Total Drug Cost
351
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,947
Total Day Supply
208,000
Generic Drug Cost
$49K

Patient Demographics

Average Patient Age
75.9 years
Avg HCC Risk Score
1.25
Gender Split
52% female / 48% male

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, MD 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
Amlodipine Besylate
316
Metoprolol Succinate
247
Rosuvastatin Calcium
232
Atorvastatin Calcium
226
Eliquis
Apixaban
203
Carvedilol
135
Lisinopril
117
Metoprolol Tartrate
115
Furosemide
106
Clopidogrel
Clopidogrel Bisulfate
89

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

Cardiovascular Disease Physician Overview

How ALPESH PATEL, MD fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

ALPESH PATEL, MD's 2,643 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease 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 Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ALPESH PATEL, MD's specialty?
ALPESH PATEL, MD specializes in Cardiovascular Disease Physician and practices in BRIDGEWATER, New Jersey. Credentials: MD.
How much does ALPESH PATEL, MD prescribe under Medicare Part D?
In 2023, ALPESH PATEL, MD wrote 2,643 Medicare Part D claims totaling $476K in drug costs for 351 beneficiaries.
What is ALPESH PATEL, MD's Medicare quality score?
ALPESH PATEL, MD has a CMS MIPS Final Score of 93.7128/100 (Quality: 77.7931). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ALPESH PATEL, MD located?
ALPESH PATEL, MD is located at 245 UNION AVE STE 1A, BRIDGEWATER, NJ, 08807. Phone: (908) 864-4027.
What is ALPESH PATEL, MD's NPI number?
ALPESH PATEL, MD's National Provider Identifier (NPI) is 1043478118, issued on 05/27/2008.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does ALPESH PATEL, MD prescribe most often?
Based on 2023 Medicare Part D data, ALPESH PATEL, MD's most frequently prescribed drugs include Amlodipine Besylate, Metoprolol Succinate, Rosuvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ALPESH PATEL, MD accept Medicare?
ALPESH PATEL, MD appears in CMS Medicare data with 2,643 Part D claims and 351 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ALPESH PATEL, MD's credentials?
ALPESH PATEL, MD's NPI is 1043478118 with credentials MD. 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