NPI registry status
Active
2026 NPPES data Pediatric Endocrinology Physician NPI 1851628358 DO
Verify on CMS → Anisha Patel, DO
Pediatric Endocrinology Physician in New Haven, Connecticut.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,459 in Pediatric Endocrinology 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
21
Medicare Part D claims · Pediatric Endocrinology Physician avg: 151
Generic prescribing
0%
generic claims · 62% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.6/100
▼ 10 pts below national avg 83.1 · Mid-tier
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Anisha Patel, DO reported a CMS MIPS final score of 73.6/100 - below the 83.1 national average - and filed 21 Medicare Part D claims in 2023.
- 73.6/100
- MIPS score · -10 vs avg
- 21
- Part D claims, 2023
- 0%
- 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.
Anisha Patel, DO's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
74 11th percentile higher than 11% of 477,587 scored providers
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
Where Anisha Patel, DO sits
This provider among pediatric endocrinology physician peers
Across the 61 pediatric endocrinology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Anisha Patel, DO writes more Part D claims than 33% of them and scores higher on MIPS quality than 5% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pediatric endocrinology physician peer from a representative sample of 60; the gold marker is Anisha Patel, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Anisha Patel, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Anisha Patel, DO?
Below national averagePrimary specialty
Pediatric Endocrinology Physician
Medicare Part D claims
21 86% vs specialty avg
MIPS final score
73.6/100 9.5 pts vs avg
Specialty distribution in Connecticut
How Pediatric Endocrinology Physician compares to other specialties among Connecticut providers
Medicare quality performance, MIPS
Anisha Patel, DO's 2023 MIPS final score plotted against the Pediatric Endocrinology Physician national average
- MIPS Final Score
- 73.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatric Endocrinology Physician) - 73.6/100 vs national avg 83.1
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).
Anisha Patel, DO appears in the CMS NPPES registry as a Pediatric Endocrinology Physician provider holding DO credentials at 1 LONG WHARF DR, New Haven, CT, 06511, with a listed phone of (203) 785-5809. NPI 1851628358 was issued on 11/04/2009.
Medicare Part D records for calendar year 2023 show 21 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $556 in drug spend, split 62% brand-name and 0% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 73.6/100 for the 2023 performance year (Quality 75.8, Cost 51.4), compared with the national average of 83.1.
Pediatric Endocrinology Physician is a narrow specialty nationwide, with 1,459 enrolled providers across 51 states and an average of 151 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 | 1851628358 |
|---|---|
| Specialty | Pediatric Endocrinology Physician |
| Credentials | DO |
| Gender | Female |
| NPI Issued | 11/04/2009 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
73.5637
Final Score
Avg: 83.1
75.8435
Quality
51.4318
Cost
74
Promoting Interoperability
Reporting: Group practice
Brand vs generic prescribing mix · Brand-heavy
Anisha Patel, DO - brand share 62.0%
Pediatric Endocrinology Physician average
62% brand-name claims vs 0% generic, on 21 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.
21
Total Claims
$556
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 23
- Total Day Supply
- 690
- Brand vs Generic
- 62% brand / 0% generic
- Brand Drug Cost
- $65
Patient Demographics
- Average Patient Age
- 39.7 years
- Avg HCC Risk Score
- 3.39
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 17 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Endocrinology Physician Overview
How Anisha Patel, DO fits within the Pediatric Endocrinology Physician landscape nationally.
1,459
Pediatric Endocrinology Physician Providers in US
51
States with Pediatric Endocrinology Physician
151
Avg Claims per Provider
Anisha Patel, DO's 21 claims are below the specialty average of 151.
Nearby Pediatric Endocrinology Physician Providers in Connecticut
Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as Patel.
Dr. Laleh Ardeshirpour
M.D.
Farmington, CT
Dr. Raul Arguello
M.D.
Danbury, CT
Dr. Susan Boulware
MD
New Haven, CT
Dr. Sonia Caprio
MD
New Haven, CT
Dr. Thomas Carpenter
MD
New Haven, CT
Compare Pediatric Endocrinology 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 Connecticut medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric Endocrinology 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
What is Anisha Patel, DO's specialty? ▼
Anisha Patel, DO specializes in Pediatric Endocrinology Physician and practices in New Haven, Connecticut. Credentials: DO.
How much does Anisha Patel, DO prescribe under Medicare Part D? ▼
In 2023, Anisha Patel, DO wrote 21 Medicare Part D claims totaling $556 in drug costs for N/A beneficiaries.
What is Anisha Patel, DO's Medicare quality score? ▼
Anisha Patel, DO has a CMS MIPS Final Score of 73.6/100 (Quality: 75.8, Cost: 51.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Anisha Patel, DO located? ▼
Anisha Patel, DO is located at 1 LONG WHARF DR, New Haven, CT, 06511. Phone: (203) 785-5809.
What is Anisha Patel, DO's NPI number? ▼
Anisha Patel, DO's National Provider Identifier (NPI) is 1851628358, issued on 11/04/2009.
Does Anisha Patel, DO prescribe more brand-name or generic drugs? ▼
Anisha Patel, DO's prescribing is 62% brand-name and 0% generic drugs by claim count, with $65 in brand drug costs.
How many Pediatric Endocrinology Physician providers are there in the US? ▼
There are 1,459 Pediatric Endocrinology Physician providers across 51 states in the US. The average Pediatric Endocrinology Physician provider writes 151 Medicare Part D claims per year.
What drugs does Anisha Patel, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Anisha Patel, DO's most frequently prescribed drugs include Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Anisha Patel, DO accept Medicare? ▼
Anisha Patel, DO appears in CMS Medicare data with 21 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Anisha Patel, DO's credentials? ▼
Anisha Patel, DO's NPI is 1851628358 with credentials DO. 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
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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.
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.