2026 NPPES data Pediatric Endocrinology Physician NPI 1851628358 DO
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ANISHA PATEL, DO

Pediatric Endocrinology Physician in NEW HAVEN, Connecticut. 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
21
Medicare Part D claims · Pediatric Endocrinology Physician avg: 151
Generic prescribing
38%
generic claims · 62% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.5637/100
▼ 10 pts below national avg 83.1 · [object Object]
What the federal data reveals: ANISHA PATEL, DO is a Pediatric Endocrinology Physician ([object Object]) practicing in NEW HAVEN, Connecticut with a Medicare Part D prescribing footprint of 21 claims — 62% brand-name prescribing . Their CMS MIPS Final Score of 73.5637/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ANISHA PATEL, DO reported a CMS MIPS final score of 73.5637 out of 100, below the 83.1 national average, and filed 21 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

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).

ANISHA PATEL, DO at a glance

Below national average

NPI registry status

Active

Issued 11/04/2009

NPI 1851628358

Primary specialty

Pediatric Endocrinology Physician

Niche

1,457 US NPIs in this specialty

Medicare Part D claims

21 86% vs specialty avg

2023 prescription claims

Specialty avg: 151

MIPS final score

73.5637/100 9.536299999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Connecticut

How Pediatric Endocrinology Physician compares to other specialties among Connecticut providers

Connecticut providers

Pediatric Endocrinology Physician share within Connecticut

1. Pediatric Endocrinology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Endocrinology Physician share within Connecticut

Medicare quality performance — MIPS

ANISHA PATEL, DO's 2023 MIPS final score plotted against the Pediatric Endocrinology Physician national average

Below national average
MIPS Final Score
73.5637/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Endocrinology Physician) — 73.5637/100 vs national avg 83.1

0%100%National avg83%73.6%
MIPS final score (Pediatric Endocrinology Physician) — 73.5637/100 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).

ANISHA PATEL, DO is a Pediatric Endocrinology Physician provider practicing in NEW HAVEN, Connecticut, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1851628358. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

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. 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 21 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $556 in drug spend, split 62% brand-name and 38% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 73.5637/100 for the 2023 performance year (Quality 75.8435, Cost 51.4318), compared with the national average of 83.1.

Pediatric Endocrinology Physician is a narrow specialty nationwide, with 1,457 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

1 LONG WHARF DR
NEW HAVEN, CT 06511

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%
Specialty average (est.)

62% brand-name claims vs 38% 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 / 38% 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.

1,457
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.

Compare Pediatric Endocrinology Physician nationally: see state-by-state distribution →

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 73.5637/100 (Quality: 75.8435, Cost: 51.4318). 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 38% generic drugs by claim count, with $65 in brand drug costs.
How many Pediatric Endocrinology Physician providers are there in the US?
There are 1,457 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

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