2026 NPPES data Clinical Cardiac Electrophysiology Physician NPI 1295725463 MD
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ANSHUL PATEL, MD

Clinical Cardiac Electrophysiology Physician in ATLANTA, Georgia. 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 · 534 beneficiaries · Clinical Cardiac Electrophysiology Physician avg: 2K
Generic prescribing
66%
generic claims · 34% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.2614/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$3.8K
63 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ANSHUL PATEL, MD reported a CMS MIPS final score of 92.2614/100 — above the 83.1 national average — and filed 2,708 Medicare Part D claims in 2023.

92.2614/100
MIPS score · +9 vs avg
3K
Part D claims, 2023
66%
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.

ANSHUL 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

92 Top 32% higher than 68% 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)

ANSHUL PATEL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 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 ANSHUL PATEL, MD?

High performer (top quartile)

NPI registry status

Active

Issued 10/27/2005

NPI 1295725463

Primary specialty

Clinical Cardiac Electrophysiology Physician

Niche

1,570 US NPIs in this specialty

Medicare Part D claims

2,708 70% vs specialty avg

2023 prescription claims

Specialty avg: 1,596

MIPS final score

92.2614/100 9.1614% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Clinical Cardiac Electrophysiology Physician compares to other specialties among Georgia providers

Georgia providers

Clinical Cardiac Electrophysiology Physician share within Georgia

1. Clinical Cardiac Electrophysiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Cardiac Electrophysiology Physician share within Georgia

Medicare quality performance — MIPS

ANSHUL PATEL, MD's 2023 MIPS final score plotted against the Clinical Cardiac Electrophysiology Physician national average

High performer (top quartile)
MIPS Final Score
92.2614/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Clinical Cardiac Electrophysiology Physician) — 92.2614/100 vs national avg 83.1

0%100%National avg83%92.3%
MIPS final score (Clinical Cardiac Electrophysiology Physician) — 92.2614/100 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).

ANSHUL PATEL, MD is a Clinical Cardiac Electrophysiology Physician provider practicing in ATLANTA, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1295725463. 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.

ANSHUL PATEL, MD appears in the CMS NPPES registry as a Clinical Cardiac Electrophysiology Physician provider holding MD credentials at 5671 PEACHTREE DUNWOODY RD, ATLANTA, GA, 30342, with a listed phone of (404) 778-6070. NPI 1295725463 was issued on 10/27/2005. 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 2,708 prescription claims written by this provider, covering 534 Medicare beneficiaries and totaling roughly $1.4 million in drug spend, split 34% brand-name and 66% generic by claim count, with an opioid prescribing rate of 0.7%. 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 92.2614/100 for the 2023 performance year (Quality 73.8353), compared with the national average of 83.1.

Clinical Cardiac Electrophysiology Physician is a narrow specialty nationwide, with 1,570 enrolled providers across 52 states and an average of 1,596 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

5671 PEACHTREE DUNWOODY RD
ATLANTA, GA 30342

Provider Details

NPI 1295725463
Specialty Clinical Cardiac Electrophysiology Physician
Credentials MD
Gender Male
NPI Issued 10/27/2005

CMS Quality Score (MIPS)

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

92.2614
Final Score
Avg: 83.1
73.8353
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where ANSHUL 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.

ST FRANCIS PHYSICIAN PRACTICES LLC
COLUMBUS, GA
THE EMORY CLINIC INC
ATLANTA, GA

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 ANSHUL PATEL, MD. Source: openpaymentsdata.cms.gov.

Total received

$3.8K

Largest payer

Medtronic, 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 · Above average

ANSHUL PATEL, MD — brand share 34.0%
Specialty average (est.)

34% brand-name claims vs 66% generic, on 2,708 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.

2,708
Total Claims
$1.4M
Total Drug Cost
534
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,587
Total Day Supply
195,505
Brand vs Generic
34% brand / 66% generic
Brand Drug Cost
$1.3M
Generic Drug Cost
$83K
Opioid Claims
19 (0.7% rate)
Antibiotic Claims
12

Patient Demographics

Average Patient Age
75.8 years
Avg HCC Risk Score
1.42
Gender Split
42% female / 58% male
Age Distribution
<65: 23, 65-74: 193, 75-84: 254, 85+: 64

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Eliquis
Apixaban
533
Metoprolol Succinate
330
Flecainide Acetate
280
Xarelto
Rivaroxaban
279
Sotalol
Sotalol Hcl
114
Atorvastatin Calcium
104
Amiodarone Hcl
96
Amlodipine Besylate
79
Carvedilol
79
Losartan Potassium
65

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

Clinical Cardiac Electrophysiology Physician Overview

How ANSHUL PATEL, MD fits within the Clinical Cardiac Electrophysiology Physician landscape nationally.

1,570
Clinical Cardiac Electrophysiology Physician Providers in US
52
States with Clinical Cardiac Electrophysiology Physician
1,596
Avg Claims per Provider

ANSHUL PATEL, MD's 2,708 claims are above the specialty average of 1,596.

Nearby Clinical Cardiac Electrophysiology Physician Providers in Georgia

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

Compare Clinical Cardiac Electrophysiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANSHUL PATEL, MD's specialty?
ANSHUL PATEL, MD specializes in Clinical Cardiac Electrophysiology Physician and practices in ATLANTA, Georgia. Credentials: MD.
How much does ANSHUL PATEL, MD prescribe under Medicare Part D?
In 2023, ANSHUL PATEL, MD wrote 2,708 Medicare Part D claims totaling $1.4M in drug costs for 534 beneficiaries.
What is ANSHUL PATEL, MD's Medicare quality score?
ANSHUL PATEL, MD has a CMS MIPS Final Score of 92.2614/100 (Quality: 73.8353). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANSHUL PATEL, MD located?
ANSHUL PATEL, MD is located at 5671 PEACHTREE DUNWOODY RD, ATLANTA, GA, 30342. Phone: (404) 778-6070.
What is ANSHUL PATEL, MD's NPI number?
ANSHUL PATEL, MD's National Provider Identifier (NPI) is 1295725463, issued on 10/27/2005.
Does ANSHUL PATEL, MD prescribe more brand-name or generic drugs?
ANSHUL PATEL, MD's prescribing is 34% brand-name and 66% generic drugs by claim count, with $1.3M in brand drug costs.
Does ANSHUL PATEL, MD prescribe opioids?
Yes, ANSHUL PATEL, MD had 19 opioid claims in 2023 with an opioid prescribing rate of 0.7%.
How many Clinical Cardiac Electrophysiology Physician providers are there in the US?
There are 1,570 Clinical Cardiac Electrophysiology Physician providers across 52 states in the US. The average Clinical Cardiac Electrophysiology Physician provider writes 1,596 Medicare Part D claims per year.
What drugs does ANSHUL PATEL, MD prescribe most often?
Based on 2023 Medicare Part D data, ANSHUL PATEL, MD's most frequently prescribed drugs include Eliquis, Metoprolol Succinate, Flecainide Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANSHUL PATEL, MD accept Medicare?
ANSHUL PATEL, MD appears in CMS Medicare data with 2,708 Part D claims and 534 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANSHUL PATEL, MD's credentials?
ANSHUL PATEL, MD's NPI is 1295725463 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