2026 NPPES data Physician Assistant NPI 1366096869 PA-C
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Arti Patel, PA-C

Physician Assistant in Avon, 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
252
Medicare Part D claims · 183 beneficiaries · Physician Assistant avg: 790
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$29.64
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Arti Patel, PA-C reported a CMS MIPS final score of 85/100 — above the 83.1 national average — and filed 252 Medicare Part D claims in 2023.

85/100
MIPS score · +2 vs avg
252
Part D claims, 2023
90%
generic prescribing
$29.64
industry payments (Sunshine Act)

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.

Arti Patel, PA-C's MIPS score vs every scored U.S. clinician

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

85 45th percentile higher than 45% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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

What does the federal data show about Arti Patel, PA-C?

Near national average

NPI registry status

Active

Issued 08/01/2019

NPI 1366096869

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

252 68% vs specialty avg

2023 prescription claims

Specialty avg: 790

MIPS final score

85/100 1.9 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Connecticut

How Physician Assistant compares to other specialties among Connecticut providers

Connecticut providers

Physician Assistant share within Connecticut

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within Connecticut

Medicare quality performance — MIPS

Arti Patel, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average

Near national average
MIPS Final Score
85/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physician Assistant) — 85/100 vs national avg 83.1

0%100%National avg83%85%
MIPS final score (Physician Assistant) — 85/100 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).

Arti Patel, PA-C appears in the CMS NPPES registry as a Physician Assistant provider holding PA-C credentials at 385 W MAIN ST, Avon, CT, 06001, with a listed phone of (860) 777-1280. NPI 1366096869 was issued on 08/01/2019. 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 252 prescription claims written by this provider, covering 183 Medicare beneficiaries and totaling roughly $4K in drug spend, split 10% brand-name and 90% 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 85/100 for the 2023 performance year (Quality 88.1, Cost 54.5), compared with the national average of 83.1.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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

385 W MAIN ST
Avon, CT 06001

Provider Details

NPI 1366096869
Specialty Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 08/01/2019

CMS Quality Score (MIPS)

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

84.9594
Final Score
Avg: 83.1
88.1348
Quality
54.5415
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Arti Patel, PA-C 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.

First Choice Health Centers Inc
East Hartford, CT
Hartford Healthcare Urgent Care Centers LLC
Milford, CT

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 Arti Patel, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$30

Largest payer

Alkermes, 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 · Typical

Arti Patel, PA-C — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 252 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.

252
Total Claims
$4K
Total Drug Cost
183
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
275
Total Day Supply
3,805
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$1K
Generic Drug Cost
$2K
Antibiotic Claims
91

Patient Demographics

Average Patient Age
66.6 years
Avg HCC Risk Score
0.93
Gender Split
74% female / 26% male
Age Distribution
<65: 40, 65-74: 111, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What Arti Patel, PA-C 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
Paxlovid (Eua)
Nirmatrelvir/Ritonavir
37
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
28
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
20
Fluticasone Propionate
16
Doxycycline Hyclate
15
Prednisone
15
Ondansetron Hcl
12
Albuterol Sulfate Hfa
Albuterol Sulfate
11

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

Physician Assistant Overview

How Arti Patel, PA-C fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

Arti Patel, PA-C's 252 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Connecticut

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

Compare Physician Assistant 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 Physician Assistant 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 Arti Patel, PA-C's specialty?
Arti Patel, PA-C specializes in Physician Assistant and practices in Avon, Connecticut. Credentials: PA-C.
How much does Arti Patel, PA-C prescribe under Medicare Part D?
In 2023, Arti Patel, PA-C wrote 252 Medicare Part D claims totaling $4K in drug costs for 183 beneficiaries.
What is Arti Patel, PA-C's Medicare quality score?
Arti Patel, PA-C has a CMS MIPS Final Score of 85/100 (Quality: 88.1, Cost: 54.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Arti Patel, PA-C located?
Arti Patel, PA-C is located at 385 W MAIN ST, Avon, CT, 06001. Phone: (860) 777-1280.
What is Arti Patel, PA-C's NPI number?
Arti Patel, PA-C's National Provider Identifier (NPI) is 1366096869, issued on 08/01/2019.
Does Arti Patel, PA-C prescribe more brand-name or generic drugs?
Arti Patel, PA-C's prescribing is 10% brand-name and 90% generic drugs by claim count, with $1K in brand drug costs.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does Arti Patel, PA-C prescribe most often?
Based on 2023 Medicare Part D data, Arti Patel, PA-C's most frequently prescribed drugs include Paxlovid (Eua), Amoxicillin-Clavulanate Potass, Nitrofurantoin Mono-Macro. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Arti Patel, PA-C accept Medicare?
Arti Patel, PA-C appears in CMS Medicare data with 252 Part D claims and 183 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Arti Patel, PA-C's credentials?
Arti Patel, PA-C's NPI is 1366096869 with credentials PA-C. 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