NPI registry status
Active
2026 NPPES data Specialist NPI 1003876657 MD
Verify on CMS → Bipin Patadia, MD
Specialist in Upland, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,608 in Specialist, 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
2K
Medicare Part D claims · 169 beneficiaries · Specialist avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
28.9/100
▼ 55 pts below national avg 83.5 · Below average
Industry payments
$16.63
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Bipin Patadia, MD reported a CMS MIPS final score of 28.9/100 - below the 83.5 national average - and filed 1,654 Medicare Part D claims in 2023.
- 28.9/100
- MIPS score · -55 vs avg
- 2K
- Part D claims, 2023
- 90%
- generic prescribing
- $16.63
- 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.
Bipin Patadia, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
29 ≥ 3rd percentile 3% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Bipin Patadia, MD sits
This provider among specialist peers
Across the 4,261 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Bipin Patadia, MD writes more Part D claims than 68% of them and scores higher on MIPS quality than 14% - placing this provider in the high-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 specialist peer from a representative sample of 60; the gold marker is Bipin Patadia, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Bipin Patadia, MD?
Below national averagePrimary specialty
Specialist
Medicare Part D claims
1,654 12% vs specialty avg
MIPS final score
28.9/100 54.6 pts vs avg
Specialty distribution in California
How Specialist compares to other specialties among California providers
Medicare quality performance, MIPS
Bipin Patadia, MD's 2023 MIPS final score plotted against the Specialist national average
- MIPS Final Score
- 28.9/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Specialist) - 28.9/100 vs national avg 83.5
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).
Bipin Patadia, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 630 N 13TH AVE, Upland, CA, 91786, with a listed phone of (909) 946-5851. NPI 1003876657 was issued on 03/27/2006.
Medicare Part D records for calendar year 2023 show 1,654 prescription claims written by this provider, covering 169 Medicare beneficiaries and totaling roughly $152K in drug spend, split 10% brand-name and 90% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 28.9/100 for the 2023 performance year (Quality 0, Cost 96.3), compared with the 83.5 average among clinicians with a measured score.
Specialist is a high-volume specialty nationwide, with 69,608 enrolled providers across 55 states and an average of 1,474 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 | 1003876657 |
|---|---|
| Specialty | Specialist |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/27/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
28.8971
Final Score
Measured-score avg: 83.5
0
Quality
96.3238
Cost
Reporting: Individual
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 Bipin Patadia, MD. Source: openpaymentsdata.cms.gov.
Total received
$17
Largest payer
PFIZER 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.
License & disciplinary context - California MBC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 - they are NOT specific to Bipin Patadia, MD. To verify Bipin Patadia, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Bipin Patadia, MD - brand share 10.0%
Specialist average
10% brand-name claims vs 90% generic, on 1,654 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.
1,654
Total Claims
$152K
Total Drug Cost
169
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,718
- Total Day Supply
- 111,064
- Brand vs Generic
- 10% brand / 90% generic
- Brand Drug Cost
- $116K
- Generic Drug Cost
- $36K
Patient Demographics
- Average Patient Age
- 77.0 years
- Avg HCC Risk Score
- 1.35
- 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 Bipin Patadia, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
144 claims
- Amlodipine Besylate
Amlodipine Besylate
121 claims
- Potassium Chloride
Potassium Chloride
111 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
84 claims
- Carvedilol
Carvedilol
69 claims
- Eliquis
Eliquis
69 claims
- Metoprolol Succinate
Metoprolol Succinate
65 claims
- Nifedipine Er
Nifedipine Er
65 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 144 |
| Amlodipine Besylate | 121 |
| Potassium Chloride | 111 |
| Rosuvastatin Calcium | 84 |
| Carvedilol | 69 |
| Eliquis Apixaban | 69 |
| Metoprolol Succinate | 65 |
| Nifedipine Er Nifedipine | 65 |
| Ezetimibe | 52 |
| Atenolol | 49 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Specialist Overview
How Bipin Patadia, MD fits within the Specialist landscape nationally.
69,608
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider
Bipin Patadia, MD's 1,654 claims are above the specialty average of 1,474.
Nearby Specialist Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Patadia.
Adrienne Abad Santos
San Francisco, CA
Dr. Brenda Abarca
MD
Torrance, CA
Dr. Fatemeh Abbasi
PT
Van Nuys, CA
Dr. Erlinda Abcede
M.D.
Cudahy, CA
Dr. Maher Abdallah
M.D.
Palm Springs, CA
Compare Specialist 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 California medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Specialist 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.
Healthcare Guides
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Medical Specialties Explained
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How insurance networks affect your costs
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Frequently Asked Questions
What is Bipin Patadia, MD's specialty? ▼
Bipin Patadia, MD specializes in Specialist and practices in Upland, California. Credentials: MD.
How much does Bipin Patadia, MD prescribe under Medicare Part D? ▼
In 2023, Bipin Patadia, MD wrote 1,654 Medicare Part D claims totaling $152K in drug costs for 169 beneficiaries.
What is Bipin Patadia, MD's Medicare quality score? ▼
Bipin Patadia, MD has a CMS MIPS Final Score of 28.9/100 (Quality: 0, Cost: 96.3). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Bipin Patadia, MD located? ▼
Bipin Patadia, MD is located at 630 N 13TH AVE, Upland, CA, 91786. Phone: (909) 946-5851.
What is Bipin Patadia, MD's NPI number? ▼
Bipin Patadia, MD's National Provider Identifier (NPI) is 1003876657, issued on 03/27/2006.
Does Bipin Patadia, MD prescribe more brand-name or generic drugs? ▼
Bipin Patadia, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $116K in brand drug costs.
How many Specialist providers are there in the US? ▼
There are 69,608 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does Bipin Patadia, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Bipin Patadia, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Potassium Chloride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Bipin Patadia, MD accept Medicare? ▼
Bipin Patadia, MD appears in CMS Medicare data with 1,654 Part D claims and 169 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Bipin Patadia, MD's credentials? ▼
Bipin Patadia, MD's NPI is 1003876657 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
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
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.