2026 NPPES data Urology Physician NPI 1851336184 MD
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BIREN PATEL, MD

Urology Physician in CASA GRANDE, Arizona. 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
6K
Medicare Part D claims · 2K beneficiaries · Urology Physician avg: 1K
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$831.51
40 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

BIREN PATEL, MD reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 6,111 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
6K
Part D claims, 2023
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.

BIREN 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

75 15th percentile higher than 15% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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

Board certification likely (heuristic — not verified)

BIREN PATEL, MD 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 BIREN PATEL, MD?

Below national average

NPI registry status

Active

Issued 06/19/2006

NPI 1851336184

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

6,111 377% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Arizona

How Urology Physician compares to other specialties among Arizona providers

Arizona providers

Urology Physician share within Arizona

1. Urology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Urology Physician share within Arizona

Medicare quality performance — MIPS

BIREN PATEL, MD's 2023 MIPS final score plotted against the Urology Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Urology Physician) — 75/100 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).

BIREN PATEL, MD appears in the CMS NPPES registry as a Urology Physician provider holding MD credentials at 1890 E FLORENCE BLVD, CASA GRANDE, AZ, 85122, with a listed phone of (520) 421-2565. NPI 1851336184 was issued on 06/19/2006. 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 6,111 prescription claims written by this provider, covering 1,725 Medicare beneficiaries and totaling roughly $802K in drug spend, with an opioid prescribing rate of 4.7%. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

1890 E FLORENCE BLVD
CASA GRANDE, AZ 85122

Provider Details

NPI 1851336184
Specialty Urology Physician
Credentials MD
Gender Male
NPI Issued 06/19/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

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

Total received

$832

Largest payer

PROCEPT BioRobotics Corporation

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

6,111
Total Claims
$802K
Total Drug Cost
1,725
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,347
Total Day Supply
265,447
Generic Drug Cost
$176K
Opioid Claims
289 (4.7% rate)
Antibiotic Claims
1,844

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
1.36
Gender Split
29% female / 71% male
Age Distribution
<65: 111, 65-74: 736, 75-84: 727, 85+: 151

Top Prescribed Drugs (Medicare Part D)

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

What BIREN PATEL, MD 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
Tamsulosin Hcl
1,173
Finasteride
1,025
Cephalexin
912
Diazepam
539
Oxybutynin Chloride
308
Tramadol Hcl
267
Amoxicillin
200
Ciprofloxacin Hcl
180
Cefdinir
162
Testosterone Cypionate
129

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

Urology Physician Overview

How BIREN PATEL, MD fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

BIREN PATEL, MD's 6,111 claims are above the specialty average of 1,280.

Nearby Urology Physician Providers in Arizona

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

Compare Urology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BIREN PATEL, MD's specialty?
BIREN PATEL, MD specializes in Urology Physician and practices in CASA GRANDE, Arizona. Credentials: MD.
How much does BIREN PATEL, MD prescribe under Medicare Part D?
In 2023, BIREN PATEL, MD wrote 6,111 Medicare Part D claims totaling $802K in drug costs for 1,725 beneficiaries.
What is BIREN PATEL, MD's Medicare quality score?
BIREN PATEL, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BIREN PATEL, MD located?
BIREN PATEL, MD is located at 1890 E FLORENCE BLVD, CASA GRANDE, AZ, 85122. Phone: (520) 421-2565.
What is BIREN PATEL, MD's NPI number?
BIREN PATEL, MD's National Provider Identifier (NPI) is 1851336184, issued on 06/19/2006.
Does BIREN PATEL, MD prescribe opioids?
Yes, BIREN PATEL, MD had 289 opioid claims in 2023 with an opioid prescribing rate of 4.7%.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does BIREN PATEL, MD prescribe most often?
Based on 2023 Medicare Part D data, BIREN PATEL, MD's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BIREN PATEL, MD accept Medicare?
BIREN PATEL, MD appears in CMS Medicare data with 6,111 Part D claims and 1,725 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BIREN PATEL, MD's credentials?
BIREN PATEL, MD's NPI is 1851336184 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