CHIRAG PATEL
Family Nurse Practitioner in MADERA, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
CHIRAG PATEL filed 4,379 Medicare Part D claims in 2023 as a Family Nurse Practitioner in MADERA, California, prescribing 87% generic.
- 4K
- Part D claims, 2023
- 87%
- generic prescribing
- $89.06
- 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.
CHIRAG PATEL's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
4,379 Top 8% higher than 92% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about CHIRAG PATEL?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in California
How Family Nurse Practitioner compares to other specialties among California providers
Family Nurse Practitioner share within California
Family Nurse Practitioner is one of the more visible NUCC categories in California
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Family Nurse Practitioner (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Family Nurse Practitioner ABMS/AOA estimate
Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Family Nurse Practitioner US NPIs
Specialty board-certified rate — Family Nurse Practitioner estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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).
CHIRAG PATEL appears in the CMS NPPES registry as a Family Nurse Practitioner provider at 1130 COUNTRY CLUB DR STE E, MADERA, CA, 93638, with a listed phone of (559) 664-4000. NPI 1891160503 was issued on 12/07/2015. 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 4,379 prescription claims written by this provider, covering 535 Medicare beneficiaries and totaling roughly $402K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 1.0%. 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.
Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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 | 1891160503 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Gender | Male |
| NPI Issued | 12/07/2015 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm CHIRAG PATEL's current license status, disciplinary history, and board certifications with the Medical Board of California in California before relying on this page for a clinical or care decision.
How we sourced this profile
Hospital and facility affiliations
Facilities where CHIRAG PATEL 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.
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 CHIRAG PATEL. Source: openpaymentsdata.cms.gov.
Total received
$89
Largest payer
Lilly USA, LLC
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 CHIRAG PATEL. To verify CHIRAG PATEL's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
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
13% brand-name claims vs 87% generic, on 4,379 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.
Prescribing Breakdown
- 30-Day Fills
- 7,114
- Total Day Supply
- 201,447
- Brand vs Generic
- 13% brand / 87% generic
- Brand Drug Cost
- $329K
- Generic Drug Cost
- $70K
- Opioid Claims
- 43 (1.0% rate)
- Antibiotic Claims
- 164
Patient Demographics
- Average Patient Age
- 70.4 years
- Avg HCC Risk Score
- 1.27
- Gender Split
- 54% female / 46% male
- Age Distribution
- <65: 87, 65-74: 280, 75-84: 118, 85+: 50
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What CHIRAG PATEL prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
433 claims
- Metformin Hcl
Metformin Hcl
239 claims
- Lisinopril
Lisinopril
205 claims
- Amlodipine Besylate
Amlodipine Besylate
204 claims
- Levothyroxine Sodium
Levothyroxine Sodium
179 claims
- Losartan Potassium 146
Losartan Potassium
146 claims
- Omeprazole 130
Omeprazole
130 claims
- Simvastatin 126
Simvastatin
126 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 433 |
| Metformin Hcl | 239 |
| Lisinopril | 205 |
| Amlodipine Besylate | 204 |
| Levothyroxine Sodium | 179 |
| Losartan Potassium | 146 |
| Omeprazole | 130 |
| Simvastatin | 126 |
| Diclofenac Sodium | 118 |
| Hydrochlorothiazide | 109 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Nurse Practitioner Overview
How CHIRAG PATEL fits within the Family Nurse Practitioner landscape nationally.
CHIRAG PATEL's 4,379 claims are above the specialty average of 1,222.
Nearby Family Nurse Practitioner Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as PATEL.
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
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Frequently Asked Questions
What is CHIRAG PATEL's specialty? ▼
How much does CHIRAG PATEL prescribe under Medicare Part D? ▼
Where is CHIRAG PATEL located? ▼
What is CHIRAG PATEL's NPI number? ▼
Does CHIRAG PATEL prescribe more brand-name or generic drugs? ▼
Does CHIRAG PATEL prescribe opioids? ▼
How many Family Nurse Practitioner providers are there in the US? ▼
What drugs does CHIRAG PATEL prescribe most often? ▼
Does CHIRAG PATEL accept Medicare? ▼
How can I verify CHIRAG PATEL's credentials? ▼
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.
- 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