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2026 NPPES data Internal Medicine Physician NPI 1073538385 M.D.
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Derek Patel, M.D.

Internal Medicine Physician in San Diego, 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 174,792 in Internal Medicine Physician, 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
743
Medicare Part D claims · 265 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
79.4/100
▼ 4 pts below national avg 83.5 · Above neutral
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Derek Patel, M.D. reported a CMS MIPS final score of 79.4/100 - below the 83.5 national average - and filed 743 Medicare Part D claims in 2024.

79.4/100
MIPS score · -4 vs avg
743
Part D claims, 2024
Likely
board-certified (heuristic)
≥26th
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Derek Patel, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1073538385), first enumerated 07/13/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 743 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 79.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • State context

    State board disciplinary context

    California statewide board action statistics are published annually — these figures describe aggregate state activity, not Derek Patel, M.D.'s individual license status. Verify directly with the state medical board.

    Source: MBC annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1073538385 · Internal Medicine Physician

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-BELOW · RX-LIGHT · BOOK-MID · PHOTO-FINISH

  • NPI-10 1073538385
  • ENUM-LEGACY 2006
  • TAX-MEGA 175K Internal Medicine
  • MIPS-BELOW 79.4/100
  • RX-LIGHT 743
  • BOOK-MID 20,403 in California
  • PHOTO-FINISH Shiv Desai · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Derek Patel, M.D.'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.

79 ≥ 26th percentile 26% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Derek Patel, M.D. sits

This provider among internal medicine physician peers

Across the 34,612 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Derek Patel, M.D. writes more Part D claims than 52% of them and scores higher on MIPS quality than 27% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 33Derek Patel, M.D., Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 27
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Derek Patel, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Derek Patel, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Derek Patel, M.D.?

Near national average

NPI registry status

Active

Issued 07/13/2006

NPI 1073538385

Primary specialty

Internal Medicine Physician

High-volume

174,792 US NPIs in this specialty

Medicare Part D claims

743 73% vs specialty avg

2024 prescription claims

Specialty avg: 2,785

MIPS final score

79.4/100 4.1 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in California

How Internal Medicine Physician compares to other specialties among California providers

California providers
Behavior Technician17.9%Marriage & Family Therapist5.4%Student in an Organized Heal…5.1%Mental Health Counselor3.7%Pharmacist3.4%Clinical Social Worker3.1%Internal Medicine Physician2.1%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Derek Patel, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

Near national average
MIPS Final Score
79.4/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%79.4%
MIPS final score (Internal Medicine Physician) - 79.4/100 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).

Practice Address

200 W ARBOR DR
San Diego, CA 92103
(619) 543-5321

Provider Details

NPI 1073538385
Specialty Internal Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 07/13/2006

CMS Quality Score (MIPS)

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

79.4433
Final Score
Measured-score avg: 83.5
88.3333
Quality
69.5333
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where Derek Patel, M.D. 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.

Regents OF The University OF California
San Diego, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 Derek Patel, M.D.. To verify Derek Patel, M.D.'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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

743
Total Claims
$2.0M
Total Drug Cost
265
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,014.133
Total Day Supply
24,582
Generic Drug Cost
$25K
Antibiotic Claims
19

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.66
Gender Split
55% female / 45% male
Age Distribution
<65: 42, 65-74: 143, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Derek Patel, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Omeprazole
 104
Sod Sulf-Potass Sulf-Mag Sulf
Sodium, Potassium,mag Sulfates
62
Linzess
Linaclotide
53
Rinvoq
Upadacitinib
49
Stelara
Ustekinumab
45
Gavilyte-G
Peg3350/Sod Sulf,bicarb,cl/Kcl
40
Motegrity
Prucalopride Succinate
33
Peg 3350-Electrolyte
Sodium Chloride/Nahco3/Kcl/Peg
32
Dicyclomine Hcl
 29
Peg-3350 And Electrolytes
Peg3350/Sod Sulf,bicarb,cl/Kcl
24

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

More Internal Medicine Physician in CA → All providers in California → Compare specialties →

Internal Medicine Physician Overview

How Derek Patel, M.D. fits within the Internal Medicine Physician landscape nationally.

174,792
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,785
Avg Claims per Provider

Derek Patel, M.D.'s 743 claims are below the specialty average of 2,785.

Nationwide Internal Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Patel, both outside California so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (79.4 here).

Brijesh Goyal 79.4 NY Wasiq Rahman 79.4 NY Kelly Cobb 79.4 LA Shiv Desai 79.4 TX

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Christopher D Angelo Rochester, NY Chrissie Ott Portland, OR Jeffrey Hallazgo Fenton, MO Laurie Jepson Eagan, MN

Nearby Internal Medicine Physician Providers in California

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

One of 20,403 Internal Medicine Physician providers enrolled in California, 5 are shown here.

Dr. Jacob Aaron
MD
San Francisco, CA
Dr. Alistair Aaronson
MD
Stanford, CA
Dr. Jose Abad.
MD
Sacramento, CA
Dr. Donna Abare
MD
Oakland, CA
Marce Abare
Scotts Valley, CA

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Derek Patel, M.D.'s specialty? ▼
Derek Patel, M.D. specializes in Internal Medicine Physician and practices in San Diego, California. Credentials: M.D..
How much does Derek Patel, M.D. prescribe under Medicare Part D? ▼
In 2024, Derek Patel, M.D. wrote 743 Medicare Part D claims totaling $2.0M in drug costs for 265 beneficiaries.
What is Derek Patel, M.D.'s Medicare quality score? ▼
Derek Patel, M.D. has a CMS MIPS Final Score of 79.4/100 (Quality: 88.3, Cost: 69.5). 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 Derek Patel, M.D. located? ▼
Derek Patel, M.D. is located at 200 W ARBOR DR, San Diego, CA, 92103. Phone: (619) 543-5321.
What is Derek Patel, M.D.'s NPI number? ▼
Derek Patel, M.D.'s National Provider Identifier (NPI) is 1073538385, issued on 07/13/2006.
How many Internal Medicine Physician providers are there in the US? ▼
There are 174,792 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,785 Medicare Part D claims per year.
What drugs does Derek Patel, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Derek Patel, M.D.'s most frequently prescribed drugs include Omeprazole, Sod Sulf-Potass Sulf-Mag Sulf, Linzess. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Derek Patel, M.D. accept Medicare? ▼
Derek Patel, M.D. appears in CMS Medicare data with 743 Part D claims and 265 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Derek Patel, M.D.'s credentials? ▼
Derek Patel, M.D.'s NPI is 1073538385 with credentials M.D.. 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 (2024). 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 August 2026 (NPPES) / 2024 (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

Compiled from official public sources by the editorial process.

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 August 2026.