2026 NPPES data Interventional Cardiology Physician NPI 1093036089 MD
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FALGUN PATEL, MD

Interventional Cardiology Physician in GAINESVILLE, Georgia. 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
3K
Medicare Part D claims · 468 beneficiaries · Interventional Cardiology Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.35/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$686.55
21 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

FALGUN PATEL, MD reported a CMS MIPS final score of 78.35/100 — below the 83.1 national average — and filed 2,547 Medicare Part D claims in 2023.

78.35/100
MIPS score · -5 vs avg
3K
Part D claims, 2023
88%
generic prescribing
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.

FALGUN 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

78 27th percentile higher than 27% 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)

FALGUN PATEL, MD 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 FALGUN PATEL, MD?

Near national average

NPI registry status

Active

Issued 06/14/2010

NPI 1093036089

Primary specialty

Interventional Cardiology Physician

Niche

3,382 US NPIs in this specialty

Medicare Part D claims

2,547 15% vs specialty avg

2023 prescription claims

Specialty avg: 2,984

MIPS final score

78.35/100 4.75% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Interventional Cardiology Physician compares to other specialties among Georgia providers

Georgia providers

Interventional Cardiology Physician share within Georgia

1. Interventional Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Cardiology Physician share within Georgia

Medicare quality performance — MIPS

FALGUN PATEL, MD's 2023 MIPS final score plotted against the Interventional Cardiology Physician national average

Near national average
MIPS Final Score
78.35/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Interventional Cardiology Physician) — 78.35/100 vs national avg 83.1

0%100%National avg83%78.4%
MIPS final score (Interventional Cardiology Physician) — 78.35/100 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).

FALGUN PATEL, MD is a Interventional Cardiology Physician provider practicing in GAINESVILLE, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1093036089. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

FALGUN PATEL, MD appears in the CMS NPPES registry as a Interventional Cardiology Physician provider holding MD credentials at 743 SPRING ST NE, GAINESVILLE, GA, 30501, with a listed phone of (770) 534-2020. NPI 1093036089 was issued on 06/14/2010. 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 2,547 prescription claims written by this provider, covering 468 Medicare beneficiaries and totaling roughly $337K in drug spend, split 12% brand-name and 88% 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 78.35/100 for the 2023 performance year (Quality 76.1744, Cost 60.8256), compared with the national average of 83.1.

Interventional Cardiology Physician is a narrow specialty nationwide, with 3,382 enrolled providers across 53 states and an average of 2,984 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

743 SPRING ST NE
GAINESVILLE, GA 30501

Provider Details

NPI 1093036089
Specialty Interventional Cardiology Physician
Credentials MD
Gender Male
NPI Issued 06/14/2010

CMS Quality Score (MIPS)

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

78.35
Final Score
Avg: 83.1
76.1744
Quality
60.8256
Cost
89
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where FALGUN PATEL, MD 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.

GEORGIA HEART INSTITUTE LLC
GAINESVILLE, GA

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

Total received

$687

Largest payer

ShockWave Medical, 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

FALGUN PATEL, MD — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 2,547 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.

2,547
Total Claims
$337K
Total Drug Cost
468
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,947
Total Day Supply
176,300
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$280K
Generic Drug Cost
$57K

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
1.52
Gender Split
35% female / 65% male
Age Distribution
<65: 53, 65-74: 228, 75-84: 163, 85+: 24

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
295
Clopidogrel
Clopidogrel Bisulfate
254
Metoprolol Succinate
226
Amlodipine Besylate
187
Rosuvastatin Calcium
163
Carvedilol
139
Isosorbide Mononitrate Er
Isosorbide Mononitrate
112
Ranolazine Er
Ranolazine
107
Losartan Potassium
88
Metoprolol Tartrate
78

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

Interventional Cardiology Physician Overview

How FALGUN PATEL, MD fits within the Interventional Cardiology Physician landscape nationally.

3,382
Interventional Cardiology Physician Providers in US
53
States with Interventional Cardiology Physician
2,984
Avg Claims per Provider

FALGUN PATEL, MD's 2,547 claims are below the specialty average of 2,984.

Nearby Interventional Cardiology Physician Providers in Georgia

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

Compare Interventional Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is FALGUN PATEL, MD's specialty?
FALGUN PATEL, MD specializes in Interventional Cardiology Physician and practices in GAINESVILLE, Georgia. Credentials: MD.
How much does FALGUN PATEL, MD prescribe under Medicare Part D?
In 2023, FALGUN PATEL, MD wrote 2,547 Medicare Part D claims totaling $337K in drug costs for 468 beneficiaries.
What is FALGUN PATEL, MD's Medicare quality score?
FALGUN PATEL, MD has a CMS MIPS Final Score of 78.35/100 (Quality: 76.1744, Cost: 60.8256). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is FALGUN PATEL, MD located?
FALGUN PATEL, MD is located at 743 SPRING ST NE, GAINESVILLE, GA, 30501. Phone: (770) 534-2020.
What is FALGUN PATEL, MD's NPI number?
FALGUN PATEL, MD's National Provider Identifier (NPI) is 1093036089, issued on 06/14/2010.
Does FALGUN PATEL, MD prescribe more brand-name or generic drugs?
FALGUN PATEL, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $280K in brand drug costs.
How many Interventional Cardiology Physician providers are there in the US?
There are 3,382 Interventional Cardiology Physician providers across 53 states in the US. The average Interventional Cardiology Physician provider writes 2,984 Medicare Part D claims per year.
What drugs does FALGUN PATEL, MD prescribe most often?
Based on 2023 Medicare Part D data, FALGUN PATEL, MD's most frequently prescribed drugs include Atorvastatin Calcium, Clopidogrel, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does FALGUN PATEL, MD accept Medicare?
FALGUN PATEL, MD appears in CMS Medicare data with 2,547 Part D claims and 468 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify FALGUN PATEL, MD's credentials?
FALGUN PATEL, MD's NPI is 1093036089 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