NPI registry status
Active
2026 NPPES data Geriatric Medicine (Internal Medicine) Physician NPI 1871584946 MD
Verify on CMS → Gaurang Patel, MD
Geriatric Medicine (Internal Medicine) Physician in Decatur, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 4,171 in Geriatric Medicine (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
343
Medicare Part D claims · 148 beneficiaries · Geriatric Medicine (Internal Medicine) Physician avg: 4K
MIPS score
67.2/100
▼ 16 pts below national avg 83.5 · Mid-tier
What the federal data shows
Gaurang Patel, MD reported a CMS MIPS final score of 67.2/100 - below the 83.5 national average - and filed 343 Medicare Part D claims in 2023.
- 67.2/100
- MIPS score · -16 vs avg
- 343
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥8th
- 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.
Gaurang Patel, 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.
67 ≥ 8th percentile 8% 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 Gaurang Patel, MD sits
This provider among geriatric medicine (internal medicine) physician peers
Across the 686 geriatric medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Gaurang Patel, MD writes more Part D claims than 22% of them and scores higher on MIPS quality than 12% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one geriatric medicine (internal medicine) physician peer from a representative sample of 60; the gold marker is Gaurang Patel, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Gaurang Patel, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations - 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 Gaurang Patel, MD?
Below national averagePrimary specialty
Geriatric Medicine (Internal Medicine) Physician
Medicare Part D claims
343 92% vs specialty avg
MIPS final score
67.2/100 16.3 pts vs avg
Specialty distribution in Illinois
How Geriatric Medicine (Internal Medicine) Physician compares to other specialties among Illinois providers
Medicare quality performance, MIPS
Gaurang Patel, MD's 2023 MIPS final score plotted against the Geriatric Medicine (Internal Medicine) Physician national average
- MIPS Final Score
- 67.2/100
- vs 83.5 national avg · 2023 performance year
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).
Gaurang Patel, MD appears in the CMS NPPES registry as a Geriatric Medicine (Internal Medicine) Physician provider holding MD credentials at 2300 N EDWARD ST, Decatur, IL, 62526, with a listed phone of (217) 876-3660. NPI 1871584946 was issued on 10/28/2005.
Medicare Part D records for calendar year 2023 show 343 prescription claims written by this provider, covering 148 Medicare beneficiaries and totaling roughly $21K in drug spend, with an opioid prescribing rate of 9.6%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 67.2/100 for the 2023 performance year (Quality 63.9, Cost 56.9), compared with the 83.5 average among clinicians with a measured score.
Geriatric Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 4,171 enrolled providers across 52 states and an average of 4,450 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 | 1871584946 |
|---|---|
| Specialty | Geriatric Medicine (Internal Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 10/28/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
67.1858
Final Score
Measured-score avg: 83.5
63.8613
Quality
56.8734
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Gaurang 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.
According to CMS billing records, Gaurang Patel, MD is affiliated with 3 Medicare-billing facilities, 2 of which carry a CMS Hospital overall star rating.
Decatur Memorial Hospital
★★★☆☆ 3/5
Decatur, IL
Acute Care Hospitals
CMS CCN: 140135
Taylorville Memorial Hospital
★★☆☆☆ 2/5
Taylorville, IL
Critical Access Hospitals
CMS CCN: 141339
Pana Community Hospital Association
Pana, IL
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 - Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 - they are NOT specific to Gaurang Patel, MD. To verify Gaurang Patel, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases
IDFPR 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 Illinois 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 2023.
343
Total Claims
$21K
Total Drug Cost
148
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 348
- Total Day Supply
- 5,748
- Generic Drug Cost
- $5K
- Opioid Claims
- 33 (9.6% rate)
- Antibiotic Claims
- 83
Patient Demographics
- Average Patient Age
- 73.2 years
- Avg HCC Risk Score
- 2.26
- Gender Split
- 57% female / 43% male
- Age Distribution
- <65: 26, 65-74: 47, 75-84: 46, 85+: 29
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Gaurang Patel, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prednisone
Prednisone
22 claims
- Doxycycline Hyclate
Doxycycline Hyclate
21 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
21 claims
- Cefuroxime
Cefuroxime
14 claims
- Pantoprazole Sodium
Pantoprazole Sodium
13 claims
- Cephalexin
Cephalexin
11 claims
- Metoprolol Succinate
Metoprolol Succinate
11 claims
| Drug | Claims |
|---|---|
| Prednisone | 22 |
| Doxycycline Hyclate | 21 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 21 |
| Cefuroxime Cefuroxime Axetil | 14 |
| Pantoprazole Sodium | 13 |
| Cephalexin | 11 |
| Metoprolol Succinate | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Geriatric Medicine (Internal Medicine) Physician in IL →
All providers in Illinois →
Compare specialties →
Geriatric Medicine (Internal Medicine) Physician Overview
How Gaurang Patel, MD fits within the Geriatric Medicine (Internal Medicine) Physician landscape nationally.
4,171
Geriatric Medicine (Internal Medicine) Physician Providers in US
52
States with Geriatric Medicine (Internal Medicine) Physician
4,450
Avg Claims per Provider
Gaurang Patel, MD's 343 claims are below the specialty average of 4,450.
Nearby Geriatric Medicine (Internal Medicine) Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Patel.
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 Illinois medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Geriatric Medicine (Internal Medicine) Physician 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
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Illinois
Frequently Asked Questions
What is Gaurang Patel, MD's specialty? ▼
Gaurang Patel, MD specializes in Geriatric Medicine (Internal Medicine) Physician and practices in Decatur, Illinois. Credentials: MD.
How much does Gaurang Patel, MD prescribe under Medicare Part D? ▼
In 2023, Gaurang Patel, MD wrote 343 Medicare Part D claims totaling $21K in drug costs for 148 beneficiaries.
What is Gaurang Patel, MD's Medicare quality score? ▼
Gaurang Patel, MD has a CMS MIPS Final Score of 67.2/100 (Quality: 63.9, Cost: 56.9). 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 Gaurang Patel, MD located? ▼
Gaurang Patel, MD is located at 2300 N EDWARD ST, Decatur, IL, 62526. Phone: (217) 876-3660.
What is Gaurang Patel, MD's NPI number? ▼
Gaurang Patel, MD's National Provider Identifier (NPI) is 1871584946, issued on 10/28/2005.
Does Gaurang Patel, MD prescribe opioids? ▼
Yes, Gaurang Patel, MD had 33 opioid claims in 2023 with an opioid prescribing rate of 9.6%.
How many Geriatric Medicine (Internal Medicine) Physician providers are there in the US? ▼
There are 4,171 Geriatric Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Geriatric Medicine (Internal Medicine) Physician provider writes 4,450 Medicare Part D claims per year.
What drugs does Gaurang Patel, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Gaurang Patel, MD's most frequently prescribed drugs include Prednisone, Doxycycline Hyclate, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Gaurang Patel, MD accept Medicare? ▼
Gaurang Patel, MD appears in CMS Medicare data with 343 Part D claims and 148 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gaurang Patel, MD's credentials? ▼
Gaurang Patel, MD's NPI is 1871584946 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.