2026 NPPES data Radiation Oncology Physician NPI 1174746168 M.D.
Verify on CMS →

HEJAL PATEL, M.D.

Radiation Oncology Physician in DOTHAN, Alabama. 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
609
Medicare Part D claims · 224 beneficiaries · Radiation Oncology Physician avg: 186
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$399.89
11 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: HEJAL PATEL, M.D. is a Radiation Oncology Physician ([object Object]) practicing in DOTHAN, Alabama with a Medicare Part D prescribing footprint of 609 claims across 224 beneficiaries — 15% brand-name prescribing . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $399.89 across 11 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: HEJAL PATEL, M.D. reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 609 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

HEJAL 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).

HEJAL PATEL, M.D. at a glance

Below national average

NPI registry status

Active

Issued 04/10/2007

NPI 1174746168

Primary specialty

Radiation Oncology Physician

Mid-sized

6,018 US NPIs in this specialty

Medicare Part D claims

609 227% vs specialty avg

2023 prescription claims

Specialty avg: 186

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Alabama

How Radiation Oncology Physician compares to other specialties among Alabama providers

Alabama providers

Radiation Oncology Physician share within Alabama

1. Radiation Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Radiation Oncology Physician share within Alabama

Medicare quality performance — MIPS

HEJAL PATEL, M.D.'s 2023 MIPS final score plotted against the Radiation Oncology Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Radiation Oncology Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Radiation Oncology Physician) — 0/100 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).

HEJAL PATEL, M.D. is a Radiation Oncology Physician provider practicing in DOTHAN, Alabama, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1174746168. 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.

HEJAL PATEL, M.D. appears in the CMS NPPES registry as a Radiation Oncology Physician provider holding M.D. credentials at 4274 W MAIN ST, DOTHAN, AL, 36305, with a listed phone of (334) 793-2312. NPI 1174746168 was issued on 04/10/2007. 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 609 prescription claims written by this provider, covering 224 Medicare beneficiaries and totaling roughly $17K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 9.7%. 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 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Radiation Oncology Physician is a mid-sized specialty nationwide, with 6,018 enrolled providers across 52 states and an average of 186 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

4274 W MAIN ST
DOTHAN, AL 36305

Provider Details

NPI 1174746168
Specialty Radiation Oncology Physician
Credentials M.D.
Gender Male
NPI Issued 04/10/2007

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where HEJAL 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.

LIMITLESS PARTNERS
ANDALUSIA, AL

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 HEJAL PATEL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$400

Largest payer

AstraZeneca Pharmaceuticals LP

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

HEJAL PATEL, M.D. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 609 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.

609
Total Claims
$17K
Total Drug Cost
224
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
713
Total Day Supply
15,276
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$3K
Generic Drug Cost
$14K
Opioid Claims
59 (9.7% rate)
Antibiotic Claims
48

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.85
Gender Split
45% female / 55% male
Age Distribution
<65: 25, 65-74: 109, 75-84: 71, 85+: 19

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Tamsulosin Hcl
99
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
58
Omeprazole
46
Prednisone
44
Sucralfate
43
Anastrozole
41
Ondansetron Hcl
38
Silver Sulfadiazine
38
Ssd
Silver Sulfadiazine
37
Dexamethasone
26

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

Radiation Oncology Physician Overview

How HEJAL PATEL, M.D. fits within the Radiation Oncology Physician landscape nationally.

6,018
Radiation Oncology Physician Providers in US
52
States with Radiation Oncology Physician
186
Avg Claims per Provider

HEJAL PATEL, M.D.'s 609 claims are above the specialty average of 186.

Nearby Radiation Oncology Physician Providers in Alabama

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

Compare Radiation Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HEJAL PATEL, M.D.'s specialty?
HEJAL PATEL, M.D. specializes in Radiation Oncology Physician and practices in DOTHAN, Alabama. Credentials: M.D..
How much does HEJAL PATEL, M.D. prescribe under Medicare Part D?
In 2023, HEJAL PATEL, M.D. wrote 609 Medicare Part D claims totaling $17K in drug costs for 224 beneficiaries.
What is HEJAL PATEL, M.D.'s Medicare quality score?
HEJAL PATEL, M.D. has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HEJAL PATEL, M.D. located?
HEJAL PATEL, M.D. is located at 4274 W MAIN ST, DOTHAN, AL, 36305. Phone: (334) 793-2312.
What is HEJAL PATEL, M.D.'s NPI number?
HEJAL PATEL, M.D.'s National Provider Identifier (NPI) is 1174746168, issued on 04/10/2007.
Does HEJAL PATEL, M.D. prescribe more brand-name or generic drugs?
HEJAL PATEL, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $3K in brand drug costs.
Does HEJAL PATEL, M.D. prescribe opioids?
Yes, HEJAL PATEL, M.D. had 59 opioid claims in 2023 with an opioid prescribing rate of 9.7%.
How many Radiation Oncology Physician providers are there in the US?
There are 6,018 Radiation Oncology Physician providers across 52 states in the US. The average Radiation Oncology Physician provider writes 186 Medicare Part D claims per year.
What drugs does HEJAL PATEL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, HEJAL PATEL, M.D.'s most frequently prescribed drugs include Tamsulosin Hcl, Hydrocodone-Acetaminophen, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HEJAL PATEL, M.D. accept Medicare?
HEJAL PATEL, M.D. appears in CMS Medicare data with 609 Part D claims and 224 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HEJAL PATEL, M.D.'s credentials?
HEJAL PATEL, M.D.'s NPI is 1174746168 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

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