Hetal Patel, M.D.
Otolaryngology Physician · Peoria, IL
Hetal Patel, M.D. is an otolaryngology physician with a practice address in Peoria, Illinois, and NPI 1851684617, issued on May 25, 2011. Check the license on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Hetal Patel
- Credential
- M.D.
- Primary taxonomy
- Otolaryngology Physician 207Y00000X
- License number
- ME128163 FL
Self-reported in NPPES; status is on the state search - Practice location
- 7301 Knoxville Ave, Peoria, IL 61614
- Phone
- (309) 589-5900
- Enumerated
- May 25, 2011
- Record last updated
- Oct 2, 2017 (not updated in 9 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20171024002476); accepts Medicare assignment
- Medical or professional school
- Saint Louis University School Of Medicine, 2011
- Entity
- Type 1 · individual
8 nearest otolaryngology physician records → All 482 in Illinois → Look up another NPI →
Verify Hetal Patel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional RegulationCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
45% fewer Medicare Part D claims than the average otolaryngology physician in 2024
300 Medicare Part D claims for 142 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims. 28 claims were for opioids.
Most prescribed
- Fluticasone Propionate63 claims
- Ipratropium Bromide33 claims
- Amoxicillin-Clavulanate Potass30 claims
- Hydrocodone-Acetaminophen25 claims
- Fluocinolone Acetonide Oil19 claims
- Omeprazole18 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 71.8 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $467.67
14 payments; by number, the most common kind was food and beverage; the largest payer was Octapharma USA, Inc. The 6,429 providers of this specialty with any payment received $1,922.50 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Peoria Ear Nose And Throat Group SCPeoria, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Hetal Patel among 482 otolaryngology physician records in Illinois
Hetal Patel, M.D. is one of 482 otolaryngology physician records with a practice address in Illinois. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 64% of them.
- NPI issued2011 · 64% of these records are older, 35% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated2011 · median 2005 among the 290 with a school on file
- Record last updated2017 · 46% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Y00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Otolaryngology Physician providers in Illinois
There are 482 otolaryngology physician records in Illinois.
All 482 in Illinois → Every provider in Peoria → Otolaryngology Physician nationwide →
The 8 otolaryngology physician records with the nearest ZIP codes
- James Geraghty, MDPeoria, IL 616141417928128
- James Klemens, M.D.Peoria, IL 616141508065558
- Thomas Ocheltree, M.D.Bloomington, IL 617011326050881
- Robert Russell, M.D.Bloomington, IL 617011992813174
- Christopher Lansford, MDBloomington, IL 617041336181189
- Willard Noyes, M.D.Bloomington, IL 617041518076926
- Fordyce Stivers, MDCanton, IL 615201992771216
- Jay Chauhan, D.O.Normal, IL 617611639170731
Common questions
What is Hetal Patel, M.D.'s NPI number?
Hetal Patel, M.D.'s National Provider Identifier (NPI) is 1851684617, issued on May 25, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Hetal Patel, M.D. located?
The NPPES record lists a practice address at 7301 Knoxville Ave, Peoria, IL, 61614. Phone: (309) 589-5900. Providers update this record themselves, so call before visiting.
How can I verify Hetal Patel, M.D.'s license?
Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Hetal Patel, M.D. prescribe under Medicare Part D?
In 2024, Hetal Patel, M.D. had 300 Medicare Part D claims for 142 beneficiaries; the average among otolaryngology physician prescribers was 541. Part D covers Medicare prescriptions only.
What is Hetal Patel, M.D.'s MIPS final score?
The 2023 MIPS final score is 71.8 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.