2026 NPPES data Surgical Physician Assistant NPI 1558616219 PA-C
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HETAL PATEL, PA-C

Surgical Physician Assistant in MARIETTA, 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
287
Medicare Part D claims · 137 beneficiaries · Surgical Physician Assistant avg: 316
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.9348/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$228.25
9 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

HETAL PATEL, PA-C reported a CMS MIPS final score of 92.9348/100 — above the 83.1 national average — and filed 287 Medicare Part D claims in 2023.

92.9348/100
MIPS score · +10 vs avg
287
Part D claims, 2023
86%
generic prescribing
$228.25
industry payments (Sunshine Act)

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.

HETAL PATEL, PA-C's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

93 Top 32% higher than 68% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

What does the federal data show about HETAL PATEL, PA-C?

High performer (top quartile)

NPI registry status

Active

Issued 07/18/2012

NPI 1558616219

Primary specialty

Surgical Physician Assistant

Mid-sized

16,119 US NPIs in this specialty

Medicare Part D claims

287 9% vs specialty avg

2023 prescription claims

Specialty avg: 316

MIPS final score

92.9348/100 9.834800000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Surgical Physician Assistant compares to other specialties among Georgia providers

Georgia providers

Surgical Physician Assistant share within Georgia

1. Surgical Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgical Physician Assistant share within Georgia

Medicare quality performance — MIPS

HETAL PATEL, PA-C's 2023 MIPS final score plotted against the Surgical Physician Assistant national average

High performer (top quartile)
MIPS Final Score
92.9348/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgical Physician Assistant) — 92.9348/100 vs national avg 83.1

0%100%National avg83%92.9%
MIPS final score (Surgical Physician Assistant) — 92.9348/100 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).

HETAL PATEL, PA-C appears in the CMS NPPES registry as a Surgical Physician Assistant provider holding PA-C credentials at 61 WHITCHER ST NE STE 4100B, MARIETTA, GA, 30060, with a listed phone of (770) 590-4180. NPI 1558616219 was issued on 07/18/2012. 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 287 prescription claims written by this provider, covering 137 Medicare beneficiaries and totaling roughly $26K in drug spend, split 14% brand-name and 86% 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 92.9348/100 for the 2023 performance year (Quality 80.3814), compared with the national average of 83.1.

Surgical Physician Assistant is a mid-sized specialty nationwide, with 16,119 enrolled providers across 54 states and an average of 316 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

61 WHITCHER ST NE STE 4100B
MARIETTA, GA 30060

Provider Details

NPI 1558616219
Specialty Surgical Physician Assistant
Credentials PA-C
Gender Female
NPI Issued 07/18/2012

CMS Quality Score (MIPS)

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

92.9348
Final Score
Avg: 83.1
80.3814
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where HETAL PATEL, PA-C 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.

WELLSTAR MEDICAL GROUP LLC
ROSWELL, 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 HETAL PATEL, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$228

Largest payer

Edwards Lifesciences Corporation

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

HETAL PATEL, PA-C — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 287 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.

287
Total Claims
$26K
Total Drug Cost
137
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
466
Total Day Supply
12,810
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$23K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
78.3 years
Avg HCC Risk Score
2.01
Gender Split
50% female / 50% male

Top Prescribed Drugs (Medicare Part D)

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

What HETAL PATEL, PA-C prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Clopidogrel
Clopidogrel Bisulfate
126
Eliquis
Apixaban
23
Metoprolol Succinate
13
Prednisone
11

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

Surgical Physician Assistant Overview

How HETAL PATEL, PA-C fits within the Surgical Physician Assistant landscape nationally.

16,119
Surgical Physician Assistant Providers in US
54
States with Surgical Physician Assistant
316
Avg Claims per Provider

HETAL PATEL, PA-C's 287 claims are below the specialty average of 316.

Nearby Surgical Physician Assistant Providers in Georgia

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

Compare Surgical Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is HETAL PATEL, PA-C's specialty?
HETAL PATEL, PA-C specializes in Surgical Physician Assistant and practices in MARIETTA, Georgia. Credentials: PA-C.
How much does HETAL PATEL, PA-C prescribe under Medicare Part D?
In 2023, HETAL PATEL, PA-C wrote 287 Medicare Part D claims totaling $26K in drug costs for 137 beneficiaries.
What is HETAL PATEL, PA-C's Medicare quality score?
HETAL PATEL, PA-C has a CMS MIPS Final Score of 92.9348/100 (Quality: 80.3814). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HETAL PATEL, PA-C located?
HETAL PATEL, PA-C is located at 61 WHITCHER ST NE STE 4100B, MARIETTA, GA, 30060. Phone: (770) 590-4180.
What is HETAL PATEL, PA-C's NPI number?
HETAL PATEL, PA-C's National Provider Identifier (NPI) is 1558616219, issued on 07/18/2012.
Does HETAL PATEL, PA-C prescribe more brand-name or generic drugs?
HETAL PATEL, PA-C's prescribing is 14% brand-name and 86% generic drugs by claim count, with $23K in brand drug costs.
How many Surgical Physician Assistant providers are there in the US?
There are 16,119 Surgical Physician Assistant providers across 54 states in the US. The average Surgical Physician Assistant provider writes 316 Medicare Part D claims per year.
What drugs does HETAL PATEL, PA-C prescribe most often?
Based on 2023 Medicare Part D data, HETAL PATEL, PA-C's most frequently prescribed drugs include Clopidogrel, Eliquis, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HETAL PATEL, PA-C accept Medicare?
HETAL PATEL, PA-C appears in CMS Medicare data with 287 Part D claims and 137 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HETAL PATEL, PA-C's credentials?
HETAL PATEL, PA-C's NPI is 1558616219 with credentials PA-C. 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