NPPES file of Aug 9, 2026

Hiral Patel, DO

Sleep Medicine (Internal Medicine) Physician · Berwyn, PA

Hiral Patel, DO is a sleep medicine (internal medicine) physician with a practice address in Berwyn, Pennsylvania, and NPI 1023137742, issued on Mar 28, 2007. Check the license (Pennsylvania OS012407, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1023137742
Name
Hiral Patel
Credential
DO
Primary taxonomy
Sleep Medicine (Internal Medicine) Physician 207RS0012X
License number
OS012407 PA
Self-reported in NPPES; status is on the state search
Practice location
1001 Chesterbrook Blvd FL 3, Berwyn, PA 19312
Phone
(610) 576-7600
Enumerated
Mar 28, 2007
Record last updated
Jul 8, 2022
Fax
(610) 576-7705
Medicare enrollment
Enrolled (PECOS I20070926000386); accepts Medicare assignment
Medical or professional school
Philadelphia College Of Osteopathic Medicine, 2001
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1001 Chesterbrook Blvd FL 3

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Matthew Bloch, MDNeurology Physician1295230449
  2. Rachana Mundada, MDEndocrinology, Diabetes & Metabolism Physician1023564739
  3. Siva Ramachandran, MDPulmonary Disease Physician1215902937
  4. Kathryn Walters, CRNPFamily Nurse Practitioner1306405758

Verify Hiral Patel in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license OS012407
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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4.2 times the Medicare Part D claims of the average sleep medicine (internal medicine) physician in 2024

2,453 Medicare Part D claims for 451 beneficiaries, against an average of 585 among the 852 providers of this specialty who prescribed in Part D. Brand-name drugs were 52% of claims.

  1. Hiral Patel2,453
  2. Specialty average585

Most prescribed

  1. Albuterol Sulfate Hfa422 claims
  2. Trelegy Ellipta242 claims
  3. Montelukast Sodium225 claims
  4. Prednisone160 claims
  5. Breo Ellipta154 claims
  6. Breztri Aerosphere128 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 practice group's MIPS final score for 2023 (Medicare payment program): 85.5 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score73.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $510.02

5 payments; by number, the most common kind was food and beverage; the largest payer was GlaxoSmithKline, LLC. The 664 providers of this specialty with any payment received $3,724.37 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Hiral Patel$510.02
  2. Specialty average$3,724.37

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Clinical Care Associates OF The University OF Pennsylvania Health.Berwyn, PA
  2. University OF Penn - Medical GroupPhiladelphia, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Sleep Medicine (Internal Medicine) Physician providers in Pennsylvania

There are 58 sleep medicine (internal medicine) physician records in Pennsylvania.

Other sleep medicine (internal medicine) physician records in Pennsylvania

  1. Ron Anafi, MDPhiladelphia, PA1548324080
  2. Maria Antoniou, MDPhiladelphia, PA1689600504
  3. Pratima Behari, MDCamp Hill, PA1588725865
  4. Priya Borker, MDPittsburgh, PA1356753891
  5. Kevin Branch, MDHarrisburg, PA1437539475
  6. Sara Cadman, MDPhiladelphia, PA1750945101
  7. Sangeeta Chakravorty, MDPittsburgh, PA1710959671
  8. Vasudev Daliparty, MDYork, PA1831728773
  9. Jennifer Dorsch, MDPhiladelphia, PA1750640215
  10. Neil Doshi, M.D.Philadelphia, PA1174819361

Common questions

What is Hiral Patel, DO's NPI number?

Hiral Patel, DO's National Provider Identifier (NPI) is 1023137742, issued on Mar 28, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Hiral Patel, DO located?

The NPPES record lists a practice address at 1001 Chesterbrook Blvd FL 3, Berwyn, PA, 19312. Phone: (610) 576-7600. Providers update this record themselves, so call before visiting.

How can I verify Hiral Patel, DO's license?

NPPES lists Pennsylvania license number OS012407, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Hiral Patel, DO prescribe under Medicare Part D?

In 2024, Hiral Patel, DO had 2,453 Medicare Part D claims for 451 beneficiaries; the average among sleep medicine (internal medicine) physician prescribers was 585. Part D covers Medicare prescriptions only.

What is Hiral Patel, DO's MIPS final score?

The 2023 MIPS final score is 85.5 of 100, reported for the practice group. 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.