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2026 NPPES data Family Medicine Physician NPI 1568481661 M.D.
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Hiren Patel, M.D.

Family Medicine Physician in Opelika, Alabama.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family 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
14K
Medicare Part D claims · 682 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.8/100
▲ 3 pts above national avg 83.5 · Above neutral
Industry payments
$797.06
39 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Hiren Patel, M.D. reported a CMS MIPS final score of 86.8/100 - above the 83.5 national average - and filed 13,985 Medicare Part D claims in 2023.

86.8/100
MIPS score · +3 vs avg
14K
Part D claims, 2023
88%
generic prescribing
Likely
board-certified (heuristic)

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.

CMS NPPES provider registry desk

NPI 1568481661 · Family Medicine Physician

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-ABOVE · RX-HEAVY · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1568481661
  • ENUM-LEGACY 2006
  • TAX-MEGA 148K Family Medicine
  • MIPS-ABOVE 86.8/100
  • RX-HEAVY 14K claims
  • BOOK-LIGHT 1,856 in Alabama
  • PHOTO-FINISH Juan Garcia · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Hiren Patel, M.D.'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.

87 ≥ 49th percentile 49% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Hiren Patel, M.D. sits

This provider among family medicine physician peers

Across the 21,266 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Hiren Patel, M.D. writes more Part D claims than 95% of them and scores higher on MIPS quality than 49% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 35Hiren Patel, M.D., Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 49
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Hiren Patel, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Hiren 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).

What does the federal data show about Hiren Patel, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/19/2006

NPI 1568481661

Primary specialty

Family Medicine Physician

High-volume

147,760 US NPIs in this specialty

Medicare Part D claims

13,985 309% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

86.8/100 3.3 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Alabama

How Family Medicine Physician compares to other specialties among Alabama providers

Alabama providers
Student in an Organized Heal…8.1%Pharmacist6.7%Family Nurse Practitioner5.9%Behavior Technician4.4%Physical Therapist4.2%Mental Health Counselor3.3%Family Medicine Physician2.8%
Largest specialties in Alabama (% of in-state providers)

Medicare quality performance, MIPS

Hiren Patel, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
86.8/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%86.8%
MIPS final score (Family Medicine Physician) - 86.8/100 vs national avg 83.5
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).

Practice Address

1941 1ST AVE
Opelika, AL 36801
(334) 745-3534

Provider Details

NPI 1568481661
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 07/19/2006

CMS Quality Score (MIPS)

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

86.8217
Final Score
Measured-score avg: 83.5
96.9418
Quality
60.15
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where Hiren 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.

Hiren K Patel MD PC
Opelika, 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 Hiren Patel, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$797

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

Hiren Patel, M.D. - brand share 11.0%
Family Medicine Physician average

11% brand-name claims vs 88% generic, on 13,985 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.

13,985
Total Claims
$1.0M
Total Drug Cost
682
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
22,853
Total Day Supply
581,246
Brand vs Generic
11% brand / 88% generic
Brand Drug Cost
$803K
Generic Drug Cost
$203K
Opioid Claims
449 (3.2% rate)
Antibiotic Claims
255

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
1.22
Gender Split
64% female / 36% male
Age Distribution
<65: 88, 65-74: 313, 75-84: 217, 85+: 64

Top Prescribed Drugs (Medicare Part D)

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

What Hiren Patel, M.D. 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
Amlodipine Besylate
 753
Atorvastatin Calcium
 713
Pantoprazole Sodium
 538
Levothyroxine Sodium
 384
Famotidine
 354
Gabapentin
 334
Rosuvastatin Calcium
 317
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
314
Fluticasone Propionate
 313
Metformin Hcl
 304

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

More Family Medicine Physician in AL → All providers in Alabama → Compare specialties →

Family Medicine Physician Overview

How Hiren Patel, M.D. fits within the Family Medicine Physician landscape nationally.

147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Hiren Patel, M.D.'s 13,985 claims are above the specialty average of 3,418.

Nationwide Family Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Patel, both outside Alabama so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (86.8 here).

Biliana Darzev 86.8 NV David Hartig 86.8 MD Juan Garcia 86.8 TX Lorena Alonzo-Chafart 86.8 NJ

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Sandra McGowan Chicago Heights, IL Jodon Garringer Hartwell, GA Robert Stewart Highlands Ranch, CO Bruce Lieberman New Britain, PA

Nearby Family Medicine Physician Providers in Alabama

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

One of 1,856 Family Medicine Physician providers enrolled in Alabama, 5 are shown here.

Dr. Bahaa Abdelqader
DO
Mobile, AL
Dr. Sumayah Abed
MD
Hoover, AL
Dr. Charles Abney
M.D.
Tuscaloosa, AL
Dr. Jennifer Abt
DO
Montgomery, AL
Dr. Dakota Acton Jones
M.D.
Fayette, AL

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Hiren Patel, M.D.'s specialty? ▼
Hiren Patel, M.D. specializes in Family Medicine Physician and practices in Opelika, Alabama. Credentials: M.D..
How much does Hiren Patel, M.D. prescribe under Medicare Part D? ▼
In 2023, Hiren Patel, M.D. wrote 13,985 Medicare Part D claims totaling $1.0M in drug costs for 682 beneficiaries.
What is Hiren Patel, M.D.'s Medicare quality score? ▼
Hiren Patel, M.D. has a CMS MIPS Final Score of 86.8/100 (Quality: 96.9, Cost: 60.2). 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 Hiren Patel, M.D. located? ▼
Hiren Patel, M.D. is located at 1941 1ST AVE, Opelika, AL, 36801. Phone: (334) 745-3534.
What is Hiren Patel, M.D.'s NPI number? ▼
Hiren Patel, M.D.'s National Provider Identifier (NPI) is 1568481661, issued on 07/19/2006.
Does Hiren Patel, M.D. prescribe more brand-name or generic drugs? ▼
Hiren Patel, M.D.'s prescribing is 11% brand-name and 88% generic drugs by claim count, with $803K in brand drug costs.
Does Hiren Patel, M.D. prescribe opioids? ▼
Yes, Hiren Patel, M.D. had 449 opioid claims in 2023 with an opioid prescribing rate of 3.2%.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Hiren Patel, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Hiren Patel, M.D.'s most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Hiren Patel, M.D. accept Medicare? ▼
Hiren Patel, M.D. appears in CMS Medicare data with 13,985 Part D claims and 682 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Hiren Patel, M.D.'s credentials? ▼
Hiren Patel, M.D.'s NPI is 1568481661 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

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

Compiled from official public sources by the editorial process.

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.