2026 NPPES data Child & Adolescent Psychiatry Physician NPI 1356892533 MD
Verify on CMS →

HIREN PATEL, MD

Child & Adolescent Psychiatry Physician in MECHANICSBURG, Pennsylvania. 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
64
Medicare Part D claims · Child & Adolescent Psychiatry Physician avg: 600
MIPS score
71.7884/100
▼ 11 pts below national avg 83.1 · [object Object]

What the federal data shows

HIREN PATEL, MD reported a CMS MIPS final score of 71.7884/100 — below the 83.1 national average — and filed 64 Medicare Part D claims in 2023.

71.7884/100
MIPS score · -11 vs avg
64
Part D claims, 2023
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.

HIREN PATEL, MD's MIPS score vs every scored U.S. clinician

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

72 9th percentile higher than 9% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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

Board certification likely (heuristic — not verified)

HIREN PATEL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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, MD?

Below national average

NPI registry status

Active

Issued 10/21/2016

NPI 1356892533

Primary specialty

Child & Adolescent Psychiatry Physician

Mid-sized

6,160 US NPIs in this specialty

Medicare Part D claims

64 89% vs specialty avg

2023 prescription claims

Specialty avg: 600

MIPS final score

71.7884/100 11.311599999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Child & Adolescent Psychiatry Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Child & Adolescent Psychiatry Physician share within Pennsylvania

1. Child & Adolescent Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Child & Adolescent Psychiatry Physician share within Pennsylvania

Medicare quality performance — MIPS

HIREN PATEL, MD's 2023 MIPS final score plotted against the Child & Adolescent Psychiatry Physician national average

Below national average
MIPS Final Score
71.7884/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Child & Adolescent Psychiatry Physician) — 71.7884/100 vs national avg 83.1

0%100%National avg83%71.8%
MIPS final score (Child & Adolescent Psychiatry Physician) — 71.7884/100 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).

HIREN PATEL, MD appears in the CMS NPPES registry as a Child & Adolescent Psychiatry Physician provider holding MD credentials at 6321 GALLEON DR, MECHANICSBURG, PA, 17050, with a listed phone of (862) 304-0978. NPI 1356892533 was issued on 10/21/2016. 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 64 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $4K in drug spend. 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 71.7884/100 for the 2023 performance year (Quality 48.3237, Cost 57.6377), compared with the national average of 83.1.

Child & Adolescent Psychiatry Physician is a mid-sized specialty nationwide, with 6,160 enrolled providers across 54 states and an average of 600 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

6321 GALLEON DR
MECHANICSBURG, PA 17050

Provider Details

NPI 1356892533
Specialty Child & Adolescent Psychiatry Physician
Credentials MD
Gender Male
NPI Issued 10/21/2016

CMS Quality Score (MIPS)

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

71.7884
Final Score
Avg: 83.1
48.3237
Quality
57.6377
Cost
100
Promoting Interoperability

Reporting: Group practice

License & disciplinary context — Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to HIREN PATEL, MD. To verify HIREN PATEL, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

64
Total Claims
$4K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
64
Total Day Supply
1,900
Generic Drug Cost
$938

Patient Demographics

Average Patient Age
25.2 years
Avg HCC Risk Score
0.81

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, MD 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
Fluoxetine Hcl
17
Guanfacine Hcl Er
Guanfacine Hcl
11
Lithium Carbonate
11
Lurasidone Hcl
11

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

Child & Adolescent Psychiatry Physician Overview

How HIREN PATEL, MD fits within the Child & Adolescent Psychiatry Physician landscape nationally.

6,160
Child & Adolescent Psychiatry Physician Providers in US
54
States with Child & Adolescent Psychiatry Physician
600
Avg Claims per Provider

HIREN PATEL, MD's 64 claims are below the specialty average of 600.

Nearby Child & Adolescent Psychiatry Physician Providers in Pennsylvania

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

Compare Child & Adolescent Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HIREN PATEL, MD's specialty?
HIREN PATEL, MD specializes in Child & Adolescent Psychiatry Physician and practices in MECHANICSBURG, Pennsylvania. Credentials: MD.
How much does HIREN PATEL, MD prescribe under Medicare Part D?
In 2023, HIREN PATEL, MD wrote 64 Medicare Part D claims totaling $4K in drug costs for N/A beneficiaries.
What is HIREN PATEL, MD's Medicare quality score?
HIREN PATEL, MD has a CMS MIPS Final Score of 71.7884/100 (Quality: 48.3237, Cost: 57.6377). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HIREN PATEL, MD located?
HIREN PATEL, MD is located at 6321 GALLEON DR, MECHANICSBURG, PA, 17050. Phone: (862) 304-0978.
What is HIREN PATEL, MD's NPI number?
HIREN PATEL, MD's National Provider Identifier (NPI) is 1356892533, issued on 10/21/2016.
How many Child & Adolescent Psychiatry Physician providers are there in the US?
There are 6,160 Child & Adolescent Psychiatry Physician providers across 54 states in the US. The average Child & Adolescent Psychiatry Physician provider writes 600 Medicare Part D claims per year.
What drugs does HIREN PATEL, MD prescribe most often?
Based on 2023 Medicare Part D data, HIREN PATEL, MD's most frequently prescribed drugs include Fluoxetine Hcl, Guanfacine Hcl Er, Lithium Carbonate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HIREN PATEL, MD accept Medicare?
HIREN PATEL, MD appears in CMS Medicare data with 64 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HIREN PATEL, MD's credentials?
HIREN PATEL, MD's NPI is 1356892533 with credentials MD. 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