Hitesh K. Patel, M.D.
Ophthalmology Physician · Edison, NJ
Hitesh K. Patel, M.D. is an ophthalmology physician with a practice address in Edison, New Jersey, and NPI 1215959622, issued on Jul 24, 2006. Check the license (New Jersey 25MAO6539000, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Hitesh K. Patel
- Credential
- M.D.
- Primary taxonomy
- Ophthalmology Physician 207W00000X
- License numbers
- 25MAO6539000 NJ
MD064657L PA
Self-reported in NPPES; status is on the state search - Practice location
- 228 Plainfield Ave, Edison, NJ 08817
- Phone
- (732) 985-5009
- Enumerated
- Jul 24, 2006
- Record last updated
- Aug 27, 2013 (not updated in 13 years: call before relying on the address or phone)
- Fax
- (732) 985-5155
- Medicaid ID
- 0010570 NJ
- Medicare enrollment
- Enrolled (PECOS I20040107000300); accepts Medicare assignment
- Medical or professional school
- Jefferson Medical College Of Thomas Jefferson University, 1993
- Entity
- Type 1 · individual
8 nearest ophthalmology physician records → All 631 in New Jersey → Look up another NPI →
Also registered at 228 Plainfield Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Daniel Diamond, ODOptometrist1730666058
- Himanshu Shah, M.D.Ophthalmology Physician1104833276
- Gary Steinberg, ODOptometrist1538575758
Verify Hitesh K. Patel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MAO6539000Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
4.2 times the Medicare Part D claims of the average ophthalmology physician in 2024
6,351 Medicare Part D claims for 878 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 37% of claims.
Most prescribed
- Latanoprost1,194 claims
- Dorzolamide Hcl509 claims
- Brimonidine Tartrate504 claims
- Flurbiprofen Sodium442 claims
- Ofloxacin319 claims
- Timolol Maleate271 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): 85.6 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: $581.97
24 payments; by number, the most common kind was food and beverage; the largest payer was Johnson & Johnson Surgical Vision, Inc. The 13,221 providers of this specialty with any payment received $4,535.02 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
- Patel Eye Associates LLCEdison, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Hitesh K. Patel among 631 ophthalmology physician records in New Jersey
Hitesh K. Patel, M.D. is one of 631 ophthalmology physician records with a practice address in New Jersey. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 18% of them.
- NPI issued2006 · 18% of these records are older, 30% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated1993 · median 1993 among the 454 with a school on file
- Record last updated2013 · 69% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Ophthalmology Physician providers in New Jersey
There are 631 ophthalmology physician records in New Jersey.
All 631 in New Jersey → Every provider in Edison → Ophthalmology Physician nationwide →
The 8 ophthalmology physician records with the nearest ZIP codes
- Himanshu Shah, M.D.Edison, NJ 088171104833276
- Stella Han, MDEast Brunswick, NJ 088161619957610
- Preston KungEast Brunswick, NJ 088161518534213
- Mark Leitman, M.D.East Brunswick, NJ 088161366485781
- Michael Su, MDEast Brunswick, NJ 088161104870427
- Abanoob Tadrosse, MDEast Brunswick, NJ 088161891374369
- Richard Witlin, MDEast Brunswick, NJ 088161063459212
- Kenneth Yang, MDEast Brunswick, NJ 088161114985595
Common questions
What is Hitesh K. Patel, M.D.'s NPI number?
Hitesh K. Patel, M.D.'s National Provider Identifier (NPI) is 1215959622, issued on Jul 24, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Hitesh K. Patel, M.D. located?
The NPPES record lists a practice address at 228 Plainfield Ave, Edison, NJ, 08817. Phone: (732) 985-5009. Providers update this record themselves, so call before visiting.
How can I verify Hitesh K. Patel, M.D.'s license?
NPPES lists New Jersey license number 25MAO6539000, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Hitesh K. Patel, M.D. prescribe under Medicare Part D?
In 2024, Hitesh K. Patel, M.D. had 6,351 Medicare Part D claims for 878 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.
What is Hitesh K. Patel, M.D.'s MIPS final score?
The 2023 MIPS final score is 85.6 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.