2026 NPPES data Advanced Heart Failure and Transplant Cardiology Physician NPI 1396194916 D.O
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KELSEY PATEL, D.O

Advanced Heart Failure and Transplant Cardiology Physician in BAYTOWN, Texas. 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
13
Medicare Part D claims · Advanced Heart Failure and Transplant Cardiology Physician avg: 2K
Industry payments
$825.94
15 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KELSEY PATEL, D.O is a Advanced Heart Failure and Transplant Cardiology Physician ([object Object]) practicing in BAYTOWN, Texas with a Medicare Part D prescribing footprint of 13 claims . Industry payments of $825.94 across 15 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KELSEY PATEL, D.O filed 13 Medicare Part D claims in 2023 across BAYTOWN, Texas. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

KELSEY PATEL, D.O practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

KELSEY PATEL, D.O at a glance

Quality data not reported

NPI registry status

Active

Issued 06/03/2016

NPI 1396194916

Primary specialty

Advanced Heart Failure and Transplant Cardiology Physician

Niche

510 US NPIs in this specialty

Medicare Part D claims

13 99% vs specialty avg

2023 prescription claims

Specialty avg: 1,762

Specialty distribution in Texas

How Advanced Heart Failure and Transplant Cardiology Physician compares to other specialties among Texas providers

Texas providers

Advanced Heart Failure and Transplant Cardiology Physician share within Texas

1. Advanced Heart Failure and Transplant Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Advanced Heart Failure and Transplant Cardiology Physician share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Advanced Heart Failure and Transplant Cardiology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Advanced Heart Failure and Transplant Cardiology Physician ABMS/AOA estimate

Est. board-certified rate (Advanced Heart Failure and Transplant Cardiology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Advanced Heart Failure and Transplant Cardiology Physician) — ABMS / AOA estimate

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).

KELSEY PATEL, D.O is a Advanced Heart Failure and Transplant Cardiology Physician provider practicing in BAYTOWN, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O. NPI: 1396194916. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KELSEY PATEL, D.O appears in the CMS NPPES registry as a Advanced Heart Failure and Transplant Cardiology Physician provider holding D.O credentials at 4301 GARTH RD STE 100, BAYTOWN, TX, 77521, with a listed phone of (281) 837-7587. NPI 1396194916 was issued on 06/03/2016. 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 13 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $1K 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.

Advanced Heart Failure and Transplant Cardiology Physician is a narrow specialty nationwide, with 510 enrolled providers across 48 states and an average of 1,762 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

4301 GARTH RD STE 100
BAYTOWN, TX 77521

Provider Details

NPI 1396194916
Specialty Advanced Heart Failure and Transplant Cardiology Physician
Credentials D.O
Gender Female
NPI Issued 06/03/2016

Hospital and facility affiliations

Facilities where KELSEY PATEL, D.O 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.

HOUSTON METHODIST SPECIALTY PHYSICIANS
HOUSTON, TX
TMH PHYSICIAN ASSOCIATES PLLC
SUGAR LAND, TX

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 KELSEY PATEL, D.O. Source: openpaymentsdata.cms.gov.

Total received

$826

Largest payer

Abbott Laboratories

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.

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to KELSEY PATEL, D.O. To verify KELSEY PATEL, D.O's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas 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.

13
Total Claims
$1K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
20
Total Day Supply
533
Generic Drug Cost
$96

Patient Demographics

Average Patient Age
67.2 years
Avg HCC Risk Score
3.53

Advanced Heart Failure and Transplant Cardiology Physician Overview

How KELSEY PATEL, D.O fits within the Advanced Heart Failure and Transplant Cardiology Physician landscape nationally.

510
Advanced Heart Failure and Transplant Cardiology Physician Providers in US
48
States with Advanced Heart Failure and Transplant Cardiology Physician
1,762
Avg Claims per Provider

KELSEY PATEL, D.O's 13 claims are below the specialty average of 1,762.

Nearby Advanced Heart Failure and Transplant Cardiology Physician Providers in Texas

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

Compare Advanced Heart Failure and Transplant Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KELSEY PATEL, D.O's specialty?
KELSEY PATEL, D.O specializes in Advanced Heart Failure and Transplant Cardiology Physician and practices in BAYTOWN, Texas. Credentials: D.O.
How much does KELSEY PATEL, D.O prescribe under Medicare Part D?
In 2023, KELSEY PATEL, D.O wrote 13 Medicare Part D claims totaling $1K in drug costs for N/A beneficiaries.
Where is KELSEY PATEL, D.O located?
KELSEY PATEL, D.O is located at 4301 GARTH RD STE 100, BAYTOWN, TX, 77521. Phone: (281) 837-7587.
What is KELSEY PATEL, D.O's NPI number?
KELSEY PATEL, D.O's National Provider Identifier (NPI) is 1396194916, issued on 06/03/2016.
How many Advanced Heart Failure and Transplant Cardiology Physician providers are there in the US?
There are 510 Advanced Heart Failure and Transplant Cardiology Physician providers across 48 states in the US. The average Advanced Heart Failure and Transplant Cardiology Physician provider writes 1,762 Medicare Part D claims per year.
Does KELSEY PATEL, D.O accept Medicare?
KELSEY PATEL, D.O appears in CMS Medicare data with 13 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 KELSEY PATEL, D.O's credentials?
KELSEY PATEL, D.O's NPI is 1396194916 with credentials D.O. 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.
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