Krunal Patel, M.D.
Gastroenterology Physician · Worcester, MA
Krunal Patel, M.D. is a gastroenterology physician with a practice address in Worcester, Massachusetts, and NPI 1295056950, issued on Jun 17, 2010. Check the license (Massachusetts 245527, as entered in NPPES) on the Massachusetts Board of Registration in Medicine; the Medicare figures below come from public CMS files.
- Name
- Krunal Patel
- Credential
- M.D.
- Primary taxonomy
- Gastroenterology Physician 207RG0100X
- License number
- 245527 MA
Self-reported in NPPES; status is on the state search - Practice location
- 55 Lake Ave N, Worcester, MA 01655
- Phone
- (508) 334-3068
- Enumerated
- Jun 17, 2010
- Record last updated
- Mar 31, 2026
- Medicaid ID
- 110125149A MA
- Medicare enrollment
- Enrolled (PECOS I20170817003541); accepts Medicare assignment
- Medical or professional school
- University Of Massachusetts Medical School, 2010
- Entity
- Type 1 · individual
8 nearest gastroenterology physician records → All 686 in Massachusetts → Look up another NPI →
Also registered at 55 Lake Ave N
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Amarys Abadie, CRNACertified Registered Nurse Anesthetist1992936843
- Paula Abate, NPNurse Practitioner1336265909
- Aly AbayazeedDiagnostic Radiology Physician1821221946
- Zainab AbbasDermatology Physician1609028000
- Mary-Alice Abbott, MDClinical Genetics (M.D.) Physician1982799417
Verify Krunal Patel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMassachusetts Board of Registration in Medicine
Search for license 245527Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
40% fewer Medicare Part D claims than the average gastroenterology physician in 2024
484 Medicare Part D claims for 291 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 22% of claims.
Most prescribed
- Gavilyte-G97 claims
- Gavilyte-C74 claims
- Omeprazole59 claims
- Sodium Chloride44 claims
- Sod Sulf-Potass Sulf-Mag Sulf39 claims
- Peg-3350 And Electrolytes25 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): 97 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: $309.86
6 payments; by number, the most common kind was food and beverage; the largest payer was Inari Medical, Inc. The 13,350 providers of this specialty with any payment received $5,015.95 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
- Umass Memorial Medical Group IncWorcester, MA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Krunal Patel among 686 gastroenterology physician records in Massachusetts
Krunal Patel, M.D. is one of 686 gastroenterology physician records with a practice address in Massachusetts. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 68% of them.
- NPI issued2010 · 68% of these records are older, 29% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2010 · median 2004 among the 491 with a school on file
- Record last updated2026 · 66% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Massachusetts practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Gastroenterology Physician providers in Massachusetts
There are 686 gastroenterology physician records in Massachusetts.
All 686 in Massachusetts → Every provider in Worcester → Gastroenterology Physician nationwide →
The 8 gastroenterology physician records with the nearest ZIP codes
- Graham Barnard, M.D.Worcester, MA 016551942284369
- Curtis Barry, MDWorcester, MA 016551326068479
- Anjali Basil, M.D.Worcester, MA 016551316993983
- Kanishka Bhattacharya, M.D.Worcester, MA 016551457333510
- David Cave, M.D.Worcester, MA 016551003898578
- Mitchell Gitkind, M.D.Worcester, MA 016551073596540
- Jean Marie Houghton, M.D. PHD.Worcester, MA 016551477536399
- Benjamin Hyatt, M.D.Worcester, MA 016551477518678
Common questions
What is Krunal Patel, M.D.'s NPI number?
Krunal Patel, M.D.'s National Provider Identifier (NPI) is 1295056950, issued on Jun 17, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Krunal Patel, M.D. located?
The NPPES record lists a practice address at 55 Lake Ave N, Worcester, MA, 01655. Phone: (508) 334-3068. Providers update this record themselves, so call before visiting.
How can I verify Krunal Patel, M.D.'s license?
NPPES lists Massachusetts license number 245527, as entered by the provider. Search the Massachusetts Board of Registration in Medicine at https://findmydoctor.mass.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Krunal Patel, M.D. prescribe under Medicare Part D?
In 2024, Krunal Patel, M.D. had 484 Medicare Part D claims for 291 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.
What is Krunal Patel, M.D.'s MIPS final score?
The 2023 MIPS final score is 97 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.