2026 NPPES data Internal Medicine Physician NPI 1689028862 D.O.
Verify on CMS →

MADHAVI PATEL, D.O.

Internal Medicine Physician in KNOXVILLE, Tennessee. 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
367
Medicare Part D claims · 151 beneficiaries · Internal Medicine Physician avg: 3K
Industry payments
$181.83
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MADHAVI PATEL, D.O. filed 367 Medicare Part D claims in 2023 as a Internal Medicine Physician in KNOXVILLE, Tennessee.

367
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.

MADHAVI PATEL, D.O.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

367 Top 43% higher than 57% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

MADHAVI PATEL, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 MADHAVI PATEL, D.O.?

Quality data not reported

NPI registry status

Active

Issued 04/14/2016

NPI 1689028862

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

367 86% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in Tennessee

How Internal Medicine Physician compares to other specialties among Tennessee providers

Tennessee providers

Internal Medicine Physician share within Tennessee

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Tennessee

Specialty board-certification context

Estimated specialty board-certified rate — Internal Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Internal Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Internal Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Internal Medicine 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).

MADHAVI PATEL, D.O. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding D.O. credentials at 1900 N WINSTON RD STE 501, KNOXVILLE, TN, 37919, with a listed phone of (865) 909-0090. NPI 1689028862 was issued on 04/14/2016. 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 367 prescription claims written by this provider, covering 151 Medicare beneficiaries and totaling roughly $26K in drug spend, with an opioid prescribing rate of 5.4%. 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.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

1900 N WINSTON RD STE 501
KNOXVILLE, TN 37919

Provider Details

NPI 1689028862
Specialty Internal Medicine Physician
Credentials D.O.
Gender Female
NPI Issued 04/14/2016

Hospital and facility affiliations

Facilities where MADHAVI 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.

STATCARE INPATIENT LLC
KNOXVILLE, TN

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

Total received

$182

Largest payer

Regeneron Healthcare Solutions, Inc.

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.

Medicare Part D Prescribing Data

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

367
Total Claims
$26K
Total Drug Cost
151
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
381
Total Day Supply
7,484
Generic Drug Cost
$6K
Opioid Claims
20 (5.4% rate)
Antibiotic Claims
76

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
2.59
Gender Split
54% female / 46% male
Age Distribution
<65: 29, 65-74: 57, 75-84: 40, 85+: 25

Top Prescribed Drugs (Medicare Part D)

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

What MADHAVI PATEL, D.O. 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
Furosemide
23
Doxycycline Hyclate
16
Eliquis
Apixaban
15
Pantoprazole Sodium
15
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
14
Prednisone
14
Cefdinir
13
Levofloxacin
11
Potassium Chloride
11

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

Internal Medicine Physician Overview

How MADHAVI PATEL, D.O. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

MADHAVI PATEL, D.O.'s 367 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Tennessee

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

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

Frequently Asked Questions

What is MADHAVI PATEL, D.O.'s specialty?
MADHAVI PATEL, D.O. specializes in Internal Medicine Physician and practices in KNOXVILLE, Tennessee. Credentials: D.O..
How much does MADHAVI PATEL, D.O. prescribe under Medicare Part D?
In 2023, MADHAVI PATEL, D.O. wrote 367 Medicare Part D claims totaling $26K in drug costs for 151 beneficiaries.
Where is MADHAVI PATEL, D.O. located?
MADHAVI PATEL, D.O. is located at 1900 N WINSTON RD STE 501, KNOXVILLE, TN, 37919. Phone: (865) 909-0090.
What is MADHAVI PATEL, D.O.'s NPI number?
MADHAVI PATEL, D.O.'s National Provider Identifier (NPI) is 1689028862, issued on 04/14/2016.
Does MADHAVI PATEL, D.O. prescribe opioids?
Yes, MADHAVI PATEL, D.O. had 20 opioid claims in 2023 with an opioid prescribing rate of 5.4%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does MADHAVI PATEL, D.O. prescribe most often?
Based on 2023 Medicare Part D data, MADHAVI PATEL, D.O.'s most frequently prescribed drugs include Furosemide, Doxycycline Hyclate, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MADHAVI PATEL, D.O. accept Medicare?
MADHAVI PATEL, D.O. appears in CMS Medicare data with 367 Part D claims and 151 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MADHAVI PATEL, D.O.'s credentials?
MADHAVI PATEL, D.O.'s NPI is 1689028862 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