2026 NPPES data Pediatrics Physician NPI 1538135033 MD
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MEENA PATEL, MD

Pediatrics Physician in HARDINSBURG, Kentucky. 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
26
Medicare Part D claims · 23 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
4%
generic claims · 96% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

MEENA PATEL, MD filed 26 Medicare Part D claims in 2023 as a Pediatrics Physician in HARDINSBURG, Kentucky, prescribing 4% generic.

26
Part D claims, 2023
4%
generic prescribing

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.

MEENA PATEL, MD's Medicare Part D volume vs every U.S. prescriber

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

26 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 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-eligible specialty (heuristic — not verified)

MEENA PATEL, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about MEENA PATEL, MD?

Quality data not reported

NPI registry status

Active

Issued 02/24/2006

NPI 1538135033

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

26 97% vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in Kentucky

How Pediatrics Physician compares to other specialties among Kentucky providers

Kentucky providers

Pediatrics Physician share within Kentucky

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

Specialty board-certification context

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

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

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

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

MEENA PATEL, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 203 FAIRGROUNDS RD, HARDINSBURG, KY, 40143, with a listed phone of (270) 756-2171. NPI 1538135033 was issued on 02/24/2006. 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 26 prescription claims written by this provider, covering 23 Medicare beneficiaries and totaling roughly $4K in drug spend, split 96% brand-name and 4% generic by claim count. 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.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 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

203 FAIRGROUNDS RD
HARDINSBURG, KY 40143

Provider Details

NPI 1538135033
Specialty Pediatrics Physician
Credentials MD
Gender Female
NPI Issued 02/24/2006

Brand vs generic prescribing mix · Brand-heavy

MEENA PATEL, MD — brand share 96.0%
Specialty average (est.)

96% brand-name claims vs 4% generic, on 26 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

26
Total Claims
$4K
Total Drug Cost
23
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
26
Total Day Supply
209
Brand vs Generic
96% brand / 4% generic
Brand Drug Cost
$4K

Patient Demographics

Average Patient Age
71.0 years
Avg HCC Risk Score
0.73

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Shingrix
Varicella-Zoster Ge/As01b/Pf
17

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

Pediatrics Physician Overview

How MEENA PATEL, MD fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

MEENA PATEL, MD's 26 claims are below the specialty average of 762.

Nearby Pediatrics Physician Providers in Kentucky

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

Compare Pediatrics Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MEENA PATEL, MD's specialty?
MEENA PATEL, MD specializes in Pediatrics Physician and practices in HARDINSBURG, Kentucky. Credentials: MD.
How much does MEENA PATEL, MD prescribe under Medicare Part D?
In 2023, MEENA PATEL, MD wrote 26 Medicare Part D claims totaling $4K in drug costs for 23 beneficiaries.
Where is MEENA PATEL, MD located?
MEENA PATEL, MD is located at 203 FAIRGROUNDS RD, HARDINSBURG, KY, 40143. Phone: (270) 756-2171.
What is MEENA PATEL, MD's NPI number?
MEENA PATEL, MD's National Provider Identifier (NPI) is 1538135033, issued on 02/24/2006.
Does MEENA PATEL, MD prescribe more brand-name or generic drugs?
MEENA PATEL, MD's prescribing is 96% brand-name and 4% generic drugs by claim count, with $4K in brand drug costs.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does MEENA PATEL, MD prescribe most often?
Based on 2023 Medicare Part D data, MEENA PATEL, MD's most frequently prescribed drugs include Shingrix. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MEENA PATEL, MD accept Medicare?
MEENA PATEL, MD appears in CMS Medicare data with 26 Part D claims and 23 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MEENA PATEL, MD's credentials?
MEENA PATEL, MD's NPI is 1538135033 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.
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