2026 NPPES data Urology Physician NPI 1033345160 MD
Verify on CMS →

MUKUL PATIL, MD

Urology Physician in UNIONTOWN, Pennsylvania. 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
2K
Medicare Part D claims · 466 beneficiaries · Urology Physician avg: 1K
MIPS score
94.1061/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$14.63
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MUKUL PATIL, MD reported a CMS MIPS final score of 94.1061/100 — above the 83.1 national average — and filed 1,626 Medicare Part D claims in 2023.

94.1061/100
MIPS score · +11 vs avg
2K
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.

MUKUL PATIL, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

94 Top 25% higher than 75% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

MUKUL PATIL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 MUKUL PATIL, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/03/2009

NPI 1033345160

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

1,626 27% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

94.1061/100 11.006100000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Urology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Urology Physician share within Pennsylvania

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

Medicare quality performance — MIPS

MUKUL PATIL, MD's 2023 MIPS final score plotted against the Urology Physician national average

High performer (top quartile)
MIPS Final Score
94.1061/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) — 94.1061/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Urology Physician) — 94.1061/100 vs national avg 83.1

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).

MUKUL PATIL, MD appears in the CMS NPPES registry as a Urology Physician provider holding MD credentials at 205 MARY HIGGINSON LN LOWR LEVEL, UNIONTOWN, PA, 15401, with a listed phone of (724) 438-3044. NPI 1033345160 was issued on 06/03/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PATIL 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 1,626 prescription claims written by this provider, covering 466 Medicare beneficiaries and totaling roughly $164K in drug spend, with an opioid prescribing rate of 1.8%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.1061/100 for the 2023 performance year (Quality 78.4655), compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

205 MARY HIGGINSON LN LOWR LEVEL
UNIONTOWN, PA 15401

Provider Details

NPI 1033345160
Specialty Urology Physician
Credentials MD
Gender Male
NPI Issued 06/03/2009

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

94.1061
Final Score
Avg: 83.1
78.4655
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MUKUL PATIL, MD 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.

FAYETTE PHYSICIAN NETWORK INC
UNIONTOWN, PA

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 MUKUL PATIL, MD. Source: openpaymentsdata.cms.gov.

Total received

$15

Largest payer

Sumitomo Pharma America, 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.

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to MUKUL PATIL, MD. To verify MUKUL PATIL, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania 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.

1,626
Total Claims
$164K
Total Drug Cost
466
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,970
Total Day Supply
83,019
Generic Drug Cost
$42K
Opioid Claims
29 (1.8% rate)
Antibiotic Claims
227

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
1.59
Gender Split
25% female / 75% male
Age Distribution
<65: 55, 65-74: 215, 75-84: 164, 85+: 32

Top Prescribed Drugs (Medicare Part D)

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

What MUKUL PATIL, MD 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
Tamsulosin Hcl
452
Finasteride
366
Solifenacin Succinate
103
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
74
Oxybutynin Chloride Er
Oxybutynin Chloride
63
Ciprofloxacin Hcl
51
Terazosin Hcl
47
Nitrofurantoin
Nitrofurantoin Macrocrystal
31
Myrbetriq
Mirabegron
27
Silodosin
26

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

Urology Physician Overview

How MUKUL PATIL, MD fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

MUKUL PATIL, MD's 1,626 claims are above the specialty average of 1,280.

Nearby Urology Physician Providers in Pennsylvania

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

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

Frequently Asked Questions

What is MUKUL PATIL, MD's specialty?
MUKUL PATIL, MD specializes in Urology Physician and practices in UNIONTOWN, Pennsylvania. Credentials: MD.
How much does MUKUL PATIL, MD prescribe under Medicare Part D?
In 2023, MUKUL PATIL, MD wrote 1,626 Medicare Part D claims totaling $164K in drug costs for 466 beneficiaries.
What is MUKUL PATIL, MD's Medicare quality score?
MUKUL PATIL, MD has a CMS MIPS Final Score of 94.1061/100 (Quality: 78.4655). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MUKUL PATIL, MD located?
MUKUL PATIL, MD is located at 205 MARY HIGGINSON LN LOWR LEVEL, UNIONTOWN, PA, 15401. Phone: (724) 438-3044.
What is MUKUL PATIL, MD's NPI number?
MUKUL PATIL, MD's National Provider Identifier (NPI) is 1033345160, issued on 06/03/2009.
Does MUKUL PATIL, MD prescribe opioids?
Yes, MUKUL PATIL, MD had 29 opioid claims in 2023 with an opioid prescribing rate of 1.8%.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does MUKUL PATIL, MD prescribe most often?
Based on 2023 Medicare Part D data, MUKUL PATIL, MD's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Solifenacin Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MUKUL PATIL, MD accept Medicare?
MUKUL PATIL, MD appears in CMS Medicare data with 1,626 Part D claims and 466 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MUKUL PATIL, MD's credentials?
MUKUL PATIL, MD's NPI is 1033345160 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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