2026 NPPES data Gastroenterology Physician NPI 1174767032 M.D.
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NEAL PATEL, M.D.

Gastroenterology Physician in CANTON, Georgia. 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
475
Medicare Part D claims · 200 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.8809/100
▼ 3 pts below national avg 83.1 · [object Object]
Industry payments
$727.79
37 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NEAL PATEL, M.D. reported a CMS MIPS final score of 79.8809/100 — below the 83.1 national average — and filed 475 Medicare Part D claims in 2023.

79.8809/100
MIPS score · -3 vs avg
475
Part D claims, 2023
87%
generic prescribing
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.

NEAL PATEL, M.D.'s MIPS score vs every scored U.S. clinician

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

80 30th percentile higher than 30% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

NEAL PATEL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 NEAL PATEL, M.D.?

Near national average

NPI registry status

Active

Issued 04/22/2009

NPI 1174767032

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

475 43% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

79.8809/100 3.2190999999999974% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Gastroenterology Physician compares to other specialties among Georgia providers

Georgia providers

Gastroenterology Physician share within Georgia

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

Medicare quality performance — MIPS

NEAL PATEL, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average

Near national average
MIPS Final Score
79.8809/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 79.8809/100 vs national avg 83.1

0%100%National avg83%79.9%
MIPS final score (Gastroenterology Physician) — 79.8809/100 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).

NEAL PATEL, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 2020 CUMMING HWY STE 102, CANTON, GA, 30115, with a listed phone of (678) 593-1295. NPI 1174767032 was issued on 04/22/2009. 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 475 prescription claims written by this provider, covering 200 Medicare beneficiaries and totaling roughly $130K in drug spend, split 13% brand-name and 87% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.8809/100 for the 2023 performance year (Quality 56.4803, Cost 78.1228), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

2020 CUMMING HWY STE 102
CANTON, GA 30115

Provider Details

NPI 1174767032
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 04/22/2009

CMS Quality Score (MIPS)

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

79.8809
Final Score
Avg: 83.1
56.4803
Quality
78.1228
Cost
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NEAL PATEL, M.D. 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.

AGA PROFESSIONAL SERVICES LLC
CANTON, GA
AGA, LLC
CANTON, GA

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 NEAL PATEL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$728

Largest payer

GENZYME CORPORATION

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.

Brand vs generic prescribing mix · Typical

NEAL PATEL, M.D. — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 475 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.

475
Total Claims
$130K
Total Drug Cost
200
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,054
Total Day Supply
30,501
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$102K
Generic Drug Cost
$28K
Antibiotic Claims
25

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
1.20
Gender Split
70% female / 31% male
Age Distribution
<65: 16, 65-74: 94, 75-84: 78, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

What NEAL PATEL, M.D. 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
Pantoprazole Sodium
167
Omeprazole
46
Cholestyramine
Cholestyramine (With Sugar)
25
Linzess
Linaclotide
24
Ondansetron Odt
Ondansetron
19
Famotidine
18
Esomeprazole Magnesium
16
Creon
Lipase/Protease/Amylase
12
Lansoprazole
12
Sucralfate
12

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

Gastroenterology Physician Overview

How NEAL PATEL, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

NEAL PATEL, M.D.'s 475 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Georgia

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

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

Frequently Asked Questions

What is NEAL PATEL, M.D.'s specialty?
NEAL PATEL, M.D. specializes in Gastroenterology Physician and practices in CANTON, Georgia. Credentials: M.D..
How much does NEAL PATEL, M.D. prescribe under Medicare Part D?
In 2023, NEAL PATEL, M.D. wrote 475 Medicare Part D claims totaling $130K in drug costs for 200 beneficiaries.
What is NEAL PATEL, M.D.'s Medicare quality score?
NEAL PATEL, M.D. has a CMS MIPS Final Score of 79.8809/100 (Quality: 56.4803, Cost: 78.1228). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NEAL PATEL, M.D. located?
NEAL PATEL, M.D. is located at 2020 CUMMING HWY STE 102, CANTON, GA, 30115. Phone: (678) 593-1295.
What is NEAL PATEL, M.D.'s NPI number?
NEAL PATEL, M.D.'s National Provider Identifier (NPI) is 1174767032, issued on 04/22/2009.
Does NEAL PATEL, M.D. prescribe more brand-name or generic drugs?
NEAL PATEL, M.D.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $102K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does NEAL PATEL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, NEAL PATEL, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Omeprazole, Cholestyramine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NEAL PATEL, M.D. accept Medicare?
NEAL PATEL, M.D. appears in CMS Medicare data with 475 Part D claims and 200 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NEAL PATEL, M.D.'s credentials?
NEAL PATEL, M.D.'s NPI is 1174767032 with credentials M.D.. 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