NEHAL PATEL, MD
Hospice and Palliative Medicine (Family Medicine) Physician in LAGUNA HILLS, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
NEHAL PATEL, MD filed 13,732 Medicare Part D claims in 2023 as a Hospice and Palliative Medicine (Family Medicine) Physician in LAGUNA HILLS, California, prescribing 83% generic.
- 14K
- Part D claims, 2023
- 83%
- 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.
NEHAL PATEL, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
13,732 Top 2% higher than 98% of 1,370,886 prescribers
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
NEHAL 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 NEHAL PATEL, MD?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in California
How Hospice and Palliative Medicine (Family Medicine) Physician compares to other specialties among California providers
Hospice and Palliative Medicine (Family Medicine) Physician share within California
Hospice and Palliative Medicine (Family Medicine) Physician is one of the more visible NUCC categories in California
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Hospice and Palliative Medicine (Family Medicine) Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Hospice and Palliative Medicine (Family Medicine) Physician ABMS/AOA estimate
Est. board-certified rate (Hospice and Palliative Medicine (Family Medicine) Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Hospice and Palliative Medicine (Family Medicine) Physician US NPIs
Specialty board-certified rate — Hospice and Palliative Medicine (Family Medicine) Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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).
NEHAL PATEL, MD appears in the CMS NPPES registry as a Hospice and Palliative Medicine (Family Medicine) Physician provider holding MD credentials at 23141 VERDUGO DR STE 201, LAGUNA HILLS, CA, 92653, with a listed phone of (949) 215-0000. NPI 1174694079 was issued on 11/13/2006. 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 13,732 prescription claims written by this provider, covering 950 Medicare beneficiaries and totaling roughly $1.5 million in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 0.8%. 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.
Hospice and Palliative Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 784 enrolled providers across 51 states and an average of 2,070 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
Provider Details
| NPI | 1174694079 |
|---|---|
| Specialty | Hospice and Palliative Medicine (Family Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 11/13/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm NEHAL PATEL, MD's current license status, disciplinary history, and board certifications with the Medical Board of California in California before relying on this page for a clinical or care decision.
How we sourced this profile
License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to NEHAL PATEL, MD. To verify NEHAL PATEL, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
17% brand-name claims vs 83% generic, on 13,732 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.
Prescribing Breakdown
- 30-Day Fills
- 14,213
- Total Day Supply
- 411,120
- Brand vs Generic
- 17% brand / 83% generic
- Brand Drug Cost
- $1.0M
- Generic Drug Cost
- $431K
- Opioid Claims
- 106 (0.8% rate)
- Antibiotic Claims
- 91
Patient Demographics
- Average Patient Age
- 78.0 years
- Avg HCC Risk Score
- 2.17
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 76, 65-74: 303, 75-84: 287, 85+: 284
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What NEHAL PATEL, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
750 claims
- Amlodipine Besylate
Amlodipine Besylate
539 claims
- Metformin Hcl
Metformin Hcl
529 claims
- Levothyroxine Sodium
Levothyroxine Sodium
512 claims
- Tamsulosin Hcl
Tamsulosin Hcl
423 claims
- Omeprazole
Omeprazole
380 claims
- Gabapentin 297
Gabapentin
297 claims
- Losartan Potassium 264
Losartan Potassium
264 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 750 |
| Amlodipine Besylate | 539 |
| Metformin Hcl | 529 |
| Levothyroxine Sodium | 512 |
| Tamsulosin Hcl | 423 |
| Omeprazole | 380 |
| Gabapentin | 297 |
| Losartan Potassium | 264 |
| Furosemide | 255 |
| Lisinopril | 245 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hospice and Palliative Medicine (Family Medicine) Physician Overview
How NEHAL PATEL, MD fits within the Hospice and Palliative Medicine (Family Medicine) Physician landscape nationally.
NEHAL PATEL, MD's 13,732 claims are above the specialty average of 2,070.
Nearby Hospice and Palliative Medicine (Family Medicine) Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as PATEL.
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Frequently Asked Questions
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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