2026 NPPES data Hospitalist Physician NPI 1710474127 MD
Verify on CMS →

NIGAM PATEL, MD

Hospitalist Physician in TOMS RIVER, New Jersey. 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
928
Medicare Part D claims · 197 beneficiaries · Hospitalist Physician avg: 888
Industry payments
$716.43
43 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NIGAM PATEL, MD filed 928 Medicare Part D claims in 2023 as a Hospitalist Physician in TOMS RIVER, New Jersey.

928
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.

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

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

928 Top 25% higher than 75% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). This entry sits in this band. 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)

NIGAM PATEL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 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 NIGAM PATEL, MD?

Quality data not reported

NPI registry status

Active

Issued 04/20/2018

NPI 1710474127

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

928 5% vs specialty avg

2023 prescription claims

Specialty avg: 888

Specialty distribution in New Jersey

How Hospitalist Physician compares to other specialties among New Jersey providers

New Jersey providers

Hospitalist Physician share within New Jersey

1. Hospitalist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospitalist Physician share within New Jersey

Specialty board-certification context

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

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

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

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

NIGAM PATEL, MD appears in the CMS NPPES registry as a Hospitalist Physician provider holding MD credentials at 780 ROUTE 37 W STE 110, TOMS RIVER, NJ, 08755, with a listed phone of (848) 317-8152. NPI 1710474127 was issued on 04/20/2018. 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 928 prescription claims written by this provider, covering 197 Medicare beneficiaries and totaling roughly $366K in drug spend. 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.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

780 ROUTE 37 W STE 110
TOMS RIVER, NJ 08755

Provider Details

NPI 1710474127
Specialty Hospitalist Physician
Credentials MD
Gender Male
NPI Issued 04/20/2018

Hospital and facility affiliations

Facilities where NIGAM PATEL, 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.

ADVOCARE, LLC
SEWELL, NJ
PRACTICE ASSOCIATES MEDICAL GROUP
SUMMIT, NJ
THE RADIOLOGY GROUP OF NEW JERSEY LLC
HACKETTSTOWN, NJ

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 NIGAM PATEL, MD. Source: openpaymentsdata.cms.gov.

Total received

$716

Largest payer

Janssen Biotech, 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.

928
Total Claims
$366K
Total Drug Cost
197
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,140
Total Day Supply
32,009
Generic Drug Cost
$25K
Antibiotic Claims
18

Patient Demographics

Average Patient Age
70.7 years
Avg HCC Risk Score
1.70
Gender Split
63% female / 37% male
Age Distribution
<65: 37, 65-74: 86, 75-84: 62, 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 NIGAM PATEL, 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
Prednisone
151
Methotrexate
Methotrexate Sodium
94
Hydroxychloroquine Sulfate
93
Diclofenac Sodium
71
Duloxetine Hcl
46
Meloxicam
38
Famotidine
33
Folic Acid
31
Gabapentin
30
Leflunomide
27

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

Hospitalist Physician Overview

How NIGAM PATEL, MD fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

NIGAM PATEL, MD's 928 claims are above the specialty average of 888.

Nearby Hospitalist Physician Providers in New Jersey

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

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

Frequently Asked Questions

What is NIGAM PATEL, MD's specialty?
NIGAM PATEL, MD specializes in Hospitalist Physician and practices in TOMS RIVER, New Jersey. Credentials: MD.
How much does NIGAM PATEL, MD prescribe under Medicare Part D?
In 2023, NIGAM PATEL, MD wrote 928 Medicare Part D claims totaling $366K in drug costs for 197 beneficiaries.
Where is NIGAM PATEL, MD located?
NIGAM PATEL, MD is located at 780 ROUTE 37 W STE 110, TOMS RIVER, NJ, 08755. Phone: (848) 317-8152.
What is NIGAM PATEL, MD's NPI number?
NIGAM PATEL, MD's National Provider Identifier (NPI) is 1710474127, issued on 04/20/2018.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does NIGAM PATEL, MD prescribe most often?
Based on 2023 Medicare Part D data, NIGAM PATEL, MD's most frequently prescribed drugs include Prednisone, Methotrexate, Hydroxychloroquine Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NIGAM PATEL, MD accept Medicare?
NIGAM PATEL, MD appears in CMS Medicare data with 928 Part D claims and 197 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NIGAM PATEL, MD's credentials?
NIGAM PATEL, MD's NPI is 1710474127 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