2026 NPPES data Facial Plastic Surgery Physician NPI 1770024630 DO
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NIKI PATEL, DO

Facial Plastic Surgery Physician in TUCSON, Arizona. 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
480
Medicare Part D claims · 212 beneficiaries · Facial Plastic Surgery Physician avg: 428
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
69.2421/100
▼ 14 pts below national avg 83.1 · [object Object]
Industry payments
$670.5
39 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NIKI PATEL, DO is a Facial Plastic Surgery Physician ([object Object]) practicing in TUCSON, Arizona with a Medicare Part D prescribing footprint of 480 claims across 212 beneficiaries — 4% brand-name prescribing . Their CMS MIPS Final Score of 69.2421/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $670.5 across 39 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NIKI PATEL, DO reported a CMS MIPS final score of 69.2421 out of 100, below the 83.1 national average, and filed 480 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

NIKI PATEL, DO 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).

NIKI PATEL, DO at a glance

Below national average

NPI registry status

Active

Issued 03/12/2017

NPI 1770024630

Primary specialty

Facial Plastic Surgery Physician

Niche

607 US NPIs in this specialty

Medicare Part D claims

480 12% vs specialty avg

2023 prescription claims

Specialty avg: 428

MIPS final score

69.2421/100 13.8579% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Arizona

How Facial Plastic Surgery Physician compares to other specialties among Arizona providers

Arizona providers

Facial Plastic Surgery Physician share within Arizona

1. Facial Plastic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Facial Plastic Surgery Physician share within Arizona

Medicare quality performance — MIPS

NIKI PATEL, DO's 2023 MIPS final score plotted against the Facial Plastic Surgery Physician national average

Below national average
MIPS Final Score
69.2421/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Facial Plastic Surgery Physician) — 69.2421/100 vs national avg 83.1

0%100%National avg83%69.2%
MIPS final score (Facial Plastic Surgery Physician) — 69.2421/100 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).

NIKI PATEL, DO is a Facial Plastic Surgery Physician provider practicing in TUCSON, Arizona, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1770024630. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

NIKI PATEL, DO appears in the CMS NPPES registry as a Facial Plastic Surgery Physician provider holding DO credentials at 395 N SILVERBELL RD STE 201, TUCSON, AZ, 85745, with a listed phone of (520) 792-2170. NPI 1770024630 was issued on 03/12/2017. 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 480 prescription claims written by this provider, covering 212 Medicare beneficiaries and totaling roughly $15K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 9.0%. 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 69.2421/100 for the 2023 performance year (Quality 69.8691, Cost 28.438), compared with the national average of 83.1.

Facial Plastic Surgery Physician is a narrow specialty nationwide, with 607 enrolled providers across 47 states and an average of 428 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

395 N SILVERBELL RD STE 201
TUCSON, AZ 85745

Provider Details

NPI 1770024630
Specialty Facial Plastic Surgery Physician
Credentials DO
Gender Male
NPI Issued 03/12/2017

CMS Quality Score (MIPS)

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

69.2421
Final Score
Avg: 83.1
69.8691
Quality
28.438
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NIKI PATEL, DO 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.

VALLEY ENT PC
TUCSON, AZ

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 NIKI PATEL, DO. Source: openpaymentsdata.cms.gov.

Total received

$671

Largest payer

Inspire Medical Systems, 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.

Brand vs generic prescribing mix · Generic-heavy

NIKI PATEL, DO — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 480 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.

480
Total Claims
$15K
Total Drug Cost
212
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
667
Total Day Supply
14,979
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$2K
Generic Drug Cost
$12K
Opioid Claims
43 (9.0% rate)
Antibiotic Claims
58

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
1.20
Gender Split
47% female / 53% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Azelastine Hcl
93
Fluticasone Propionate
75
Ipratropium Bromide
63
Cephalexin
28
Oxycodone Hcl
25
Ofloxacin
17
Omeprazole
16
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
15
Ondansetron Hcl
14
Ondansetron Odt
Ondansetron
14

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

Facial Plastic Surgery Physician Overview

How NIKI PATEL, DO fits within the Facial Plastic Surgery Physician landscape nationally.

607
Facial Plastic Surgery Physician Providers in US
47
States with Facial Plastic Surgery Physician
428
Avg Claims per Provider

NIKI PATEL, DO's 480 claims are above the specialty average of 428.

Nearby Facial Plastic Surgery Physician Providers in Arizona

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

Compare Facial Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NIKI PATEL, DO's specialty?
NIKI PATEL, DO specializes in Facial Plastic Surgery Physician and practices in TUCSON, Arizona. Credentials: DO.
How much does NIKI PATEL, DO prescribe under Medicare Part D?
In 2023, NIKI PATEL, DO wrote 480 Medicare Part D claims totaling $15K in drug costs for 212 beneficiaries.
What is NIKI PATEL, DO's Medicare quality score?
NIKI PATEL, DO has a CMS MIPS Final Score of 69.2421/100 (Quality: 69.8691, Cost: 28.438). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NIKI PATEL, DO located?
NIKI PATEL, DO is located at 395 N SILVERBELL RD STE 201, TUCSON, AZ, 85745. Phone: (520) 792-2170.
What is NIKI PATEL, DO's NPI number?
NIKI PATEL, DO's National Provider Identifier (NPI) is 1770024630, issued on 03/12/2017.
Does NIKI PATEL, DO prescribe more brand-name or generic drugs?
NIKI PATEL, DO's prescribing is 4% brand-name and 96% generic drugs by claim count, with $2K in brand drug costs.
Does NIKI PATEL, DO prescribe opioids?
Yes, NIKI PATEL, DO had 43 opioid claims in 2023 with an opioid prescribing rate of 9.0%.
How many Facial Plastic Surgery Physician providers are there in the US?
There are 607 Facial Plastic Surgery Physician providers across 47 states in the US. The average Facial Plastic Surgery Physician provider writes 428 Medicare Part D claims per year.
What drugs does NIKI PATEL, DO prescribe most often?
Based on 2023 Medicare Part D data, NIKI PATEL, DO's most frequently prescribed drugs include Azelastine Hcl, Fluticasone Propionate, Ipratropium Bromide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NIKI PATEL, DO accept Medicare?
NIKI PATEL, DO appears in CMS Medicare data with 480 Part D claims and 212 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NIKI PATEL, DO's credentials?
NIKI PATEL, DO's NPI is 1770024630 with credentials DO. 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