NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1972120582 MD
Verify on CMS → Nilesh Dialani, MD
Family Medicine Physician in Palm Coast, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
839
Medicare Part D claims · 224 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
67/100
▼ 17 pts below national avg 83.5 · Mid-tier
Industry payments
$14.95
1 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Nilesh Dialani, MD reported a CMS MIPS final score of 67/100 - below the 83.5 national average - and filed 839 Medicare Part D claims in 2023.
- 67/100
- MIPS score · -17 vs avg
- 839
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥7th
- pct among measured MIPS (lower-bound band)
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.
CMS NPPES provider registry desk
NPI 1972120582 · Family Medicine Physician
NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-LOW · RX-LIGHT · BOOK-MID · PHOTO-FINISH
- NPI-10 1972120582
- ENUM-RECENT 2020
- TAX-MEGA 148K Family Medicine
- MIPS-LOW 67/100
- RX-LIGHT 839
- BOOK-MID 8,942 in Florida
- PHOTO-FINISH Patrick Barry · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Dialani · this p…
Dialani · this provider
67 MIPS pts
- Kelley Glancey ·…
Kelley Glancey
67 MIPS pts
- Patrick Barry · …
Patrick Barry
67 MIPS pts
- Thomas Coburn · …
Thomas Coburn
67 MIPS pts
- Jodi Fitzgerald …
Jodi Fitzgerald
67 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Nilesh Dialani, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
67 ≥ 7th percentile 7% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Nilesh Dialani, MD sits
This provider among family medicine physician peers
Across the 21,266 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Nilesh Dialani, MD writes more Part D claims than 32% of them and scores higher on MIPS quality than 10% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Nilesh Dialani, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Nilesh Dialani, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 Nilesh Dialani, MD?
Below national averagePrimary specialty
Family Medicine Physician
Medicare Part D claims
839 75% vs specialty avg
MIPS final score
67/100 16.5 pts vs avg
Specialty distribution in Florida
How Family Medicine Physician compares to other specialties among Florida providers
Medicare quality performance, MIPS
Nilesh Dialani, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 67/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1972120582 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/30/2020 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
66.9924
Final Score
Measured-score avg: 83.5
67.2192
Quality
47.7555
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Nilesh Dialani, 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.
According to CMS billing records, Nilesh Dialani, MD is affiliated with 3 Medicare-billing facilities.
Ability Health Services And Rehabilitation LP
Sanford, FL
Ability Health Services, Inc
Sanford, FL
Adventhealth Primary Care Network Inc
Altamonte Springs, FL
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 Nilesh Dialani, MD. Source: openpaymentsdata.cms.gov.
Total received
$15
Largest payer
GlaxoSmithKline, LLC.
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 - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Nilesh Dialani, MD. To verify Nilesh Dialani, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH 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 Florida 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.
839
Total Claims
$90K
Total Drug Cost
224
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,737
- Total Day Supply
- 50,971
- Generic Drug Cost
- $14K
- Antibiotic Claims
- 17
Patient Demographics
- Average Patient Age
- 72.7 years
- Avg HCC Risk Score
- 1.46
- Gender Split
- 54% female / 46% male
- Age Distribution
- <65: 27, 65-74: 98, 75-84: 76, 85+: 23
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Nilesh Dialani, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
68 claims
- Amlodipine Besylate
Amlodipine Besylate
59 claims
- Lisinopril
Lisinopril
48 claims
- Metformin Hcl
Metformin Hcl
30 claims
- Levothyroxine Sodium
Levothyroxine Sodium
28 claims
- Glipizide 22
Glipizide
22 claims
- Omeprazole 22
Omeprazole
22 claims
- Tamsulosin Hcl 21
Tamsulosin Hcl
21 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 68 |
| Amlodipine Besylate | 59 |
| Lisinopril | 48 |
| Metformin Hcl | 30 |
| Levothyroxine Sodium | 28 |
| Glipizide | 22 |
| Omeprazole | 22 |
| Tamsulosin Hcl | 21 |
| Losartan Potassium | 20 |
| Hydrochlorothiazide | 18 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Nilesh Dialani, MD fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Nilesh Dialani, MD's 839 claims are below the specialty average of 3,418.
Nationwide Family Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Dialani, both outside Florida so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (67 here).
Same NPPES enumeration year (2020)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Dialani.
One of 8,942 Family Medicine Physician providers enrolled in Florida, 5 are shown here.
Dr. Kellie Aarons
MD
Tampa, FL
Dr. Zoilo Abad
MD
Miami, FL
Dr. Flor Abalos Escalona
APRN-FNP
Miami, FL
Dr. Aschanti Abarca Selva
M.D
Naples, FL
Dr. Syed Abbas
DO
Sebring, FL
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Nilesh Dialani, MD's specialty? ▼
Nilesh Dialani, MD specializes in Family Medicine Physician and practices in Palm Coast, Florida. Credentials: MD.
How much does Nilesh Dialani, MD prescribe under Medicare Part D? ▼
In 2023, Nilesh Dialani, MD wrote 839 Medicare Part D claims totaling $90K in drug costs for 224 beneficiaries.
What is Nilesh Dialani, MD's Medicare quality score? ▼
Nilesh Dialani, MD has a CMS MIPS Final Score of 67/100 (Quality: 67.2, Cost: 47.8). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Nilesh Dialani, MD located? ▼
Nilesh Dialani, MD is located at 21 HOSPITAL DR STE 260, Palm Coast, FL, 32164. Phone: (386) 586-1960.
What is Nilesh Dialani, MD's NPI number? ▼
Nilesh Dialani, MD's National Provider Identifier (NPI) is 1972120582, issued on 06/30/2020.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Nilesh Dialani, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Nilesh Dialani, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nilesh Dialani, MD accept Medicare? ▼
Nilesh Dialani, MD appears in CMS Medicare data with 839 Part D claims and 224 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nilesh Dialani, MD's credentials? ▼
Nilesh Dialani, MD's NPI is 1972120582 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
View source datasets and methodology notes
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.