NPPES file of Aug 9, 2026

Nilesh J. Patel, M.D.

Orthopaedic Surgery Physician · Edison, NJ

Nilesh J. Patel, M.D. is an orthopaedic surgery physician with a practice address in Edison, New Jersey, and NPI 1649327826, issued on Jan 3, 2007. Check the license (New Jersey 25MA07619500, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1649327826
Name
Nilesh J. Patel
Credential
M.D.
Primary taxonomy
Orthopaedic Surgery Physician 207X00000X
License number
25MA07619500 NJ
Self-reported in NPPES; status is on the state search
Practice location
10 Parsonage RD Ste 500, Edison, NJ 08837
Phone
(732) 494-6226
Enumerated
Jan 3, 2007
Record last updated
May 7, 2026
Fax
(732) 494-8762
Medicare enrollment
Enrolled (PECOS I20031110000451); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 10 Parsonage RD Ste 500

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Lori Alberti, PTPhysical Therapist1629228499
  2. Jessica Capurso, DPTPhysical Therapist1841524931
  3. Franklin Chen, M.D.Orthopaedic Surgery Physician1245387554
  4. Matthew Garfinkel, M.D.Orthopaedic Surgery Physician1497802649
  5. Kathryn Hussey, PT, DPTPhysical Therapist1114526639
  6. David Idank, D.O.Physical Medicine & Rehabilitation Physician1831256098

Verify Nilesh J. Patel in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
    Search for license 25MA07619500
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New Jersey license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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62% fewer Medicare Part D claims than the average orthopaedic surgery physician in 2024

130 Medicare Part D claims for 97 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. 12 claims were for opioids.

  1. Nilesh Patel130
  2. Specialty average346

Most prescribed

  1. Meloxicam74 claims
  2. Celecoxib14 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 69.7 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score49.8
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%91.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $137.04

3 payments; by number, the most common kind was food and beverage; the largest payer was Acumed LLC. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Nilesh Patel$137
  2. Specialty average$23,023

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Edison Metuchen Orthopaedic Group PAEdison, NJ
  2. Premier Brain And Spine LLCEdison, NJ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Nilesh J. Patel among 690 orthopaedic surgery physician records in New Jersey

Nilesh J. Patel, M.D. is one of 690 orthopaedic surgery physician records with a practice address in New Jersey. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 58% of them.

  • NPI issued2007 · 58% of these records are older, 32% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 64% of these records are
  • Graduated1997 · median 2001 among the 444 with a school on file
  • Record last updated2026 · 61% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Orthopaedic Surgery Physician providers in New Jersey

There are 690 orthopaedic surgery physician records in New Jersey.

The 8 orthopaedic surgery physician records with the nearest ZIP codes

  1. Jeffrey Charen, MDEdison, NJ 088371891777942
  2. Imtiaz Chaudhary, M.D.Edison, NJ 088371508933094
  3. Franklin Chen, M.D.Edison, NJ 088371245387554
  4. Matthew Garfinkel, M.D.Edison, NJ 088371497802649
  5. Robert Lombardi, M.D.Edison, NJ 088371396892485
  6. Joseph Lombardi, M.D.Edison, NJ 088371801943998
  7. James Patti, M.D.Edison, NJ 088371336296441
  8. Mohnish Ramani, M.D.Edison, NJ 088371942357025

Common questions

What is Nilesh J. Patel, M.D.'s NPI number?

Nilesh J. Patel, M.D.'s National Provider Identifier (NPI) is 1649327826, issued on Jan 3, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Nilesh J. Patel, M.D. located?

The NPPES record lists a practice address at 10 Parsonage RD Ste 500, Edison, NJ, 08837. Phone: (732) 494-6226. Providers update this record themselves, so call before visiting.

How can I verify Nilesh J. Patel, M.D.'s license?

NPPES lists New Jersey license number 25MA07619500, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Nilesh J. Patel, M.D. prescribe under Medicare Part D?

In 2024, Nilesh J. Patel, M.D. had 130 Medicare Part D claims for 97 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.

What is Nilesh J. Patel, M.D.'s MIPS final score?

The 2023 MIPS final score is 69.7 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.