2026 NPPES data Interventional Pain Medicine Physician NPI 1265530463 MD
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NILESHKUMAR PATEL, MD

Interventional Pain Medicine Physician in GREENFIELD, Wisconsin. 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
19
Medicare Part D claims · Interventional Pain Medicine Physician avg: 2K
Industry payments
$19.0K
17 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NILESHKUMAR PATEL, MD is a Interventional Pain Medicine Physician ([object Object]) practicing in GREENFIELD, Wisconsin with a Medicare Part D prescribing footprint of 19 claims . Industry payments of $19.0K across 17 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NILESHKUMAR PATEL, MD filed 19 Medicare Part D claims in 2023 across GREENFIELD, Wisconsin. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

NILESHKUMAR 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).

NILESHKUMAR PATEL, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 09/20/2006

NPI 1265530463

Primary specialty

Interventional Pain Medicine Physician

Niche

1,528 US NPIs in this specialty

Medicare Part D claims

19 99% vs specialty avg

2023 prescription claims

Specialty avg: 2,197

Specialty distribution in Wisconsin

How Interventional Pain Medicine Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Interventional Pain Medicine Physician share within Wisconsin

1. Interventional Pain Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Pain Medicine Physician share within Wisconsin

Specialty board-certification context

Estimated specialty board-certified rate — Interventional Pain Medicine Physician (ABMS / AOA reference)

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

Est. board-certified rate (Interventional Pain Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Interventional Pain Medicine 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).

NILESHKUMAR PATEL, MD is a Interventional Pain Medicine Physician provider practicing in GREENFIELD, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1265530463. 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.

NILESHKUMAR PATEL, MD appears in the CMS NPPES registry as a Interventional Pain Medicine Physician provider holding MD credentials at 4131 W LOOMIS RD, GREENFIELD, WI, 53221, with a listed phone of (414) 325-7246. NPI 1265530463 was issued on 09/20/2006. 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 19 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $346 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.

Interventional Pain Medicine Physician is a narrow specialty nationwide, with 1,528 enrolled providers across 53 states and an average of 2,197 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

4131 W LOOMIS RD
GREENFIELD, WI 53221

Provider Details

NPI 1265530463
Specialty Interventional Pain Medicine Physician
Credentials MD
Gender Male
NPI Issued 09/20/2006

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

Total received

$19.0K

Largest payer

Boston Scientific Corporation

Most common payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program

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.

19
Total Claims
$346
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
27
Total Day Supply
644
Generic Drug Cost
$250

Patient Demographics

Average Patient Age
78.5 years
Avg HCC Risk Score
0.76

Interventional Pain Medicine Physician Overview

How NILESHKUMAR PATEL, MD fits within the Interventional Pain Medicine Physician landscape nationally.

1,528
Interventional Pain Medicine Physician Providers in US
53
States with Interventional Pain Medicine Physician
2,197
Avg Claims per Provider

NILESHKUMAR PATEL, MD's 19 claims are below the specialty average of 2,197.

Nearby Interventional Pain Medicine Physician Providers in Wisconsin

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

Compare Interventional Pain Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NILESHKUMAR PATEL, MD's specialty?
NILESHKUMAR PATEL, MD specializes in Interventional Pain Medicine Physician and practices in GREENFIELD, Wisconsin. Credentials: MD.
How much does NILESHKUMAR PATEL, MD prescribe under Medicare Part D?
In 2023, NILESHKUMAR PATEL, MD wrote 19 Medicare Part D claims totaling $346 in drug costs for N/A beneficiaries.
Where is NILESHKUMAR PATEL, MD located?
NILESHKUMAR PATEL, MD is located at 4131 W LOOMIS RD, GREENFIELD, WI, 53221. Phone: (414) 325-7246.
What is NILESHKUMAR PATEL, MD's NPI number?
NILESHKUMAR PATEL, MD's National Provider Identifier (NPI) is 1265530463, issued on 09/20/2006.
How many Interventional Pain Medicine Physician providers are there in the US?
There are 1,528 Interventional Pain Medicine Physician providers across 53 states in the US. The average Interventional Pain Medicine Physician provider writes 2,197 Medicare Part D claims per year.
Does NILESHKUMAR PATEL, MD accept Medicare?
NILESHKUMAR PATEL, MD appears in CMS Medicare data with 19 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NILESHKUMAR PATEL, MD's credentials?
NILESHKUMAR PATEL, MD's NPI is 1265530463 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