2026 NPPES data Plastic and Reconstructive Surgery Physician NPI 1417118845 M.D.
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NIMA PATEL, M.D.

Plastic and Reconstructive Surgery Physician in LONG ISLAND CITY, New York. 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
55
Medicare Part D claims · 22 beneficiaries · Plastic and Reconstructive Surgery Physician avg: 86
Generic prescribing
40%
generic claims · 60% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$466.99
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NIMA PATEL, M.D. is a Plastic and Reconstructive Surgery Physician ([object Object]) practicing in LONG ISLAND CITY, New York with a Medicare Part D prescribing footprint of 55 claims across 22 beneficiaries — 60% brand-name prescribing . Industry payments of $466.99 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NIMA PATEL, M.D. filed 55 Medicare Part D claims in 2023 across LONG ISLAND CITY, New York. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

NIMA PATEL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

NIMA PATEL, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 06/18/2008

NPI 1417118845

Primary specialty

Plastic and Reconstructive Surgery Physician

Niche

2,352 US NPIs in this specialty

Medicare Part D claims

55 36% vs specialty avg

2023 prescription claims

Specialty avg: 86

Specialty distribution in New York

How Plastic and Reconstructive Surgery Physician compares to other specialties among New York providers

New York providers

Plastic and Reconstructive Surgery Physician share within New York

1. Plastic and Reconstructive Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic and Reconstructive Surgery Physician share within New York

Specialty board-certification context

Estimated specialty board-certified rate — Plastic and Reconstructive Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Plastic and Reconstructive Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Plastic and Reconstructive Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Plastic and Reconstructive Surgery 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).

NIMA PATEL, M.D. is a Plastic and Reconstructive Surgery Physician provider practicing in LONG ISLAND CITY, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1417118845. 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.

NIMA PATEL, M.D. appears in the CMS NPPES registry as a Plastic and Reconstructive Surgery Physician provider holding M.D. credentials at 4878 37TH ST, LONG ISLAND CITY, NY, 11101, with a listed phone of (718) 784-0755. NPI 1417118845 was issued on 06/18/2008. 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 55 prescription claims written by this provider, covering 22 Medicare beneficiaries and totaling roughly $71K in drug spend, split 60% brand-name and 40% generic by claim count. 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.

Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 2,352 enrolled providers across 54 states and an average of 86 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

4878 37TH ST
LONG ISLAND CITY, NY 11101

Provider Details

NPI 1417118845
Specialty Plastic and Reconstructive Surgery Physician
Credentials M.D.
Gender Female
NPI Issued 06/18/2008

Hospital and facility affiliations

Facilities where NIMA PATEL, M.D. 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.

MMC PLASTIC SURGERY FPP
BROOKLYN, NY

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 NIMA PATEL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$467

Largest payer

Becton, Dickinson and Company

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.

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to NIMA PATEL, M.D.. To verify NIMA PATEL, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

NIMA PATEL, M.D. — brand share 60.0%
Specialty average (est.)

60% brand-name claims vs 40% generic, on 55 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.

55
Total Claims
$71K
Total Drug Cost
22
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
69
Total Day Supply
1,538
Brand vs Generic
60% brand / 40% generic
Brand Drug Cost
$71K
Generic Drug Cost
$164
Antibiotic Claims
14

Patient Demographics

Average Patient Age
68.7 years
Avg HCC Risk Score
2.43
Gender Split
50% female / 50% 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
Santyl
Collagenase Clostridium Hist.
20

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

Plastic and Reconstructive Surgery Physician Overview

How NIMA PATEL, M.D. fits within the Plastic and Reconstructive Surgery Physician landscape nationally.

2,352
Plastic and Reconstructive Surgery Physician Providers in US
54
States with Plastic and Reconstructive Surgery Physician
86
Avg Claims per Provider

NIMA PATEL, M.D.'s 55 claims are below the specialty average of 86.

Nearby Plastic and Reconstructive Surgery Physician Providers in New York

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

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

Frequently Asked Questions

What is NIMA PATEL, M.D.'s specialty?
NIMA PATEL, M.D. specializes in Plastic and Reconstructive Surgery Physician and practices in LONG ISLAND CITY, New York. Credentials: M.D..
How much does NIMA PATEL, M.D. prescribe under Medicare Part D?
In 2023, NIMA PATEL, M.D. wrote 55 Medicare Part D claims totaling $71K in drug costs for 22 beneficiaries.
Where is NIMA PATEL, M.D. located?
NIMA PATEL, M.D. is located at 4878 37TH ST, LONG ISLAND CITY, NY, 11101. Phone: (718) 784-0755.
What is NIMA PATEL, M.D.'s NPI number?
NIMA PATEL, M.D.'s National Provider Identifier (NPI) is 1417118845, issued on 06/18/2008.
Does NIMA PATEL, M.D. prescribe more brand-name or generic drugs?
NIMA PATEL, M.D.'s prescribing is 60% brand-name and 40% generic drugs by claim count, with $71K in brand drug costs.
How many Plastic and Reconstructive Surgery Physician providers are there in the US?
There are 2,352 Plastic and Reconstructive Surgery Physician providers across 54 states in the US. The average Plastic and Reconstructive Surgery Physician provider writes 86 Medicare Part D claims per year.
What drugs does NIMA PATEL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, NIMA PATEL, M.D.'s most frequently prescribed drugs include Santyl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NIMA PATEL, M.D. accept Medicare?
NIMA PATEL, M.D. appears in CMS Medicare data with 55 Part D claims and 22 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NIMA PATEL, M.D.'s credentials?
NIMA PATEL, M.D.'s NPI is 1417118845 with credentials M.D.. 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