NPI registry status
Active
2026 NPPES data Legal Medicine NPI 1588643779 MD
Verify on CMS → Nimesh Patel, MD
Legal Medicine in Astoria, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,065 in Legal Medicine, 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
4K
Medicare Part D claims · 528 beneficiaries · Legal Medicine avg: 3K
Generic prescribing
73%
generic claims · 27% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$851.76
38 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Nimesh Patel, MD carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 3,553 Medicare Part D claims in 2023.
- 75/100
- CMS neutral score · not measured
- 4K
- Part D claims, 2023
- 73%
- generic prescribing
- $851.76
- industry payments (Sunshine Act)
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.
Nimesh Patel, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
3,553 ≥ 90th percentile 90% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Nimesh Patel, MD?
CMS neutral score, not measuredPrimary specialty
Legal Medicine
Medicare Part D claims
3,553 26% vs specialty avg
MIPS final score
75/100
Specialty distribution in New York
How Legal Medicine compares to other specialties among New York providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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).
Nimesh Patel, MD appears in the CMS NPPES registry as a Legal Medicine provider holding MD credentials at 3415 31ST AVE, Astoria, NY, 11106, with a listed phone of (718) 932-9070. NPI 1588643779 was issued on 01/16/2006.
Medicare Part D records for calendar year 2023 show 3,553 prescription claims written by this provider, covering 528 Medicare beneficiaries and totaling roughly $956K in drug spend, split 27% brand-name and 73% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider carries a Final Score of 75/100 for the 2023 performance year, but CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score: this is the neutral performance threshold CMS assigns where nothing was scored, so it is not comparable with clinicians whose score was measured.
Legal Medicine is a narrow specialty nationwide, with 1,065 enrolled providers across 51 states and an average of 2,821 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
Provider Details
| NPI | 1588643779 |
|---|---|
| Specialty | Legal Medicine |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 01/16/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Group practice
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 Nimesh Patel, MD. Source: openpaymentsdata.cms.gov.
Total received
$852
Largest payer
AstraZeneca Pharmaceuticals LP
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 - 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 Nimesh Patel, MD. To verify Nimesh Patel, MD'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 · Above average
Nimesh Patel, MD - brand share 27.0%
Legal Medicine average
27% brand-name claims vs 73% generic, on 3,553 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.
3,553
Total Claims
$956K
Total Drug Cost
528
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,312
- Total Day Supply
- 186,516
- Brand vs Generic
- 27% brand / 73% generic
- Brand Drug Cost
- $869K
- Generic Drug Cost
- $87K
- Antibiotic Claims
- 24
Patient Demographics
- Average Patient Age
- 74.6 years
- Avg HCC Risk Score
- 2.61
- Gender Split
- 44% female / 56% male
- Age Distribution
- <65: 36, 65-74: 224, 75-84: 192, 85+: 76
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Nimesh Patel, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Farxiga
Farxiga
483 claims
- Amlodipine Besylate
Amlodipine Besylate
347 claims
- Calcitriol
Calcitriol
321 claims
- Losartan Potassium
Losartan Potassium
232 claims
- Lokelma
Lokelma
210 claims
- Labetalol Hcl 171
Labetalol Hcl
171 claims
- Vitamin D2 147
Vitamin D2
147 claims
- Carvedilol 114
Carvedilol
114 claims
| Drug | Claims |
|---|---|
| Farxiga Dapagliflozin Propanediol | 483 |
| Amlodipine Besylate | 347 |
| Calcitriol | 321 |
| Losartan Potassium | 232 |
| Lokelma Sodium Zirconium Cyclosilicate | 210 |
| Labetalol Hcl | 171 |
| Vitamin D2 Ergocalciferol (Vitamin D2) | 147 |
| Carvedilol | 114 |
| Atorvastatin Calcium | 95 |
| Allopurinol | 94 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Legal Medicine Overview
How Nimesh Patel, MD fits within the Legal Medicine landscape nationally.
1,065
Legal Medicine Providers in US
51
States with Legal Medicine
2,821
Avg Claims per Provider
Nimesh Patel, MD's 3,553 claims are above the specialty average of 2,821.
Nearby Legal Medicine Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Patel.
One of 145 Legal Medicine providers enrolled in New York, 5 are shown here.
Shaheen Ahmad
Astoria, NY
Dr. Ofem Ajah
MD
Brooklyn, NY
Dr. Dale Alexander
MD
Brooklyn, NY
Dr. Angelique Anderson
M.D.
New York, NY
Francis Anello
Middle Village, NY
Compare Legal Medicine nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Legal Medicine peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Nimesh Patel, MD's specialty? ▼
Nimesh Patel, MD specializes in Legal Medicine and practices in Astoria, New York. Credentials: MD.
How much does Nimesh Patel, MD prescribe under Medicare Part D? ▼
In 2023, Nimesh Patel, MD wrote 3,553 Medicare Part D claims totaling $956K in drug costs for 528 beneficiaries.
What is Nimesh Patel, MD's Medicare quality score? ▼
Nimesh Patel, MD has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. 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 Nimesh Patel, MD located? ▼
Nimesh Patel, MD is located at 3415 31ST AVE, Astoria, NY, 11106. Phone: (718) 932-9070.
What is Nimesh Patel, MD's NPI number? ▼
Nimesh Patel, MD's National Provider Identifier (NPI) is 1588643779, issued on 01/16/2006.
Does Nimesh Patel, MD prescribe more brand-name or generic drugs? ▼
Nimesh Patel, MD's prescribing is 27% brand-name and 73% generic drugs by claim count, with $869K in brand drug costs.
How many Legal Medicine providers are there in the US? ▼
There are 1,065 Legal Medicine providers across 51 states in the US. The average Legal Medicine provider writes 2,821 Medicare Part D claims per year.
What drugs does Nimesh Patel, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Nimesh Patel, MD's most frequently prescribed drugs include Farxiga, Amlodipine Besylate, Calcitriol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nimesh Patel, MD accept Medicare? ▼
Nimesh Patel, MD appears in CMS Medicare data with 3,553 Part D claims and 528 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nimesh Patel, MD's credentials? ▼
Nimesh Patel, MD's NPI is 1588643779 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.