NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1811315492 M.D.
Verify on CMS → Niraj Patel, M.D.
Family Medicine Physician in Cameron Park, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 150,125 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
4K
Medicare Part D claims · 481 beneficiaries · Family Medicine Physician avg: 4K
Generic prescribing
87%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$247.43
11 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Niraj Patel, M.D. filed 3,640 Medicare Part D claims in 2024 as a Family Medicine Physician in Cameron Park, California, prescribing 87% generic.
- 4K
- Part D claims, 2024
- 87%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥90th
- pct by Part D claim volume (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.
Federal trust snapshot
What official records show about Niraj Patel, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1811315492), first enumerated 04/01/2014.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 3,640 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$247.43 in reported industry payments (11 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
California statewide board action statistics are published annually — these figures describe aggregate state activity, not Niraj Patel, M.D.'s individual license status. Verify directly with the state medical board.
Source: MBC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1811315492 · Family Medicine Physician
NPI-10 · ENUM-MID · TAX-MEGA · RX-MID · BOOK-MID · PHOTO-ENUM
- NPI-10 1811315492
- ENUM-MID 2014
- TAX-MEGA 150K Family Medicine
- RX-MID 3,640
- BOOK-MID 16,272 in California
- PHOTO-ENUM Michael Johnson · 2014
Niraj Patel, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
3,640 ≥ 90th percentile 90% of 1,416,883 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 · 2024
✓
Board certification likely (heuristic, not verified)
Niraj 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).
What does the federal data show about Niraj Patel, M.D.?
Quality data not reportedPrimary specialty
Family Medicine Physician
Medicare Part D claims
3,640 3% vs specialty avg
Specialty distribution in California
How Family Medicine Physician compares to other specialties among California providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Medicine Physician. Verify directly:
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 | 1811315492 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/01/2014 |
Hospital and facility affiliations
Facilities where Niraj 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.
Marshall Medical Center
★★★★☆ 4/5
Cameron Park, CA
Acute Care Hospitals
CMS CCN: 050254
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 Niraj Patel, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$247
Largest payer
Exact Sciences Corporation
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 - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Niraj Patel, M.D.. To verify Niraj Patel, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Niraj Patel, M.D. - brand share 12.0%
Family Medicine Physician average
12% brand-name claims vs 87% generic, on 3,640 2024 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 2024.
3,640
Total Claims
$332K
Total Drug Cost
481
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 8,322.233
- Total Day Supply
- 241,142
- Brand vs Generic
- 12% brand / 87% generic
- Brand Drug Cost
- $277K
- Generic Drug Cost
- $52K
- Opioid Claims
- 11 (0.3% rate)
- Antibiotic Claims
- 137
Patient Demographics
- Average Patient Age
- 74.0 years
- Avg HCC Risk Score
- 1.07
- Gender Split
- 46% female / 54% male
- Age Distribution
- <65: 33, 65-74: 231, 75-84: 163, 85+: 54
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Niraj Patel, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Atorvastatin Calcium
Atorvastatin Calcium
350 claims
- Lisinopril
Lisinopril
230 claims
- Amlodipine Besylate
Amlodipine Besylate
164 claims
- Levothyroxine Sodium
Levothyroxine Sodium
152 claims
- Rosuvastatin Calcium 130
Rosuvastatin Calcium
130 claims
- Omeprazole 96
Omeprazole
96 claims
- Metformin Hcl 83
Metformin Hcl
83 claims
- Jardiance 76
Jardiance
76 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 350 |
| Lisinopril | 230 |
| Amlodipine Besylate | 164 |
| Levothyroxine Sodium | 152 |
| Rosuvastatin Calcium | 130 |
| Omeprazole | 96 |
| Metformin Hcl | 83 |
| Jardiance Empagliflozin | 76 |
| Gabapentin | 75 |
| Tamsulosin Hcl | 72 |
* 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 Niraj Patel, M.D. fits within the Family Medicine Physician landscape nationally.
150,125
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,519
Avg Claims per Provider
Niraj Patel, M.D.'s 3,640 claims are above the specialty average of 3,519.
Nationwide Family Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Patel, both outside California so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2014)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Patel.
One of 16,272 Family Medicine Physician providers enrolled in California, 5 are shown here.
Dr. Omer Aba-Omer
MD
Santa Monica, CA
Dr. Michelle Ababa
MD
Wilmington, CA
Dr. Anna Tzeitel Abalos
MD
Roseville, CA
Dr. Adan Abarca
MD
Anaheim, CA
Dr. Vanessa Abarca
DO
Ventura, CA
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Niraj Patel, M.D.'s specialty? ▼
Niraj Patel, M.D. specializes in Family Medicine Physician and practices in Cameron Park, California. Credentials: M.D..
How much does Niraj Patel, M.D. prescribe under Medicare Part D? ▼
In 2024, Niraj Patel, M.D. wrote 3,640 Medicare Part D claims totaling $332K in drug costs for 481 beneficiaries.
Where is Niraj Patel, M.D. located? ▼
Niraj Patel, M.D. is located at 3581 PALMER DR STE 602, Cameron Park, CA, 95682. Phone: (530) 672-7000.
What is Niraj Patel, M.D.'s NPI number? ▼
Niraj Patel, M.D.'s National Provider Identifier (NPI) is 1811315492, issued on 04/01/2014.
Does Niraj Patel, M.D. prescribe more brand-name or generic drugs? ▼
Niraj Patel, M.D.'s prescribing is 12% brand-name and 87% generic drugs by claim count, with $277K in brand drug costs.
Does Niraj Patel, M.D. prescribe opioids? ▼
Yes, Niraj Patel, M.D. had 11 opioid claims in 2024 with an opioid prescribing rate of 0.3%.
How many Family Medicine Physician providers are there in the US? ▼
There are 150,125 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,519 Medicare Part D claims per year.
What drugs does Niraj Patel, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Niraj Patel, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Niraj Patel, M.D. accept Medicare? ▼
Niraj Patel, M.D. appears in CMS Medicare data with 3,640 Part D claims and 481 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Niraj Patel, M.D.'s credentials? ▼
Niraj Patel, M.D.'s NPI is 1811315492 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
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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.