2026 NPPES data Neurology Physician NPI 1881631539 M.D.
Verify on CMS →

NIRAV PATEL, M.D.

Neurology Physician in LOS ALAMITOS, California. 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
1K
Medicare Part D claims · 195 beneficiaries · Neurology Physician avg: 1K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$109.2K
208 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NIRAV PATEL, M.D. reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 1,434 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
1K
Part D claims, 2023
85%
generic prescribing
Likely
board-certified (heuristic)

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.

NIRAV PATEL, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

100 Top 7% higher than 93% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

NIRAV PATEL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 NIRAV PATEL, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/01/2006

NPI 1881631539

Primary specialty

Neurology Physician

Mid-sized

19,866 US NPIs in this specialty

Medicare Part D claims

1,434 10% vs specialty avg

2023 prescription claims

Specialty avg: 1,309

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Neurology Physician compares to other specialties among California providers

California providers

Neurology Physician share within California

1. Neurology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neurology Physician share within California

Medicare quality performance — MIPS

NIRAV PATEL, M.D.'s 2023 MIPS final score plotted against the Neurology Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurology Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Neurology Physician) — 100/100 vs national avg 83.1

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).

NIRAV PATEL, M.D. appears in the CMS NPPES registry as a Neurology Physician provider holding M.D. credentials at 3791 KATELLA AVE, LOS ALAMITOS, CA, 90720, with a listed phone of (562) 430-3114. NPI 1881631539 was issued on 06/01/2006. 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 1,434 prescription claims written by this provider, covering 195 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 4.6%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 78.7523, Cost 95.4735), compared with the national average of 83.1.

Neurology Physician is a mid-sized specialty nationwide, with 19,866 enrolled providers across 54 states and an average of 1,309 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

3791 KATELLA AVE
LOS ALAMITOS, CA 90720

Provider Details

NPI 1881631539
Specialty Neurology Physician
Credentials M.D.
Gender Male
NPI Issued 06/01/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

100
Final Score
Avg: 83.1
78.7523
Quality
95.4735
Cost
94
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where NIRAV 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.

OSO SPECIALTY INFUSION INC
IRVINE, CA
SOUTHLAND NEUROLOGIC INSTITUTE A MEDICAL CORPORATION
LONG BEACH, CA

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

Total received

$109.2K

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 — 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 NIRAV PATEL, M.D.. To verify NIRAV 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

NIRAV PATEL, M.D. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 1,434 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.

1,434
Total Claims
$1.1M
Total Drug Cost
195
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,424
Total Day Supply
71,643
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$985K
Generic Drug Cost
$128K
Opioid Claims
66 (4.6% rate)

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
1.88
Gender Split
66% female / 34% male
Age Distribution
<65: 21, 65-74: 62, 75-84: 74, 85+: 38

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What NIRAV PATEL, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Memantine Hcl
107
Donepezil Hcl
83
Gabapentin
67
Baclofen
50
Quetiapine Fumarate
50
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
39
Modafinil
39
Pregabalin
38
Topiramate
37
Tizanidine Hcl
35

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

Neurology Physician Overview

How NIRAV PATEL, M.D. fits within the Neurology Physician landscape nationally.

19,866
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider

NIRAV PATEL, M.D.'s 1,434 claims are above the specialty average of 1,309.

Nearby Neurology Physician Providers in California

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

Compare Neurology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NIRAV PATEL, M.D.'s specialty?
NIRAV PATEL, M.D. specializes in Neurology Physician and practices in LOS ALAMITOS, California. Credentials: M.D..
How much does NIRAV PATEL, M.D. prescribe under Medicare Part D?
In 2023, NIRAV PATEL, M.D. wrote 1,434 Medicare Part D claims totaling $1.1M in drug costs for 195 beneficiaries.
What is NIRAV PATEL, M.D.'s Medicare quality score?
NIRAV PATEL, M.D. has a CMS MIPS Final Score of 100/100 (Quality: 78.7523, Cost: 95.4735). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NIRAV PATEL, M.D. located?
NIRAV PATEL, M.D. is located at 3791 KATELLA AVE, LOS ALAMITOS, CA, 90720. Phone: (562) 430-3114.
What is NIRAV PATEL, M.D.'s NPI number?
NIRAV PATEL, M.D.'s National Provider Identifier (NPI) is 1881631539, issued on 06/01/2006.
Does NIRAV PATEL, M.D. prescribe more brand-name or generic drugs?
NIRAV PATEL, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $985K in brand drug costs.
Does NIRAV PATEL, M.D. prescribe opioids?
Yes, NIRAV PATEL, M.D. had 66 opioid claims in 2023 with an opioid prescribing rate of 4.6%.
How many Neurology Physician providers are there in the US?
There are 19,866 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
What drugs does NIRAV PATEL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, NIRAV PATEL, M.D.'s most frequently prescribed drugs include Memantine Hcl, Donepezil Hcl, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NIRAV PATEL, M.D. accept Medicare?
NIRAV PATEL, M.D. appears in CMS Medicare data with 1,434 Part D claims and 195 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NIRAV PATEL, M.D.'s credentials?
NIRAV PATEL, M.D.'s NPI is 1881631539 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.
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