2026 NPPES data Internal Medicine Physician NPI 1265693311 MD
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NISHANT PATEL, MD

Internal Medicine Physician in FLOWER MOUND, Texas. 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 · 344 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
79.8739/100
▼ 3 pts below national avg 83.1 · [object Object]
Industry payments
$410.87
15 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NISHANT PATEL, MD reported a CMS MIPS final score of 79.8739/100 — below the 83.1 national average — and filed 1,044 Medicare Part D claims in 2023.

79.8739/100
MIPS score · -3 vs avg
1K
Part D claims, 2023
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.

NISHANT PATEL, MD's MIPS score vs every scored U.S. clinician

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

80 30th percentile higher than 30% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

NISHANT PATEL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 NISHANT PATEL, MD?

Near national average

NPI registry status

Active

Issued 06/20/2008

NPI 1265693311

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

1,044 62% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

79.8739/100 3.226099999999988% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Internal Medicine Physician compares to other specialties among Texas providers

Texas providers

Internal Medicine Physician share within Texas

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

Medicare quality performance — MIPS

NISHANT PATEL, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Near national average
MIPS Final Score
79.8739/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 79.8739/100 vs national avg 83.1

0%100%National avg83%79.9%
MIPS final score (Internal Medicine Physician) — 79.8739/100 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).

NISHANT PATEL, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 4370 MEDICAL ARTS DR, FLOWER MOUND, TX, 75028, with a listed phone of (972) 691-3777. NPI 1265693311 was issued on 06/20/2008. 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 1,044 prescription claims written by this provider, covering 344 Medicare beneficiaries and totaling roughly $851K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.8739/100 for the 2023 performance year (Quality 68.5511, Cost 64.3618), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

4370 MEDICAL ARTS DR
FLOWER MOUND, TX 75028

Provider Details

NPI 1265693311
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/20/2008

CMS Quality Score (MIPS)

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

79.8739
Final Score
Avg: 83.1
68.5511
Quality
64.3618
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NISHANT PATEL, MD 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.

TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC
FLOWER MOUND, TX

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

Total received

$411

Largest payer

ABBVIE INC.

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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to NISHANT PATEL, MD. To verify NISHANT PATEL, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,044
Total Claims
$851K
Total Drug Cost
344
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,731
Total Day Supply
43,161
Generic Drug Cost
$37K
Antibiotic Claims
30

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
1.15
Gender Split
53% female / 47% male
Age Distribution
<65: 11, 65-74: 185, 75-84: 135, 85+: 13

Top Prescribed Drugs (Medicare Part D)

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

What NISHANT PATEL, MD 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
Omeprazole
274
Pantoprazole Sodium
152
Ondansetron Odt
Ondansetron
141
Plenvu
Peg3350/Sod Sul/Nacl/Kcl/Asb/C
40
Ondansetron Hcl
34
Famotidine
29
Linzess
Linaclotide
23
Stelara
Ustekinumab
21
Dicyclomine Hcl
20
Prevalite
Cholestyramine/Aspartame
19

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

Internal Medicine Physician Overview

How NISHANT PATEL, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

NISHANT PATEL, MD's 1,044 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Texas

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NISHANT PATEL, MD's specialty?
NISHANT PATEL, MD specializes in Internal Medicine Physician and practices in FLOWER MOUND, Texas. Credentials: MD.
How much does NISHANT PATEL, MD prescribe under Medicare Part D?
In 2023, NISHANT PATEL, MD wrote 1,044 Medicare Part D claims totaling $851K in drug costs for 344 beneficiaries.
What is NISHANT PATEL, MD's Medicare quality score?
NISHANT PATEL, MD has a CMS MIPS Final Score of 79.8739/100 (Quality: 68.5511, Cost: 64.3618). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NISHANT PATEL, MD located?
NISHANT PATEL, MD is located at 4370 MEDICAL ARTS DR, FLOWER MOUND, TX, 75028. Phone: (972) 691-3777.
What is NISHANT PATEL, MD's NPI number?
NISHANT PATEL, MD's National Provider Identifier (NPI) is 1265693311, issued on 06/20/2008.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does NISHANT PATEL, MD prescribe most often?
Based on 2023 Medicare Part D data, NISHANT PATEL, MD's most frequently prescribed drugs include Omeprazole, Pantoprazole Sodium, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NISHANT PATEL, MD accept Medicare?
NISHANT PATEL, MD appears in CMS Medicare data with 1,044 Part D claims and 344 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NISHANT PATEL, MD's credentials?
NISHANT PATEL, MD's NPI is 1265693311 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.
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