2026 NPPES data Allergy & Immunology Physician NPI 1598976235 M D
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PARAG PATEL, M D

Allergy & Immunology Physician in FLEMINGTON, New Jersey. 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
152
Medicare Part D claims · 41 beneficiaries · Allergy & Immunology Physician avg: 764
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.4354/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$722.04
33 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PARAG PATEL, M D is a Allergy & Immunology Physician ([object Object]) practicing in FLEMINGTON, New Jersey with a Medicare Part D prescribing footprint of 152 claims across 41 beneficiaries — 30% brand-name prescribing . Their CMS MIPS Final Score of 96.4354/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $722.04 across 33 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PARAG PATEL, M D reported a CMS MIPS final score of 96.4354 out of 100, above the 83.1 national average, and filed 152 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PARAG PATEL, M D 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).

PARAG PATEL, M D at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/24/2007

NPI 1598976235

Primary specialty

Allergy & Immunology Physician

Niche

3,390 US NPIs in this specialty

Medicare Part D claims

152 80% vs specialty avg

2023 prescription claims

Specialty avg: 764

MIPS final score

96.4354/100 13.335400000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Allergy & Immunology Physician compares to other specialties among New Jersey providers

New Jersey providers

Allergy & Immunology Physician share within New Jersey

1. Allergy & Immunology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Allergy & Immunology Physician share within New Jersey

Medicare quality performance — MIPS

PARAG PATEL, M D's 2023 MIPS final score plotted against the Allergy & Immunology Physician national average

High performer (top quartile)
MIPS Final Score
96.4354/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Allergy & Immunology Physician) — 96.4354/100 vs national avg 83.1

0%100%National avg83%96.4%
MIPS final score (Allergy & Immunology Physician) — 96.4354/100 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).

PARAG PATEL, M D is a Allergy & Immunology Physician provider practicing in FLEMINGTON, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M D. NPI: 1598976235. 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.

PARAG PATEL, M D appears in the CMS NPPES registry as a Allergy & Immunology Physician provider holding M D credentials at 6 SAND HILL RD STE 302, FLEMINGTON, NJ, 08822, with a listed phone of (908) 788-9131. NPI 1598976235 was issued on 05/24/2007. 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 152 prescription claims written by this provider, covering 41 Medicare beneficiaries and totaling roughly $37K in drug spend, split 30% brand-name and 70% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 96.4354/100 for the 2023 performance year (Quality 100, Cost 88.118), compared with the national average of 83.1.

Allergy & Immunology Physician is a narrow specialty nationwide, with 3,390 enrolled providers across 52 states and an average of 764 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

6 SAND HILL RD STE 302
FLEMINGTON, NJ 08822

Provider Details

NPI 1598976235
Specialty Allergy & Immunology Physician
Credentials M D
Gender Male
NPI Issued 05/24/2007

CMS Quality Score (MIPS)

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

96.4354
Final Score
Avg: 83.1
100
Quality
88.118
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PARAG 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.

HUNTERDON OTOLARYNGOLOGY ASSOCIATES
FLEMINGTON, NJ

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

Total received

$722

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.

Brand vs generic prescribing mix · Above average

PARAG PATEL, M D — brand share 30.0%
Specialty average (est.)

30% brand-name claims vs 70% generic, on 152 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.

152
Total Claims
$37K
Total Drug Cost
41
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
213
Total Day Supply
5,818
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$31K
Generic Drug Cost
$6K

Patient Demographics

Average Patient Age
66.4 years
Avg HCC Risk Score
0.98
Gender Split
61% female / 39% 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
Montelukast Sodium
25
Epinephrine
17
Fluticasone-Salmeterol
Fluticasone Propion/Salmeterol
16
Levocetirizine Dihydrochloride
16
Albuterol Sulfate Hfa
Albuterol Sulfate
14
Azelastine Hcl
11

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

Allergy & Immunology Physician Overview

How PARAG PATEL, M D fits within the Allergy & Immunology Physician landscape nationally.

3,390
Allergy & Immunology Physician Providers in US
52
States with Allergy & Immunology Physician
764
Avg Claims per Provider

PARAG PATEL, M D's 152 claims are below the specialty average of 764.

Nearby Allergy & Immunology Physician Providers in New Jersey

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

Compare Allergy & Immunology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PARAG PATEL, M D's specialty?
PARAG PATEL, M D specializes in Allergy & Immunology Physician and practices in FLEMINGTON, New Jersey. Credentials: M D.
How much does PARAG PATEL, M D prescribe under Medicare Part D?
In 2023, PARAG PATEL, M D wrote 152 Medicare Part D claims totaling $37K in drug costs for 41 beneficiaries.
What is PARAG PATEL, M D's Medicare quality score?
PARAG PATEL, M D has a CMS MIPS Final Score of 96.4354/100 (Quality: 100, Cost: 88.118). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PARAG PATEL, M D located?
PARAG PATEL, M D is located at 6 SAND HILL RD STE 302, FLEMINGTON, NJ, 08822. Phone: (908) 788-9131.
What is PARAG PATEL, M D's NPI number?
PARAG PATEL, M D's National Provider Identifier (NPI) is 1598976235, issued on 05/24/2007.
Does PARAG PATEL, M D prescribe more brand-name or generic drugs?
PARAG PATEL, M D's prescribing is 30% brand-name and 70% generic drugs by claim count, with $31K in brand drug costs.
How many Allergy & Immunology Physician providers are there in the US?
There are 3,390 Allergy & Immunology Physician providers across 52 states in the US. The average Allergy & Immunology Physician provider writes 764 Medicare Part D claims per year.
What drugs does PARAG PATEL, M D prescribe most often?
Based on 2023 Medicare Part D data, PARAG PATEL, M D's most frequently prescribed drugs include Montelukast Sodium, Epinephrine, Fluticasone-Salmeterol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PARAG PATEL, M D accept Medicare?
PARAG PATEL, M D appears in CMS Medicare data with 152 Part D claims and 41 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PARAG PATEL, M D's credentials?
PARAG PATEL, M D's NPI is 1598976235 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