2026 NPPES data Gastroenterology Physician NPI 1720468028 M.D.
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PARITA PATEL, M.D.

Gastroenterology Physician in ATLANTA, Georgia. 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
748
Medicare Part D claims · 160 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.5/100
▲ 15 pts above national avg 83.1 · [object Object]
Industry payments
$1.0K
47 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PARITA PATEL, M.D. reported a CMS MIPS final score of 98.5/100 — above the 83.1 national average — and filed 748 Medicare Part D claims in 2023.

98.5/100
MIPS score · +15 vs avg
748
Part D claims, 2023
79%
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.

PARITA 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

99 Top 11% higher than 89% 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)

PARITA 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).

What does the federal data show about PARITA PATEL, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/02/2015

NPI 1720468028

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

748 10% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

98.5/100 15.400000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Gastroenterology Physician compares to other specialties among Georgia providers

Georgia providers

Gastroenterology Physician share within Georgia

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

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
98.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 98.5/100 vs national avg 83.1

0%100%National avg83%98.5%
MIPS final score (Gastroenterology Physician) — 98.5/100 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).

PARITA PATEL, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 1968 PEACHTREE RD NW BLDG 775TH, ATLANTA, GA, 30309, with a listed phone of (404) 605-4600. NPI 1720468028 was issued on 06/02/2015. 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 748 prescription claims written by this provider, covering 160 Medicare beneficiaries and totaling roughly $670K in drug spend, split 21% brand-name and 79% 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 98.5/100 for the 2023 performance year, compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

1968 PEACHTREE RD NW BLDG 775TH
ATLANTA, GA 30309

Provider Details

NPI 1720468028
Specialty Gastroenterology Physician
Credentials M.D.
Gender Female
NPI Issued 06/02/2015

CMS Quality Score (MIPS)

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

98.5
Final Score
Avg: 83.1
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PARITA 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.

PIEDMONT PROVIDERS LLC
ATLANTA, GA

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

Total received

$1.0K

Largest payer

Salix Pharmaceuticals, a division of Bausch Health US, LLC

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 · Typical

PARITA PATEL, M.D. — brand share 21.0%
Specialty average (est.)

21% brand-name claims vs 79% generic, on 748 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.

748
Total Claims
$670K
Total Drug Cost
160
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,272
Total Day Supply
36,259
Brand vs Generic
21% brand / 79% generic
Brand Drug Cost
$578K
Generic Drug Cost
$92K
Antibiotic Claims
103

Patient Demographics

Average Patient Age
66.9 years
Avg HCC Risk Score
2.52
Gender Split
53% female / 48% male
Age Distribution
<65: 38, 65-74: 101, 75-84: 21, 85+: 0

Top Prescribed Drugs (Medicare Part D)

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

What PARITA 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
Tacrolimus
103
Spironolactone
65
Xifaxan
Rifaximin
65
Ursodiol
61
Azathioprine
43
Bumetanide
41
Furosemide
27
Lactulose
26
Mycophenolate Mofetil
25
Vemlidy
Tenofovir Alafenamide
25

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

Gastroenterology Physician Overview

How PARITA PATEL, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

PARITA PATEL, M.D.'s 748 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Georgia

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

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

Frequently Asked Questions

What is PARITA PATEL, M.D.'s specialty?
PARITA PATEL, M.D. specializes in Gastroenterology Physician and practices in ATLANTA, Georgia. Credentials: M.D..
How much does PARITA PATEL, M.D. prescribe under Medicare Part D?
In 2023, PARITA PATEL, M.D. wrote 748 Medicare Part D claims totaling $670K in drug costs for 160 beneficiaries.
What is PARITA PATEL, M.D.'s Medicare quality score?
PARITA PATEL, M.D. has a CMS MIPS Final Score of 98.5/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PARITA PATEL, M.D. located?
PARITA PATEL, M.D. is located at 1968 PEACHTREE RD NW BLDG 775TH, ATLANTA, GA, 30309. Phone: (404) 605-4600.
What is PARITA PATEL, M.D.'s NPI number?
PARITA PATEL, M.D.'s National Provider Identifier (NPI) is 1720468028, issued on 06/02/2015.
Does PARITA PATEL, M.D. prescribe more brand-name or generic drugs?
PARITA PATEL, M.D.'s prescribing is 21% brand-name and 79% generic drugs by claim count, with $578K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does PARITA PATEL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PARITA PATEL, M.D.'s most frequently prescribed drugs include Tacrolimus, Spironolactone, Xifaxan. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PARITA PATEL, M.D. accept Medicare?
PARITA PATEL, M.D. appears in CMS Medicare data with 748 Part D claims and 160 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PARITA PATEL, M.D.'s credentials?
PARITA PATEL, M.D.'s NPI is 1720468028 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