Payal Patel, MD
Ophthalmic Plastic and Reconstructive Surgery Physician · New York, NY
Payal Patel, MD is an ophthalmic plastic and reconstructive surgery physician with a practice address in New York, New York, and NPI 1912140781, issued on Apr 9, 2009. Check the license (New York 256484, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Payal Patel
- Credential
- MD
- Primary taxonomy
- Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X
- License number
- 256484 NY
Self-reported in NPPES; status is on the state search - Practice location
- 436 3RD Ave Ste LL, New York, NY 10016
- Phone
- (646) 443-6061
- Enumerated
- Apr 9, 2009
- Record last updated
- Nov 2, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20120716000566); may accept Medicare assignment
- Medical or professional school
- New York Medical College, 2008
- Entity
- Type 1 · individual
8 nearest ophthalmic plastic and reconstructive surgery physician records → All 29 in New York → Look up another NPI →
Verify Payal Patel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 256484Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
80% fewer Medicare Part D claims than the average ophthalmic plastic and reconstructive surgery physician in 2024
111 Medicare Part D claims for 74 beneficiaries, against an average of 544 among the 409 providers of this specialty who prescribed in Part D. Brand-name drugs were 22% of claims.
Most prescribed
- Erythromycin41 claims
- Neomycin-Polymyxin-Dexameth33 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 89.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $300.21
7 payments; by number, the most common kind was food and beverage; the largest payer was PolyNovo North America LLC. The 332 providers of this specialty with any payment received $6,302.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 3 group practices
- State OF New York Comptrollers OfficeNew York, NY
- Tjh Medical Services PCJamaica, NY
- Vision Nyc Jonathan Kruh MD PLLCNew York, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Payal Patel among 29 ophthalmic plastic and reconstructive surgery physician records in New York
Payal Patel, MD is one of 29 ophthalmic plastic and reconstructive surgery physician records with a practice address in New York. 93% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 55% of them.
- NPI issued2009 · 55% of these records are older, 41% newer
- In a Medicare fileYes · 93% of these records are
- In the CMS Doctors and Clinicians fileYes · 86% of these records are
- Graduated2008 · median 2007 among the 25 with a school on file
- Record last updated2021 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207WX0200X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Ophthalmic Plastic and Reconstructive Surgery Physician providers in New York
There are 29 ophthalmic plastic and reconstructive surgery physician records in New York.
All 29 in New York → Every provider in New York → Ophthalmic Plastic and Reconstructive Surgery Physician nationwide →
The 8 ophthalmic plastic and reconstructive surgery physician records with the nearest ZIP codes
- Elizabeth Maher, MDNew York, NY 100161275547945
- James Chelnis, M.D.New York, NY 100191952612913
- Kyle Godfrey, M.D.New York, NY 100211104268994
- Celestine Gregerson, MDNew York, NY 100211679101943
- Kevin Heinze, MDNew York, NY 100211427552181
- Gary Lelli Jr, M.D.New York, NY 100211093766032
- Richard Lisman, M.D.,F.A.C.SNew York, NY 100211043219900
- I Rodgers, MDNew York, NY 100211215965934
Common questions
What is Payal Patel, MD's NPI number?
Payal Patel, MD's National Provider Identifier (NPI) is 1912140781, issued on Apr 9, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Payal Patel, MD located?
The NPPES record lists a practice address at 436 3RD Ave Ste LL, New York, NY, 10016. Phone: (646) 443-6061. Providers update this record themselves, so call before visiting.
How can I verify Payal Patel, MD's license?
NPPES lists New York license number 256484, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Payal Patel, MD prescribe under Medicare Part D?
In 2024, Payal Patel, MD had 111 Medicare Part D claims for 74 beneficiaries; the average among ophthalmic plastic and reconstructive surgery physician prescribers was 544. Part D covers Medicare prescriptions only.
What is Payal Patel, MD's MIPS final score?
The 2023 MIPS final score is 89.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.