NPI registry status
Active
2026 NPPES data Pediatric Neurodevelopmental Disabilities Physician NPI 1548551385 M.D.
Verify on CMS → Payal Patel, M.D.
Pediatric Neurodevelopmental Disabilities Physician in Seattle, Washington.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 286 in Pediatric Neurodevelopmental Disabilities Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
82
Medicare Part D claims · 11 beneficiaries · Pediatric Neurodevelopmental Disabilities Physician avg: 512
MIPS score
93.1/100
▲ 10 pts above national avg 83.5 · Exceptional
What the federal data shows
Payal Patel, M.D. reported a CMS MIPS final score of 93.1/100 - above the 83.5 national average - and filed 82 Medicare Part D claims in 2024.
- 93.1/100
- MIPS score · +10 vs avg
- 82
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥69th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Payal Patel, M.D.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1548551385), first enumerated 04/27/2011.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 82 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 93.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Washington statewide board action statistics are published annually — these figures describe aggregate state activity, not Payal Patel, M.D.'s individual license status. Verify directly with the state medical board.
Source: WMC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
Compare Patel with other Pediatric Neurodevelopmental Disabilities Physician providers
Same primary specialty, same federal CMS NPPES roster.
Also enrolled in Washington
- Hannah Benson, OTD, OTR/L Lynnwood, WA
- Nora Davis Seattle, WA
- John McLaughlin Seattle, WA
- Dr. Lauren Plawner, MD Bothell, WA
- William Walker Seattle, WA
Other specialties in Seattle: Mental Health Counselor (2,995) · Student in an Organized Health Care Education/Training Program (2,908) · Counselor (2,333) · Massage Therapist (1,923)
Pediatric Neurodevelopmental Disabilities Physician state by state →
CMS NPPES provider registry desk
NPI 1548551385 · Pediatric Neurodevelopmental Disabilities Physician
NPI-10 · ENUM-MID · TAX-TRACE · MIPS-ABOVE · RX-TRACE · BOOK-THIN · PHOTO-FINISH
- NPI-10 1548551385
- ENUM-MID 2011
- TAX-TRACE 286
- MIPS-ABOVE 93.1/100
- RX-TRACE 82
- BOOK-THIN 6 in Washington
- PHOTO-FINISH Steven Pavlakis, MD · ±0.4
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Juliann Paolicch…
Juliann Paolicchi, MD
91.3 MIPS pts
- Patel · this pro…
Patel · this provider
93.1 MIPS pts
- Steven Pavlakis,…
Steven Pavlakis, MD
93.5 MIPS pts
- Rachel Mowatt, D…
Rachel Mowatt, DPT
94.4 MIPS pts
- Jessica Prokup, …
Jessica Prokup, M.D.
95.3 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Payal Patel, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
93 ≥ 69th percentile 69% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Payal Patel, M.D. sits
This provider among pediatric neurodevelopmental disabilities physician peers
Across the 16 pediatric neurodevelopmental disabilities physician providers who report both Medicare Part D prescribing and a MIPS quality score, Payal Patel, M.D. writes more Part D claims than 44% of them and scores higher on MIPS quality than 56% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one pediatric neurodevelopmental disabilities physician peer from a representative sample of 15; the gold marker is Payal Patel, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Payal 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 Payal Patel, M.D.?
High performer (top quartile)Primary specialty
Pediatric Neurodevelopmental Disabilities Physician
Medicare Part D claims
82 84% vs specialty avg
MIPS final score
93.1/100 9.6 pts vs avg
Specialty distribution in Washington
How Pediatric Neurodevelopmental Disabilities Physician compares to other specialties among Washington providers
Medicare quality performance, MIPS
Payal Patel, M.D.'s 2023 MIPS final score plotted against the Pediatric Neurodevelopmental Disabilities Physician national average
- MIPS Final Score
- 93.1/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1548551385 |
|---|---|
| Specialty | Pediatric Neurodevelopmental Disabilities Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 04/27/2011 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
93.0932
Final Score
Measured-score avg: 83.5
73.9573
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Payal 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.
The Association OF University Physicians
Seattle, WA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Washington WMC 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 ~34K Washington medical licensees in 2023 - they are NOT specific to Payal Patel, M.D.. To verify Payal Patel, M.D.'s current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases
WMC 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 Washington 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 2024.
82
Total Claims
$4K
Total Drug Cost
11
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 105.1
- Total Day Supply
- 3,064
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 63.4 years
- Avg HCC Risk Score
- 1.22
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Pregabalin | 34 |
| Propranolol Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pediatric Neurodevelopmental Disabilities Physician in WA →
All providers in Washington →
Compare specialties →
Pediatric Neurodevelopmental Disabilities Physician Overview
How Payal Patel, M.D. fits within the Pediatric Neurodevelopmental Disabilities Physician landscape nationally.
286
Pediatric Neurodevelopmental Disabilities Physician Providers in US
41
States with Pediatric Neurodevelopmental Disabilities Physician
512
Avg Claims per Provider
Payal Patel, M.D.'s 82 claims are below the specialty average of 512.
Nationwide Pediatric Neurodevelopmental Disabilities Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Patel, both outside Washington so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (93.1 here).
Same NPPES enumeration year (2011)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Frequently Asked Questions
What is Payal Patel, M.D.'s specialty? ▼
Payal Patel, M.D. specializes in Pediatric Neurodevelopmental Disabilities Physician and practices in Seattle, Washington. Credentials: M.D..
How much does Payal Patel, M.D. prescribe under Medicare Part D? ▼
In 2024, Payal Patel, M.D. wrote 82 Medicare Part D claims totaling $4K in drug costs for 11 beneficiaries.
What is Payal Patel, M.D.'s Medicare quality score? ▼
Payal Patel, M.D. has a CMS MIPS Final Score of 93.1/100 (Quality: 74). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Payal Patel, M.D. located? ▼
Payal Patel, M.D. is located at 4800 SAND POINT WAY NE, Seattle, WA, 98105. Phone: (206) 987-2000.
What is Payal Patel, M.D.'s NPI number? ▼
Payal Patel, M.D.'s National Provider Identifier (NPI) is 1548551385, issued on 04/27/2011.
How many Pediatric Neurodevelopmental Disabilities Physician providers are there in the US? ▼
There are 286 Pediatric Neurodevelopmental Disabilities Physician providers across 41 states in the US. The average Pediatric Neurodevelopmental Disabilities Physician provider writes 512 Medicare Part D claims per year.
What drugs does Payal Patel, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Payal Patel, M.D.'s most frequently prescribed drugs include Pregabalin, Propranolol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Payal Patel, M.D. accept Medicare? ▼
Payal Patel, M.D. appears in CMS Medicare data with 82 Part D claims and 11 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Payal Patel, M.D.'s credentials? ▼
Payal Patel, M.D.'s NPI is 1548551385 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.