Payal V. Patel, M.D.
Family Medicine Physician · Pawtucket, RI
Payal V. Patel, M.D. is a family medicine physician with a practice address in Pawtucket, Rhode Island, and NPI 1194175034, issued on Jun 21, 2016. Check the license (Rhode Island LP03789, as entered in NPPES) on the Rhode Island Board of Medical Licensure and Discipline; the Medicare figures below come from public CMS files.
- Name
- Payal V. Patel
- Credential
- M.D.
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- LP03789 RI
Self-reported in NPPES; status is on the state search - Practice location
- 111 Brewster St, Pawtucket, RI 02860
- Phone
- (401) 729-2769
- Enumerated
- Jun 21, 2016
- Record last updated
- Jul 1, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (401) 729-2772
- Medicare enrollment
- Enrolled (PECOS I20190822002347); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 475 in Rhode Island → Look up another NPI →
Also registered at 111 Brewster St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Denisse AbreuCommunity Health Worker1811643331
- Janet Ackman, PTPhysical Therapist1154488724
- Gowri Anandarajah, MDFamily Medicine Physician1558342311
- Tracey AndersonSpeech-Language Pathologist1780710863
- David Anthony, MDFamily Medicine Physician1508847377
- Lauren Aponte, PA-CPhysician Assistant1649942954
Verify Payal V. Patel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersRhode Island Board of Medical Licensure and Discipline
Search for license LP03789Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
60% fewer Medicare Part D claims than the average family medicine physician in 2024
1,423 Medicare Part D claims for 156 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 23% of claims. 20 claims were for opioids.
Most prescribed
- Atorvastatin Calcium123 claims
- Nifedipine Er62 claims
- Metformin Hcl54 claims
- Tamsulosin Hcl42 claims
- Jardiance40 claims
- Losartan Potassium40 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): 100 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).
Bills Medicare through 2 group practices
- New York UniversityNew York, NY
- Planned Parenthood OF Greater New York IncNew York, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Payal V. Patel among 475 family medicine physician records in Rhode Island
Payal V. Patel, M.D. is one of 475 family medicine physician records with a practice address in Rhode Island. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 64% of them.
- NPI issued2016 · 64% of these records are older, 34% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2016 · median 2008 among the 282 with a school on file
- Record last updated2016 · 41% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Rhode Island practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
81 family medicine physician records list a practice address in Pawtucket
They are 81 of the 1,284 NPPES records with a practice address in Pawtucket, and 475 family medicine physician records in Rhode Island.
All 475 in Rhode Island → Every provider in Pawtucket → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Matilda Addo, MDPawtucket, RI 028601649383241
- Gowri Anandarajah, MDPawtucket, RI 028601558342311
- David Anthony, MDPawtucket, RI 028601508847377
- Andrea Arena, MDPawtucket, RI 028601912972753
- Jeffrey Borkan, M.D.Pawtucket, RI 028601154304996
- Dawn Borschel, MDPawtucket, RI 028601124002365
- Rabin Chandran, MDPawtucket, RI 028601477536415
- Charles Eaton, MDPawtucket, RI 028601942283841
Common questions
What is Payal V. Patel, M.D.'s NPI number?
Payal V. Patel, M.D.'s National Provider Identifier (NPI) is 1194175034, issued on Jun 21, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Payal V. Patel, M.D. located?
The NPPES record lists a practice address at 111 Brewster St, Pawtucket, RI, 02860. Phone: (401) 729-2769. Providers update this record themselves, so call before visiting.
How can I verify Payal V. Patel, M.D.'s license?
NPPES lists Rhode Island license number LP03789, as entered by the provider. Search the Rhode Island Board of Medical Licensure and Discipline at https://healthri.mylicense.com/Verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Payal V. Patel, M.D. prescribe under Medicare Part D?
In 2024, Payal V. Patel, M.D. had 1,423 Medicare Part D claims for 156 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is Payal V. Patel, M.D.'s MIPS final score?
The 2023 MIPS final score is 100 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.