NPPES file of Aug 9, 2026

Payal Shah Patel, M.D.

Ophthalmology Physician · Monroe, NC

Payal Shah Patel, M.D. is an ophthalmology physician with a practice address in Monroe, North Carolina, and NPI 1356735617, issued on Mar 25, 2015. Check the license (North Carolina 2019-01503, as entered in NPPES) on the North Carolina Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1356735617
Name
Payal Shah Patel
Credential
M.D.
Primary taxonomy
Ophthalmology Physician 207W00000X
License number
2019-01503 NC
Self-reported in NPPES; status is on the state search
Practice location
1632 E Roosevelt Blvd, Monroe, NC 28112
Phone
(704) 295-3000
Enumerated
Mar 25, 2015
Record last updated
Apr 28, 2021 (not updated in 5 years: call before relying on the address or phone)
Medicaid ID
PENDING NC
Medicare enrollment
Enrolled (PECOS I20190819001014); accepts Medicare assignment
Medical or professional school
West Virginia University School Of Medicine, 2015
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1632 E Roosevelt Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Carolyn Franks, AUD, CCC-AAudiologist1083864953
  2. Vipul Shah, M.D.Ophthalmology Physician1174747059
  3. Lindsey Trefz, MD, MPHOtolaryngology Physician1437642188
  4. Ross Udoff, M.D.Otolaryngology Physician1508185075

Verify Payal Shah Patel in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNorth Carolina Medical Board
    Search for license 2019-01503
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the North Carolina license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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15% more Medicare Part D claims than the average ophthalmology physician in 2024

1,751 Medicare Part D claims for 489 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 38% of claims.

  1. Payal Patel1,751
  2. Specialty average1,518

Most prescribed

  1. Latanoprost529 claims
  2. Timolol Maleate157 claims
  3. Prednisolone Acetate156 claims
  4. Erythromycin155 claims
  5. Brimonidine Tartrate140 claims
  6. Lumigan63 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 MIPS final score for 2023 (Medicare payment program): 95.4 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score84.2
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $178.34

8 payments; by number, the most common kind was food and beverage; the largest payer was Amgen Inc. The 13,221 providers of this specialty with any payment received $4,535.02 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Payal Patel$178.34
  2. Specialty average$4,535.02

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Charlotte Eye Ear Nose And Throat Associates PAMonroe, NC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Payal Shah Patel among 688 ophthalmology physician records in North Carolina

Payal Shah Patel, M.D. is one of 688 ophthalmology physician records with a practice address in North Carolina. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 82% of them.

  • NPI issued2015 · 82% of these records are older, 15% newer
  • In a Medicare fileYes · 77% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated2015 · median 2004 among the 463 with a school on file
  • Record last updated2021 · 60% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Ophthalmology Physician providers in North Carolina

There are 688 ophthalmology physician records in North Carolina.

The 8 ophthalmology physician records with the nearest ZIP codes

  1. Dara Khalatbari, M.D.Monroe, NC 281121770612574
  2. Ivan Mac, MDMonroe, NC 281121689654592
  3. Vipul Shah, M.D.Monroe, NC 281121174747059
  4. Shobit Rastogi, M.D.Mooresville, NC 281171720062763
  5. Randall SteinMooresville, NC 281171376807214
  6. Robert Weber, MDMooresville, NC 281171184656340
  7. Douglas Brown, MDMatthews, NC 281051598339202
  8. William Edwards, MDMatthews, NC 281051144964487

Common questions

What is Payal Shah Patel, M.D.'s NPI number?

Payal Shah Patel, M.D.'s National Provider Identifier (NPI) is 1356735617, issued on Mar 25, 2015. An NPI identifies a provider in billing; it is not a license.

Where is Payal Shah Patel, M.D. located?

The NPPES record lists a practice address at 1632 E Roosevelt Blvd, Monroe, NC, 28112. Phone: (704) 295-3000. Providers update this record themselves, so call before visiting.

How can I verify Payal Shah Patel, M.D.'s license?

NPPES lists North Carolina license number 2019-01503, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Payal Shah Patel, M.D. prescribe under Medicare Part D?

In 2024, Payal Shah Patel, M.D. had 1,751 Medicare Part D claims for 489 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.

What is Payal Shah Patel, M.D.'s MIPS final score?

The 2023 MIPS final score is 95.4 of 100. 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.