NPI registry status
Active
2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1609221787 M.D.
Verify on CMS → Raj Patel, M.D.
Pain Medicine (Anesthesiology) Physician in Austin, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 4,032 in Pain Medicine (Anesthesiology) 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
2K
Medicare Part D claims · 284 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$10.0K
89 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Raj Patel, M.D. carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 2,126 Medicare Part D claims in 2023.
- 75/100
- CMS neutral score · not measured
- 2K
- Part D claims, 2023
- 97%
- 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.
Raj Patel, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
2,126 ≥ 85th percentile 85% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Raj 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 Raj Patel, M.D.?
CMS neutral score, not measuredPrimary specialty
Pain Medicine (Anesthesiology) Physician
Medicare Part D claims
2,126 28% vs specialty avg
MIPS final score
75/100
Specialty distribution in Texas
How Pain Medicine (Anesthesiology) Physician compares to other specialties among Texas providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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).
Raj Patel, M.D. appears in the CMS NPPES registry as a Pain Medicine (Anesthesiology) Physician provider holding M.D. credentials at 8015 SHOAL CREEK BLVD STE 103, Austin, TX, 78757, with a listed phone of (512) 467-7246. NPI 1609221787 was issued on 04/26/2016.
Medicare Part D records for calendar year 2023 show 2,126 prescription claims written by this provider, covering 284 Medicare beneficiaries and totaling roughly $65K in drug spend, split 3% brand-name and 97% generic by claim count, with an opioid prescribing rate of 38.8%. On the CMS Merit-based Incentive Payment System, this provider carries a Final Score of 75/100 for the 2023 performance year, but CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score: this is the neutral performance threshold CMS assigns where nothing was scored, so it is not comparable with clinicians whose score was measured.
Pain Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 4,032 enrolled providers across 53 states and an average of 1,657 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
Provider Details
| NPI | 1609221787 |
|---|---|
| Specialty | Pain Medicine (Anesthesiology) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/26/2016 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Group practice
Hospital and facility affiliations
Facilities where Raj 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.
Capitol Pain Institute PA
Austin, TX
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 Raj Patel, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$10.0K
Largest payer
Abbott Laboratories
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.
License & disciplinary context - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Raj Patel, M.D.. To verify Raj Patel, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Raj Patel, M.D. - brand share 3.0%
Pain Medicine (Anesthesiology) Physician average
3% brand-name claims vs 97% generic, on 2,126 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.
2,126
Total Claims
$65K
Total Drug Cost
284
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,245
- Total Day Supply
- 61,076
- Brand vs Generic
- 3% brand / 97% generic
- Brand Drug Cost
- $31K
- Generic Drug Cost
- $35K
- Opioid Claims
- 824 (38.8% rate)
- Antibiotic Claims
- 87
Patient Demographics
- Average Patient Age
- 71.2 years
- Avg HCC Risk Score
- 1.72
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 55, 65-74: 122, 75-84: 87, 85+: 20
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Raj Patel, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
374 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
357 claims
- Diclofenac Sodium
Diclofenac Sodium
201 claims
- Tramadol Hcl
Tramadol Hcl
188 claims
- Cyclobenzaprine Hcl 137
Cyclobenzaprine Hcl
137 claims
- Pregabalin 124
Pregabalin
124 claims
- Oxycodone Hcl 90
Oxycodone Hcl
90 claims
- Cephalexin 68
Cephalexin
68 claims
| Drug | Claims |
|---|---|
| Gabapentin | 374 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 357 |
| Diclofenac Sodium | 201 |
| Tramadol Hcl | 188 |
| Cyclobenzaprine Hcl | 137 |
| Pregabalin | 124 |
| Oxycodone Hcl | 90 |
| Cephalexin | 68 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 63 |
| Tizanidine Hcl | 53 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pain Medicine (Anesthesiology) Physician in TX →
All providers in Texas →
Compare specialties →
Pain Medicine (Anesthesiology) Physician Overview
How Raj Patel, M.D. fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.
4,032
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider
Raj Patel, M.D.'s 2,126 claims are above the specialty average of 1,657.
Nearby Pain Medicine (Anesthesiology) Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Patel.
Dr. Basem Abdelfattah
M.D.
Dallas, TX
Dr. Mena Abdelmalak
MD
College Station, TX
Dr. Salahadin Abdi
MD
Houston, TX
Dr. Amre Aboul-Fettouh
DO
Garland, TX
Dr. Clayton Adams
M.D.
Austin, TX
Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pain Medicine (Anesthesiology) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Raj Patel, M.D.'s specialty? ▼
Raj Patel, M.D. specializes in Pain Medicine (Anesthesiology) Physician and practices in Austin, Texas. Credentials: M.D..
How much does Raj Patel, M.D. prescribe under Medicare Part D? ▼
In 2023, Raj Patel, M.D. wrote 2,126 Medicare Part D claims totaling $65K in drug costs for 284 beneficiaries.
What is Raj Patel, M.D.'s Medicare quality score? ▼
Raj Patel, M.D. has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. 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 Raj Patel, M.D. located? ▼
Raj Patel, M.D. is located at 8015 SHOAL CREEK BLVD STE 103, Austin, TX, 78757. Phone: (512) 467-7246.
What is Raj Patel, M.D.'s NPI number? ▼
Raj Patel, M.D.'s National Provider Identifier (NPI) is 1609221787, issued on 04/26/2016.
Does Raj Patel, M.D. prescribe more brand-name or generic drugs? ▼
Raj Patel, M.D.'s prescribing is 3% brand-name and 97% generic drugs by claim count, with $31K in brand drug costs.
Does Raj Patel, M.D. prescribe opioids? ▼
Yes, Raj Patel, M.D. had 824 opioid claims in 2023 with an opioid prescribing rate of 38.8%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US? ▼
There are 4,032 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
What drugs does Raj Patel, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Raj Patel, M.D.'s most frequently prescribed drugs include Gabapentin, Hydrocodone-Acetaminophen, Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Raj Patel, M.D. accept Medicare? ▼
Raj Patel, M.D. appears in CMS Medicare data with 2,126 Part D claims and 284 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Raj Patel, M.D.'s credentials? ▼
Raj Patel, M.D.'s NPI is 1609221787 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 (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
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 May 2026.