NPI registry status
Active
2026 NPPES data Psychiatry Physician NPI 1861989584 MD
Verify on CMS → Raj Patel, MD
Psychiatry Physician in Gainesville, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 53,104 in Psychiatry 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
216
Medicare Part D claims · 67 beneficiaries · Psychiatry Physician avg: 1K
MIPS score
78.2/100
▼ 5 pts below national avg 83.1 · Above neutral
Industry payments
$123.55
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Raj Patel, MD reported a CMS MIPS final score of 78.2/100 - below the 83.1 national average - and filed 216 Medicare Part D claims in 2023.
- 78.2/100
- MIPS score · -5 vs avg
- 216
- Part D claims, 2023
- 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, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
78 27th percentile higher than 27% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Raj Patel, MD sits
This provider among psychiatry physician peers
Across the 4,659 psychiatry physician providers who report both Medicare Part D prescribing and a MIPS quality score, Raj Patel, MD writes more Part D claims than 40% of them and scores higher on MIPS quality than 28% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one psychiatry physician peer from a representative sample of 60; the gold marker is Raj Patel, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Raj Patel, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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, MD?
Near national averagePrimary specialty
Psychiatry Physician
Medicare Part D claims
216 79% vs specialty avg
MIPS final score
78.2/100 4.9 pts vs avg
Specialty distribution in Florida
How Psychiatry Physician compares to other specialties among Florida providers
Medicare quality performance, MIPS
Raj Patel, MD's 2023 MIPS final score plotted against the Psychiatry Physician national average
- MIPS Final Score
- 78.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Psychiatry Physician) - 78.2/100 vs national avg 83.1
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, MD appears in the CMS NPPES registry as a Psychiatry Physician provider holding MD credentials at 1600 SW ARCHER RD, Gainesville, FL, 32610, with a listed phone of (352) 265-4357. NPI 1861989584 was issued on 04/18/2018.
Medicare Part D records for calendar year 2023 show 216 prescription claims written by this provider, covering 67 Medicare beneficiaries and totaling roughly $11K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 78.2/100 for the 2023 performance year (Quality 72.5, Cost 54.7), compared with the national average of 83.1.
Psychiatry Physician is a high-volume specialty nationwide, with 53,104 enrolled providers across 56 states and an average of 1,038 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 | 1861989584 |
|---|---|
| Specialty | Psychiatry Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/18/2018 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
78.1881
Final Score
Avg: 83.1
72.5473
Quality
54.7463
Cost
100
Promoting Interoperability
Reporting: Group practice
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, MD. Source: openpaymentsdata.cms.gov.
Total received
$124
Largest payer
Galvanize Therapeutics, Inc
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 - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Raj Patel, MD. To verify Raj Patel, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH 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 Florida 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 2023.
216
Total Claims
$11K
Total Drug Cost
67
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 355
- Total Day Supply
- 10,492
- Generic Drug Cost
- $7K
Patient Demographics
- Average Patient Age
- 61.0 years
- Avg HCC Risk Score
- 1.91
- Gender Split
- 67% female / 33% male
- Age Distribution
- <65: 34, 65-74: 22, 75-84: N/A, 85+: N/A
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, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Clonazepam
Clonazepam
19 claims
- Venlafaxine Hcl Er
Venlafaxine Hcl Er
16 claims
- Risperidone
Risperidone
14 claims
- Clonidine Hcl
Clonidine Hcl
12 claims
- Bupropion Xl
Bupropion Xl
11 claims
- Fluoxetine Hcl
Fluoxetine Hcl
11 claims
- Lamotrigine
Lamotrigine
11 claims
| Drug | Claims |
|---|---|
| Clonazepam | 19 |
| Venlafaxine Hcl Er Venlafaxine Hcl | 16 |
| Risperidone | 14 |
| Clonidine Hcl | 12 |
| Bupropion Xl Bupropion Hcl | 11 |
| Fluoxetine Hcl | 11 |
| Lamotrigine | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Psychiatry Physician Overview
How Raj Patel, MD fits within the Psychiatry Physician landscape nationally.
53,104
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider
Raj Patel, MD's 216 claims are below the specialty average of 1,038.
Nearby Psychiatry Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Patel.
Dr. Vincent Abad
M.D.
West Palm Beach, FL
Dr. Syed Abbas
M.D.
Orlando, FL
Dr. Omair Abbasi
M.D.
Hollywood, FL
Dr. Mayra Abelleira Martinez
M.D.
Rockledge, FL
Dr. Ibrahim Abi-Rafeh
MD
Hollywood, FL
Compare Psychiatry 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 Florida medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Psychiatry 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.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
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How insurance networks affect your costs
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Frequently Asked Questions
What is Raj Patel, MD's specialty? ▼
Raj Patel, MD specializes in Psychiatry Physician and practices in Gainesville, Florida. Credentials: MD.
How much does Raj Patel, MD prescribe under Medicare Part D? ▼
In 2023, Raj Patel, MD wrote 216 Medicare Part D claims totaling $11K in drug costs for 67 beneficiaries.
What is Raj Patel, MD's Medicare quality score? ▼
Raj Patel, MD has a CMS MIPS Final Score of 78.2/100 (Quality: 72.5, Cost: 54.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Raj Patel, MD located? ▼
Raj Patel, MD is located at 1600 SW ARCHER RD, Gainesville, FL, 32610. Phone: (352) 265-4357.
What is Raj Patel, MD's NPI number? ▼
Raj Patel, MD's National Provider Identifier (NPI) is 1861989584, issued on 04/18/2018.
How many Psychiatry Physician providers are there in the US? ▼
There are 53,104 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
What drugs does Raj Patel, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Raj Patel, MD's most frequently prescribed drugs include Clonazepam, Venlafaxine Hcl Er, Risperidone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Raj Patel, MD accept Medicare? ▼
Raj Patel, MD appears in CMS Medicare data with 216 Part D claims and 67 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Raj Patel, MD's credentials? ▼
Raj Patel, MD's NPI is 1861989584 with credentials MD. 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
Compiled from official public sources by the PlainDoctor editorial team.