2026 NPPES data Therapeutic Radiology Physician NPI 1861750432 M.D., PHD
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RAVI PATEL, M.D., PHD

Therapeutic Radiology Physician in MADISON, Wisconsin. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
37
Medicare Part D claims · 17 beneficiaries · Therapeutic Radiology Physician avg: 138
MIPS score
77.5068/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$7.7K
10 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RAVI PATEL, M.D., PHD reported a CMS MIPS final score of 77.5068/100 — below the 83.1 national average — and filed 37 Medicare Part D claims in 2023.

77.5068/100
MIPS score · -6 vs avg
37
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.

RAVI PATEL, M.D., PHD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

78 24th percentile higher than 24% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

RAVI PATEL, M.D., PHD 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 RAVI PATEL, M.D., PHD?

Below national average

NPI registry status

Active

Issued 05/02/2012

NPI 1861750432

Primary specialty

Therapeutic Radiology Physician

Rare

303 US NPIs in this specialty

Medicare Part D claims

37 73% vs specialty avg

2023 prescription claims

Specialty avg: 138

MIPS final score

77.5068/100 5.593199999999996% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Therapeutic Radiology Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Therapeutic Radiology Physician share within Wisconsin

1. Therapeutic Radiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Therapeutic Radiology Physician share within Wisconsin

Medicare quality performance — MIPS

RAVI PATEL, M.D., PHD's 2023 MIPS final score plotted against the Therapeutic Radiology Physician national average

Below national average
MIPS Final Score
77.5068/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Therapeutic Radiology Physician) — 77.5068/100 vs national avg 83.1

0%100%National avg83%77.5%
MIPS final score (Therapeutic Radiology Physician) — 77.5068/100 vs national avg 83.1

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).

RAVI PATEL, M.D., PHD appears in the CMS NPPES registry as a Therapeutic Radiology Physician provider holding M.D., PHD credentials at 3326 UNIVERSITY AVE APT 311, MADISON, WI, 53705, with a listed phone of (216) 269-1971. NPI 1861750432 was issued on 05/02/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PATEL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 37 prescription claims written by this provider, covering 17 Medicare beneficiaries and totaling roughly $416 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.5068/100 for the 2023 performance year (Quality 68.6144, Cost 56.4081), compared with the national average of 83.1.

Therapeutic Radiology Physician is a narrow specialty nationwide, with 303 enrolled providers across 42 states and an average of 138 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

3326 UNIVERSITY AVE APT 311
MADISON, WI 53705

Provider Details

NPI 1861750432
Specialty Therapeutic Radiology Physician
Credentials M.D., PHD
Gender Male
NPI Issued 05/02/2012

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

77.5068
Final Score
Avg: 83.1
68.6144
Quality
56.4081
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RAVI PATEL, M.D., PHD 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.

UNIVERSITY OF PITTSBURGH CANCER INSTITUTE CANCER SERVICES
PITTSBURGH, PA

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 RAVI PATEL, M.D., PHD. Source: openpaymentsdata.cms.gov.

Total received

$7.7K

Largest payer

Bayer Healthcare LLC

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

37
Total Claims
$416
Total Drug Cost
17
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
59
Total Day Supply
1,609
Generic Drug Cost
$408

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
1.69

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Tamsulosin Hcl
28

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Therapeutic Radiology Physician Overview

How RAVI PATEL, M.D., PHD fits within the Therapeutic Radiology Physician landscape nationally.

303
Therapeutic Radiology Physician Providers in US
42
States with Therapeutic Radiology Physician
138
Avg Claims per Provider

RAVI PATEL, M.D., PHD's 37 claims are below the specialty average of 138.

Nearby Therapeutic Radiology Physician Providers in Wisconsin

Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as PATEL.

Compare Therapeutic Radiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAVI PATEL, M.D., PHD's specialty?
RAVI PATEL, M.D., PHD specializes in Therapeutic Radiology Physician and practices in MADISON, Wisconsin. Credentials: M.D., PHD.
How much does RAVI PATEL, M.D., PHD prescribe under Medicare Part D?
In 2023, RAVI PATEL, M.D., PHD wrote 37 Medicare Part D claims totaling $416 in drug costs for 17 beneficiaries.
What is RAVI PATEL, M.D., PHD's Medicare quality score?
RAVI PATEL, M.D., PHD has a CMS MIPS Final Score of 77.5068/100 (Quality: 68.6144, Cost: 56.4081). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAVI PATEL, M.D., PHD located?
RAVI PATEL, M.D., PHD is located at 3326 UNIVERSITY AVE APT 311, MADISON, WI, 53705. Phone: (216) 269-1971.
What is RAVI PATEL, M.D., PHD's NPI number?
RAVI PATEL, M.D., PHD's National Provider Identifier (NPI) is 1861750432, issued on 05/02/2012.
How many Therapeutic Radiology Physician providers are there in the US?
There are 303 Therapeutic Radiology Physician providers across 42 states in the US. The average Therapeutic Radiology Physician provider writes 138 Medicare Part D claims per year.
What drugs does RAVI PATEL, M.D., PHD prescribe most often?
Based on 2023 Medicare Part D data, RAVI PATEL, M.D., PHD's most frequently prescribed drugs include Tamsulosin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAVI PATEL, M.D., PHD accept Medicare?
RAVI PATEL, M.D., PHD appears in CMS Medicare data with 37 Part D claims and 17 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAVI PATEL, M.D., PHD's credentials?
RAVI PATEL, M.D., PHD's NPI is 1861750432 with credentials M.D., PHD. 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

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