2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1588059265 M.D.
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RAVI PATEL, M.D.

Sports Medicine (Orthopaedic Surgery) Physician in CRYSTAL LAKE, Illinois. 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
136
Medicare Part D claims · 83 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
MIPS score
94.1036/100
▲ 11 pts above national avg 83.1 · [object Object]
What the federal data reveals: RAVI PATEL, M.D. is a Sports Medicine (Orthopaedic Surgery) Physician ([object Object]) practicing in CRYSTAL LAKE, Illinois with a Medicare Part D prescribing footprint of 136 claims across 83 beneficiaries . Their CMS MIPS Final Score of 94.1036/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: RAVI PATEL, M.D. reported a CMS MIPS final score of 94.1036 out of 100, above the 83.1 national average, and filed 136 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

RAVI PATEL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

RAVI PATEL, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/31/2015

NPI 1588059265

Primary specialty

Sports Medicine (Orthopaedic Surgery) Physician

Niche

2,681 US NPIs in this specialty

Medicare Part D claims

136 51% vs specialty avg

2023 prescription claims

Specialty avg: 278

MIPS final score

94.1036/100 11.003600000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among Illinois providers

Illinois providers

Sports Medicine (Orthopaedic Surgery) Physician share within Illinois

1. Sports Medicine (Orthopaedic Surgery) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Orthopaedic Surgery) Physician share within Illinois

Medicare quality performance — MIPS

RAVI PATEL, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average

High performer (top quartile)
MIPS Final Score
94.1036/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 94.1036/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 94.1036/100 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. is a Sports Medicine (Orthopaedic Surgery) Physician provider practicing in CRYSTAL LAKE, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1588059265. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

RAVI PATEL, M.D. appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding M.D. credentials at 420 N IL ROUTE 31, CRYSTAL LAKE, IL, 60012, with a listed phone of (815) 356-5200. NPI 1588059265 was issued on 03/31/2015. 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 136 prescription claims written by this provider, covering 83 Medicare beneficiaries and totaling roughly $1K in drug spend, with an opioid prescribing rate of 34.6%. 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 94.1036/100 for the 2023 performance year (Quality 82.5938), compared with the national average of 83.1.

Sports Medicine (Orthopaedic Surgery) Physician is a narrow specialty nationwide, with 2,681 enrolled providers across 53 states and an average of 278 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

420 N IL ROUTE 31
CRYSTAL LAKE, IL 60012

Provider Details

NPI 1588059265
Specialty Sports Medicine (Orthopaedic Surgery) Physician
Credentials M.D.
Gender Male
NPI Issued 03/31/2015

CMS Quality Score (MIPS)

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

94.1036
Final Score
Avg: 83.1
82.5938
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where RAVI 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.

CENTRAL DUPAGE PHYSICIAN GROUP
CRYSTAL LAKE, IL
NORTHWESTERN MEDICAL FACULTY FOUNDATION
HUNTLEY, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to RAVI PATEL, M.D.. To verify RAVI PATEL, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois 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.

136
Total Claims
$1K
Total Drug Cost
83
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
136
Total Day Supply
2,064
Brand Drug Cost
$0
Generic Drug Cost
$1K
Opioid Claims
47 (34.6% rate)

Patient Demographics

Average Patient Age
70.5 years
Avg HCC Risk Score
1.26
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Meloxicam
42
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
34
Methylprednisolone
24

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

Sports Medicine (Orthopaedic Surgery) Physician Overview

How RAVI PATEL, M.D. fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.

2,681
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
278
Avg Claims per Provider

RAVI PATEL, M.D.'s 136 claims are below the specialty average of 278.

Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in Illinois

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

Compare Sports Medicine (Orthopaedic Surgery) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAVI PATEL, M.D.'s specialty?
RAVI PATEL, M.D. specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in CRYSTAL LAKE, Illinois. Credentials: M.D..
How much does RAVI PATEL, M.D. prescribe under Medicare Part D?
In 2023, RAVI PATEL, M.D. wrote 136 Medicare Part D claims totaling $1K in drug costs for 83 beneficiaries.
What is RAVI PATEL, M.D.'s Medicare quality score?
RAVI PATEL, M.D. has a CMS MIPS Final Score of 94.1036/100 (Quality: 82.5938). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAVI PATEL, M.D. located?
RAVI PATEL, M.D. is located at 420 N IL ROUTE 31, CRYSTAL LAKE, IL, 60012. Phone: (815) 356-5200.
What is RAVI PATEL, M.D.'s NPI number?
RAVI PATEL, M.D.'s National Provider Identifier (NPI) is 1588059265, issued on 03/31/2015.
Does RAVI PATEL, M.D. prescribe opioids?
Yes, RAVI PATEL, M.D. had 47 opioid claims in 2023 with an opioid prescribing rate of 34.6%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US?
There are 2,681 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 278 Medicare Part D claims per year.
What drugs does RAVI PATEL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RAVI PATEL, M.D.'s most frequently prescribed drugs include Meloxicam, Hydrocodone-Acetaminophen, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAVI PATEL, M.D. accept Medicare?
RAVI PATEL, M.D. appears in CMS Medicare data with 136 Part D claims and 83 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.'s credentials?
RAVI PATEL, M.D.'s NPI is 1588059265 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

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