2026 NPPES data Family Medicine Physician NPI 1497195374 M.D.
Verify on CMS →

RITA PATEL, M.D.

Family Medicine Physician in SAINT ALBANS, West Virginia. 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
6K
Medicare Part D claims · 345 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.1191/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$130.12
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RITA PATEL, M.D. reported a CMS MIPS final score of 90.1191/100 — above the 83.1 national average — and filed 6,428 Medicare Part D claims in 2023.

90.1191/100
MIPS score · +7 vs avg
6K
Part D claims, 2023
87%
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.

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

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

90 Top 40% higher than 60% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

RITA 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 RITA PATEL, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/25/2013

NPI 1497195374

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

6,428 88% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

90.1191/100 7.019100000000009% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in West Virginia

How Family Medicine Physician compares to other specialties among West Virginia providers

West Virginia providers

Family Medicine Physician share within West Virginia

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within West Virginia

Medicare quality performance — MIPS

RITA PATEL, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
90.1191/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 90.1191/100 vs national avg 83.1

0%100%National avg83%90.1%
MIPS final score (Family Medicine Physician) — 90.1191/100 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).

RITA PATEL, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 12 KANAWHA TER, SAINT ALBANS, WV, 25177, with a listed phone of (304) 201-1130. NPI 1497195374 was issued on 06/25/2013. 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 6,428 prescription claims written by this provider, covering 345 Medicare beneficiaries and totaling roughly $791K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 2.4%. 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 90.1191/100 for the 2023 performance year (Quality 66.9698), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

12 KANAWHA TER
SAINT ALBANS, WV 25177

Provider Details

NPI 1497195374
Specialty Family Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 06/25/2013

CMS Quality Score (MIPS)

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

90.1191
Final Score
Avg: 83.1
66.9698
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where RITA 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.

CHARLESTON AREA MEDICAL CENTER INC
CHARLESTON, WV

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 RITA PATEL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$130

Largest payer

AstraZeneca Pharmaceuticals LP

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.

Brand vs generic prescribing mix · Typical

RITA PATEL, M.D. — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 6,428 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.

6,428
Total Claims
$791K
Total Drug Cost
345
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
14,451
Total Day Supply
422,537
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$667K
Generic Drug Cost
$115K
Opioid Claims
155 (2.4% rate)
Antibiotic Claims
122

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
1.37
Gender Split
68% female / 32% male
Age Distribution
<65: 43, 65-74: 151, 75-84: 118, 85+: 33

Top Prescribed Drugs (Medicare Part D)

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

What RITA PATEL, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
233
Levothyroxine Sodium
229
Amlodipine Besylate
199
Gabapentin
192
Losartan Potassium
185
Metoprolol Succinate
178
Pantoprazole Sodium
156
Meloxicam
150
Lisinopril
145
Metformin Hcl
141

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

Family Medicine Physician Overview

How RITA PATEL, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

RITA PATEL, M.D.'s 6,428 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in West Virginia

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RITA PATEL, M.D.'s specialty?
RITA PATEL, M.D. specializes in Family Medicine Physician and practices in SAINT ALBANS, West Virginia. Credentials: M.D..
How much does RITA PATEL, M.D. prescribe under Medicare Part D?
In 2023, RITA PATEL, M.D. wrote 6,428 Medicare Part D claims totaling $791K in drug costs for 345 beneficiaries.
What is RITA PATEL, M.D.'s Medicare quality score?
RITA PATEL, M.D. has a CMS MIPS Final Score of 90.1191/100 (Quality: 66.9698). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RITA PATEL, M.D. located?
RITA PATEL, M.D. is located at 12 KANAWHA TER, SAINT ALBANS, WV, 25177. Phone: (304) 201-1130.
What is RITA PATEL, M.D.'s NPI number?
RITA PATEL, M.D.'s National Provider Identifier (NPI) is 1497195374, issued on 06/25/2013.
Does RITA PATEL, M.D. prescribe more brand-name or generic drugs?
RITA PATEL, M.D.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $667K in brand drug costs.
Does RITA PATEL, M.D. prescribe opioids?
Yes, RITA PATEL, M.D. had 155 opioid claims in 2023 with an opioid prescribing rate of 2.4%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does RITA PATEL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RITA PATEL, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RITA PATEL, M.D. accept Medicare?
RITA PATEL, M.D. appears in CMS Medicare data with 6,428 Part D claims and 345 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RITA PATEL, M.D.'s credentials?
RITA PATEL, M.D.'s NPI is 1497195374 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