2026 NPPES data Otolaryngology Physician NPI 1710121975 M.D.
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RUSHA PATEL, M.D.

Otolaryngology Physician in MORGANTOWN, 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
55
Medicare Part D claims · 23 beneficiaries · Otolaryngology Physician avg: 509
MIPS score
71.6668/100
▼ 11 pts below national avg 83.1 · [object Object]
Industry payments
$325.18
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RUSHA PATEL, M.D. reported a CMS MIPS final score of 71.6668/100 — below the 83.1 national average — and filed 55 Medicare Part D claims in 2023.

71.6668/100
MIPS score · -11 vs avg
55
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.

RUSHA 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

72 9th percentile higher than 9% 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)

RUSHA 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 RUSHA PATEL, M.D.?

Below national average

NPI registry status

Active

Issued 04/30/2009

NPI 1710121975

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

55 89% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

71.6668/100 11.4332% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in West Virginia

How Otolaryngology Physician compares to other specialties among West Virginia providers

West Virginia providers

Otolaryngology Physician share within West Virginia

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

Medicare quality performance — MIPS

RUSHA PATEL, M.D.'s 2023 MIPS final score plotted against the Otolaryngology Physician national average

Below national average
MIPS Final Score
71.6668/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 71.6668/100 vs national avg 83.1

0%100%National avg83%71.7%
MIPS final score (Otolaryngology Physician) — 71.6668/100 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).

RUSHA PATEL, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 1 MEDICAL CENTER DR, MORGANTOWN, WV, 26506, with a listed phone of (304) 598-4825. NPI 1710121975 was issued on 04/30/2009. 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 55 prescription claims written by this provider, covering 23 Medicare beneficiaries and totaling roughly $1K in drug spend, with an opioid prescribing rate of 25.5%. 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 71.6668/100 for the 2023 performance year (Quality 53.4828, Cost 52.0733), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

1 MEDICAL CENTER DR
MORGANTOWN, WV 26506

Provider Details

NPI 1710121975
Specialty Otolaryngology Physician
Credentials M.D.
Gender Female
NPI Issued 04/30/2009

CMS Quality Score (MIPS)

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

71.6668
Final Score
Avg: 83.1
53.4828
Quality
52.0733
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RUSHA 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.

OU HEALTH PARTNERS INC
OKLAHOMA CITY, OK

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

Total received

$325

Largest payer

AXOGEN

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.

55
Total Claims
$1K
Total Drug Cost
23
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
73
Total Day Supply
1,706
Generic Drug Cost
$1K
Opioid Claims
14 (25.5% rate)

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
1.83

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Levothyroxine Sodium
11

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

Otolaryngology Physician Overview

How RUSHA PATEL, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

RUSHA PATEL, M.D.'s 55 claims are below the specialty average of 509.

Nearby Otolaryngology 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 Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RUSHA PATEL, M.D.'s specialty?
RUSHA PATEL, M.D. specializes in Otolaryngology Physician and practices in MORGANTOWN, West Virginia. Credentials: M.D..
How much does RUSHA PATEL, M.D. prescribe under Medicare Part D?
In 2023, RUSHA PATEL, M.D. wrote 55 Medicare Part D claims totaling $1K in drug costs for 23 beneficiaries.
What is RUSHA PATEL, M.D.'s Medicare quality score?
RUSHA PATEL, M.D. has a CMS MIPS Final Score of 71.6668/100 (Quality: 53.4828, Cost: 52.0733). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RUSHA PATEL, M.D. located?
RUSHA PATEL, M.D. is located at 1 MEDICAL CENTER DR, MORGANTOWN, WV, 26506. Phone: (304) 598-4825.
What is RUSHA PATEL, M.D.'s NPI number?
RUSHA PATEL, M.D.'s National Provider Identifier (NPI) is 1710121975, issued on 04/30/2009.
Does RUSHA PATEL, M.D. prescribe opioids?
Yes, RUSHA PATEL, M.D. had 14 opioid claims in 2023 with an opioid prescribing rate of 25.5%.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does RUSHA PATEL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RUSHA PATEL, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RUSHA PATEL, M.D. accept Medicare?
RUSHA PATEL, M.D. appears in CMS Medicare data with 55 Part D claims and 23 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RUSHA PATEL, M.D.'s credentials?
RUSHA PATEL, M.D.'s NPI is 1710121975 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