2026 NPPES data Ophthalmology Physician NPI 1568808764 MD
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SAGAR PATEL, MD

Ophthalmology Physician in LAWRENCEVILLE, Georgia. 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
1K
Medicare Part D claims · 383 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
65%
generic claims · 35% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.5781/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$1.4K
46 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SAGAR PATEL, MD reported a CMS MIPS final score of 77.5781/100 — below the 83.1 national average — and filed 1,191 Medicare Part D claims in 2023.

77.5781/100
MIPS score · -6 vs avg
1K
Part D claims, 2023
65%
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.

SAGAR 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 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)

SAGAR PATEL, MD 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 SAGAR PATEL, MD?

Below national average

NPI registry status

Active

Issued 05/14/2013

NPI 1568808764

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

1,191 16% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

77.5781/100 5.521899999999988% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Ophthalmology Physician compares to other specialties among Georgia providers

Georgia providers

Ophthalmology Physician share within Georgia

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Georgia

Medicare quality performance — MIPS

SAGAR PATEL, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
77.5781/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 77.5781/100 vs national avg 83.1

0%100%National avg83%77.6%
MIPS final score (Ophthalmology Physician) — 77.5781/100 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).

SAGAR PATEL, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 1250 SCENIC HWY STE 1700, LAWRENCEVILLE, GA, 30045, with a listed phone of (678) 381-2020. NPI 1568808764 was issued on 05/14/2013. 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 1,191 prescription claims written by this provider, covering 383 Medicare beneficiaries and totaling roughly $684K in drug spend, split 35% brand-name and 65% generic by claim count, with an opioid prescribing rate of 3.0%. 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 77.5781/100 for the 2023 performance year (Quality 100, Cost 29.427), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

1250 SCENIC HWY STE 1700
LAWRENCEVILLE, GA 30045

Provider Details

NPI 1568808764
Specialty Ophthalmology Physician
Credentials MD
Gender Male
NPI Issued 05/14/2013

CMS Quality Score (MIPS)

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

77.5781
Final Score
Avg: 83.1
100
Quality
29.427
Cost
95
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SAGAR PATEL, MD 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.

MILAN EYE LLC
BUFORD, GA

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 SAGAR PATEL, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.4K

Largest payer

Harrow Eye, 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.

Brand vs generic prescribing mix · Above average

SAGAR PATEL, MD — brand share 35.0%
Specialty average (est.)

35% brand-name claims vs 65% generic, on 1,191 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.

1,191
Total Claims
$684K
Total Drug Cost
383
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,564
Total Day Supply
35,696
Brand vs Generic
35% brand / 65% generic
Brand Drug Cost
$664K
Generic Drug Cost
$19K
Opioid Claims
36 (3.0% rate)
Antibiotic Claims
130

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
1.18
Gender Split
64% female / 36% male
Age Distribution
<65: 24, 65-74: 216, 75-84: 109, 85+: 34

Top Prescribed Drugs (Medicare Part D)

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

What SAGAR PATEL, MD 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
Erythromycin
Erythromycin Base
168
Prednisolone Acetate
159
Moxifloxacin
Moxifloxacin Hcl
127
Cephalexin
94
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
92
Latanoprost
87
Ilevro
Nepafenac
61
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
54
Bromfenac Sodium
32
Tyrvaya
Varenicline Tartrate
28

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

Ophthalmology Physician Overview

How SAGAR PATEL, MD fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

SAGAR PATEL, MD's 1,191 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Georgia

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

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SAGAR PATEL, MD's specialty?
SAGAR PATEL, MD specializes in Ophthalmology Physician and practices in LAWRENCEVILLE, Georgia. Credentials: MD.
How much does SAGAR PATEL, MD prescribe under Medicare Part D?
In 2023, SAGAR PATEL, MD wrote 1,191 Medicare Part D claims totaling $684K in drug costs for 383 beneficiaries.
What is SAGAR PATEL, MD's Medicare quality score?
SAGAR PATEL, MD has a CMS MIPS Final Score of 77.5781/100 (Quality: 100, Cost: 29.427). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SAGAR PATEL, MD located?
SAGAR PATEL, MD is located at 1250 SCENIC HWY STE 1700, LAWRENCEVILLE, GA, 30045. Phone: (678) 381-2020.
What is SAGAR PATEL, MD's NPI number?
SAGAR PATEL, MD's National Provider Identifier (NPI) is 1568808764, issued on 05/14/2013.
Does SAGAR PATEL, MD prescribe more brand-name or generic drugs?
SAGAR PATEL, MD's prescribing is 35% brand-name and 65% generic drugs by claim count, with $664K in brand drug costs.
Does SAGAR PATEL, MD prescribe opioids?
Yes, SAGAR PATEL, MD had 36 opioid claims in 2023 with an opioid prescribing rate of 3.0%.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does SAGAR PATEL, MD prescribe most often?
Based on 2023 Medicare Part D data, SAGAR PATEL, MD's most frequently prescribed drugs include Erythromycin, Prednisolone Acetate, Moxifloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SAGAR PATEL, MD accept Medicare?
SAGAR PATEL, MD appears in CMS Medicare data with 1,191 Part D claims and 383 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SAGAR PATEL, MD's credentials?
SAGAR PATEL, MD's NPI is 1568808764 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

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