NPI registry status
Active
2026 NPPES data Ophthalmology Physician NPI 1477533990 M.D.
Verify on CMS → Sanjay Patel, M.D.
Ophthalmology Physician in Rochester, Minnesota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 22,388 in Ophthalmology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
992
Medicare Part D claims · 289 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
52%
generic claims · 48% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Sanjay Patel, M.D. filed 992 Medicare Part D claims in 2024 as an Ophthalmology Physician in Rochester, Minnesota, prescribing 52% generic.
- 992
- Part D claims, 2024
- 52%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥74th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Sanjay Patel, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1477533990), first enumerated 01/19/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 992 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1477533990 · Ophthalmology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1477533990
- ENUM-LEGACY 2006
- TAX-MID 22K Ophthalmology Physician
- RX-LIGHT 992
- BOOK-THIN 408 in Minnesota
- PHOTO-ENUM Jay Perlman, MD PHD · 2006
Sanjay Patel, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
992 ≥ 74th percentile 74% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Sanjay Patel, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Sanjay Patel, M.D.?
Quality data not reportedPrimary specialty
Ophthalmology Physician
Medicare Part D claims
992 33% vs specialty avg
Specialty distribution in Minnesota
How Ophthalmology Physician compares to other specialties among Minnesota providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Ophthalmology Physician. Verify directly:
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1477533990 |
|---|---|
| Specialty | Ophthalmology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 01/19/2006 |
Hospital and facility affiliations
Facilities where Sanjay 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.
Mayo Clinic
Rochester, MN
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Above average
Sanjay Patel, M.D. - brand share 48.0%
Ophthalmology Physician average
48% brand-name claims vs 52% generic, on 992 2024 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 2024.
992
Total Claims
$55K
Total Drug Cost
289
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,816.8
- Total Day Supply
- 50,060
- Brand vs Generic
- 48% brand / 52% generic
- Brand Drug Cost
- $31K
- Generic Drug Cost
- $24K
Patient Demographics
- Average Patient Age
- 75.9 years
- Avg HCC Risk Score
- 1.13
- Gender Split
- 55% female / 45% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Sanjay Patel, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Fluorometholone
Fluorometholone
371 claims
- Prednisolone Acetate
Prednisolone Acetate
296 claims
- Moxifloxacin
Moxifloxacin
202 claims
- Acyclovir 35
Acyclovir
35 claims
- Dorzolamide-Timolol 15
Dorzolamide-Timolol
15 claims
- Ketorolac Trometha… 13
Ketorolac Tromethamine
13 claims
- Timolol Maleate 12
Timolol Maleate
12 claims
| Drug | Claims |
|---|---|
| Fluorometholone | 371 |
| Prednisolone Acetate | 296 |
| Moxifloxacin Moxifloxacin Hcl | 202 |
| Acyclovir | 35 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 15 |
| Ketorolac Tromethamine | 13 |
| Timolol Maleate | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Ophthalmology Physician Overview
How Sanjay Patel, M.D. fits within the Ophthalmology Physician landscape nationally.
22,388
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,490
Avg Claims per Provider
Sanjay Patel, M.D.'s 992 claims are below the specialty average of 1,490.
Nationwide Ophthalmology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Patel, both outside Minnesota so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Ophthalmology Physician Providers in Minnesota
Other clinicians with the same primary specialty enrolled in Minnesota, drawn from the same CMS NPPES roster as Patel.
One of 408 Ophthalmology Physician providers enrolled in Minnesota, 5 are shown here.
Dr. Anne Abel
MD
Minneapolis, MN
Dr. Sanaz Afiat
M.D.
Edina, MN
Dr. Adam Ahlquist
M.D.
Crosby, MN
Dr. Aneesha Ahluwalia
MD
Bloomington, MN
Dr. Charles Ahrens
M.D.
Duluth, MN
Compare Ophthalmology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Sanjay Patel, M.D.'s specialty? ▼
Sanjay Patel, M.D. specializes in Ophthalmology Physician and practices in Rochester, Minnesota. Credentials: M.D..
How much does Sanjay Patel, M.D. prescribe under Medicare Part D? ▼
In 2024, Sanjay Patel, M.D. wrote 992 Medicare Part D claims totaling $55K in drug costs for 289 beneficiaries.
Where is Sanjay Patel, M.D. located? ▼
Sanjay Patel, M.D. is located at 200 1ST ST SW, Rochester, MN, 55905. Phone: (507) 284-2511.
What is Sanjay Patel, M.D.'s NPI number? ▼
Sanjay Patel, M.D.'s National Provider Identifier (NPI) is 1477533990, issued on 01/19/2006.
Does Sanjay Patel, M.D. prescribe more brand-name or generic drugs? ▼
Sanjay Patel, M.D.'s prescribing is 48% brand-name and 52% generic drugs by claim count, with $31K in brand drug costs.
How many Ophthalmology Physician providers are there in the US? ▼
There are 22,388 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,490 Medicare Part D claims per year.
What drugs does Sanjay Patel, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Sanjay Patel, M.D.'s most frequently prescribed drugs include Fluorometholone, Prednisolone Acetate, Moxifloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sanjay Patel, M.D. accept Medicare? ▼
Sanjay Patel, M.D. appears in CMS Medicare data with 992 Part D claims and 289 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sanjay Patel, M.D.'s credentials? ▼
Sanjay Patel, M.D.'s NPI is 1477533990 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
View source datasets and methodology notes
- 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.