2026 NPPES data Interventional Cardiology Physician NPI 1306030150 MD
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SANJAYKUMAR PATEL, MD

Interventional Cardiology Physician in THE WOODLANDS, Texas. 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 · 692 beneficiaries · Interventional Cardiology Physician avg: 3K
MIPS score
91.3432/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$982.34
26 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SANJAYKUMAR PATEL, MD reported a CMS MIPS final score of 91.3432/100 — above the 83.1 national average — and filed 6,227 Medicare Part D claims in 2023.

91.3432/100
MIPS score · +8 vs avg
6K
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.

SANJAYKUMAR 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

91 Top 37% higher than 63% 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)

SANJAYKUMAR 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 SANJAYKUMAR PATEL, MD?

High performer (top quartile)

NPI registry status

Active

Issued 09/04/2007

NPI 1306030150

Primary specialty

Interventional Cardiology Physician

Niche

3,382 US NPIs in this specialty

Medicare Part D claims

6,227 109% vs specialty avg

2023 prescription claims

Specialty avg: 2,984

MIPS final score

91.3432/100 8.243200000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Interventional Cardiology Physician compares to other specialties among Texas providers

Texas providers

Interventional Cardiology Physician share within Texas

1. Interventional Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Cardiology Physician share within Texas

Medicare quality performance — MIPS

SANJAYKUMAR PATEL, MD's 2023 MIPS final score plotted against the Interventional Cardiology Physician national average

High performer (top quartile)
MIPS Final Score
91.3432/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Interventional Cardiology Physician) — 91.3432/100 vs national avg 83.1

0%100%National avg83%91.3%
MIPS final score (Interventional Cardiology Physician) — 91.3432/100 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).

SANJAYKUMAR PATEL, MD appears in the CMS NPPES registry as a Interventional Cardiology Physician provider holding MD credentials at 3115 COLLEGE PARK DR STE 112, THE WOODLANDS, TX, 77384, with a listed phone of (936) 230-5006. NPI 1306030150 was issued on 09/04/2007. 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 6,227 prescription claims written by this provider, covering 692 Medicare beneficiaries and totaling roughly $937K in drug spend. 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 91.3432/100 for the 2023 performance year (Quality 81.6474), compared with the national average of 83.1.

Interventional Cardiology Physician is a narrow specialty nationwide, with 3,382 enrolled providers across 53 states and an average of 2,984 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

3115 COLLEGE PARK DR STE 112
THE WOODLANDS, TX 77384

Provider Details

NPI 1306030150
Specialty Interventional Cardiology Physician
Credentials MD
Gender Male
NPI Issued 09/04/2007

CMS Quality Score (MIPS)

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

91.3432
Final Score
Avg: 83.1
81.6474
Quality
89.1302
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where SANJAYKUMAR 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.

CARDIAC CATH LAB OF CONROE, LP
SHENANDOAH, TX

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

Total received

$982

Largest payer

Abbott Laboratories

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.

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to SANJAYKUMAR PATEL, MD. To verify SANJAYKUMAR PATEL, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas 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.

6,227
Total Claims
$937K
Total Drug Cost
692
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
14,942
Total Day Supply
445,897
Generic Drug Cost
$141K
Antibiotic Claims
38

Patient Demographics

Average Patient Age
75.7 years
Avg HCC Risk Score
1.58
Gender Split
50% female / 50% male
Age Distribution
<65: 22, 65-74: 312, 75-84: 257, 85+: 101

Top Prescribed Drugs (Medicare Part D)

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

What SANJAYKUMAR 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
Clopidogrel
Clopidogrel Bisulfate
580
Eliquis
Apixaban
478
Rosuvastatin Calcium
427
Atorvastatin Calcium
308
Spironolactone
282
Losartan Potassium
252
Furosemide
242
Amlodipine Besylate
227
Carvedilol
226
Metoprolol Succinate
213

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

Interventional Cardiology Physician Overview

How SANJAYKUMAR PATEL, MD fits within the Interventional Cardiology Physician landscape nationally.

3,382
Interventional Cardiology Physician Providers in US
53
States with Interventional Cardiology Physician
2,984
Avg Claims per Provider

SANJAYKUMAR PATEL, MD's 6,227 claims are above the specialty average of 2,984.

Nearby Interventional Cardiology Physician Providers in Texas

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

Compare Interventional Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SANJAYKUMAR PATEL, MD's specialty?
SANJAYKUMAR PATEL, MD specializes in Interventional Cardiology Physician and practices in THE WOODLANDS, Texas. Credentials: MD.
How much does SANJAYKUMAR PATEL, MD prescribe under Medicare Part D?
In 2023, SANJAYKUMAR PATEL, MD wrote 6,227 Medicare Part D claims totaling $937K in drug costs for 692 beneficiaries.
What is SANJAYKUMAR PATEL, MD's Medicare quality score?
SANJAYKUMAR PATEL, MD has a CMS MIPS Final Score of 91.3432/100 (Quality: 81.6474). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SANJAYKUMAR PATEL, MD located?
SANJAYKUMAR PATEL, MD is located at 3115 COLLEGE PARK DR STE 112, THE WOODLANDS, TX, 77384. Phone: (936) 230-5006.
What is SANJAYKUMAR PATEL, MD's NPI number?
SANJAYKUMAR PATEL, MD's National Provider Identifier (NPI) is 1306030150, issued on 09/04/2007.
How many Interventional Cardiology Physician providers are there in the US?
There are 3,382 Interventional Cardiology Physician providers across 53 states in the US. The average Interventional Cardiology Physician provider writes 2,984 Medicare Part D claims per year.
What drugs does SANJAYKUMAR PATEL, MD prescribe most often?
Based on 2023 Medicare Part D data, SANJAYKUMAR PATEL, MD's most frequently prescribed drugs include Clopidogrel, Eliquis, Rosuvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SANJAYKUMAR PATEL, MD accept Medicare?
SANJAYKUMAR PATEL, MD appears in CMS Medicare data with 6,227 Part D claims and 692 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANJAYKUMAR PATEL, MD's credentials?
SANJAYKUMAR PATEL, MD's NPI is 1306030150 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