2026 NPPES data Pediatrics Physician NPI 1154530384 MD
Verify on CMS →

SAPAN PATEL, MD

Pediatrics Physician in WHEATON, Illinois. 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
3K
Medicare Part D claims · 341 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$96.23
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SAPAN PATEL, MD filed 2,985 Medicare Part D claims in 2023 as a Pediatrics Physician in WHEATON, Illinois, prescribing 91% generic.

3K
Part D claims, 2023
91%
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.

SAPAN PATEL, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

2,985 Top 12% higher than 88% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

SAPAN PATEL, MD 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 SAPAN PATEL, MD?

Quality data not reported

NPI registry status

Active

Issued 05/22/2007

NPI 1154530384

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

2,985 292% vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in Illinois

How Pediatrics Physician compares to other specialties among Illinois providers

Illinois providers

Pediatrics Physician share within Illinois

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

Specialty board-certification context

Estimated specialty board-certified rate — Pediatrics Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatrics Physician ABMS/AOA estimate

Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

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).

SAPAN PATEL, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 150 E WILLOW AVE STE 110, WHEATON, IL, 60187, with a listed phone of (630) 967-2000. NPI 1154530384 was issued on 05/22/2007. 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 2,985 prescription claims written by this provider, covering 341 Medicare beneficiaries and totaling roughly $241K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 1.7%. 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.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

150 E WILLOW AVE STE 110
WHEATON, IL 60187

Provider Details

NPI 1154530384
Specialty Pediatrics Physician
Credentials MD
Gender Male
NPI Issued 05/22/2007

Hospital and facility affiliations

Facilities where SAPAN 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.

DUPAGE MEDICAL GROUP LTD
SCHAUMBURG, IL

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

Total received

$96

Largest payer

Merck Sharp & Dohme 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.

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to SAPAN PATEL, MD. To verify SAPAN PATEL, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

SAPAN PATEL, MD — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 2,985 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.

2,985
Total Claims
$241K
Total Drug Cost
341
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,433
Total Day Supply
217,096
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$194K
Generic Drug Cost
$46K
Opioid Claims
51 (1.7% rate)
Antibiotic Claims
87

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.14
Gender Split
37% female / 63% male
Age Distribution
<65: 17, 65-74: 206, 75-84: 90, 85+: 28

Top Prescribed Drugs (Medicare Part D)

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

What SAPAN 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
Atorvastatin Calcium
290
Amlodipine Besylate
180
Metformin Hcl
127
Losartan Potassium
114
Levothyroxine Sodium
103
Omeprazole
88
Lisinopril
77
Simvastatin
74
Metformin Hcl Er
Metformin Hcl
67
Metoprolol Succinate
62

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

Pediatrics Physician Overview

How SAPAN PATEL, MD fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

SAPAN PATEL, MD's 2,985 claims are above the specialty average of 762.

Nearby Pediatrics Physician Providers in Illinois

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

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

Frequently Asked Questions

What is SAPAN PATEL, MD's specialty?
SAPAN PATEL, MD specializes in Pediatrics Physician and practices in WHEATON, Illinois. Credentials: MD.
How much does SAPAN PATEL, MD prescribe under Medicare Part D?
In 2023, SAPAN PATEL, MD wrote 2,985 Medicare Part D claims totaling $241K in drug costs for 341 beneficiaries.
Where is SAPAN PATEL, MD located?
SAPAN PATEL, MD is located at 150 E WILLOW AVE STE 110, WHEATON, IL, 60187. Phone: (630) 967-2000.
What is SAPAN PATEL, MD's NPI number?
SAPAN PATEL, MD's National Provider Identifier (NPI) is 1154530384, issued on 05/22/2007.
Does SAPAN PATEL, MD prescribe more brand-name or generic drugs?
SAPAN PATEL, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $194K in brand drug costs.
Does SAPAN PATEL, MD prescribe opioids?
Yes, SAPAN PATEL, MD had 51 opioid claims in 2023 with an opioid prescribing rate of 1.7%.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does SAPAN PATEL, MD prescribe most often?
Based on 2023 Medicare Part D data, SAPAN PATEL, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SAPAN PATEL, MD accept Medicare?
SAPAN PATEL, MD appears in CMS Medicare data with 2,985 Part D claims and 341 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SAPAN PATEL, MD's credentials?
SAPAN PATEL, MD's NPI is 1154530384 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.
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