2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1134359565 MD
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SARIKA PATEL, MD

Physical Medicine & Rehabilitation Physician in QUEENSBURY, New York. 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
417
Medicare Part D claims · 22 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
Generic prescribing
74%
generic claims · 26% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.7003/100
▼ 6 pts below national avg 83.1 · [object Object]

What the federal data shows

SARIKA PATEL, MD reported a CMS MIPS final score of 76.7003/100 — below the 83.1 national average — and filed 417 Medicare Part D claims in 2023.

76.7003/100
MIPS score · -6 vs avg
417
Part D claims, 2023
74%
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.

SARIKA 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

77 21st percentile higher than 21% 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)

SARIKA 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 SARIKA PATEL, MD?

Below national average

NPI registry status

Active

Issued 07/20/2009

NPI 1134359565

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

417 47% vs specialty avg

2023 prescription claims

Specialty avg: 781

MIPS final score

76.7003/100 6.399699999999996% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Physical Medicine & Rehabilitation Physician compares to other specialties among New York providers

New York providers

Physical Medicine & Rehabilitation Physician share within New York

1. Physical Medicine & Rehabilitation Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Medicine & Rehabilitation Physician share within New York

Medicare quality performance — MIPS

SARIKA PATEL, MD's 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average

Below national average
MIPS Final Score
76.7003/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physical Medicine & Rehabilitation Physician) — 76.7003/100 vs national avg 83.1

0%100%National avg83%76.7%
MIPS final score (Physical Medicine & Rehabilitation Physician) — 76.7003/100 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).

SARIKA PATEL, MD appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding MD credentials at 5 MAIN ST STE 6, QUEENSBURY, NY, 12804, with a listed phone of (518) 798-2225. NPI 1134359565 was issued on 07/20/2009. 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 417 prescription claims written by this provider, covering 22 Medicare beneficiaries and totaling roughly $39K in drug spend, split 26% brand-name and 74% generic by claim count. 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 76.7003/100 for the 2023 performance year (Quality 77.9602, Cost 61.0409), compared with the national average of 83.1.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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

5 MAIN ST STE 6
QUEENSBURY, NY 12804

Provider Details

NPI 1134359565
Specialty Physical Medicine & Rehabilitation Physician
Credentials MD
Gender Female
NPI Issued 07/20/2009

CMS Quality Score (MIPS)

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

76.7003
Final Score
Avg: 83.1
77.9602
Quality
61.0409
Cost
74
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SARIKA 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.

ALBANY MEDICAL COLLEGE
ALBANY, NY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to SARIKA PATEL, MD. To verify SARIKA PATEL, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

SARIKA PATEL, MD — brand share 26.0%
Specialty average (est.)

26% brand-name claims vs 74% generic, on 417 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.

417
Total Claims
$39K
Total Drug Cost
22
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
417
Total Day Supply
11,326
Brand vs Generic
26% brand / 74% generic
Brand Drug Cost
$25K
Generic Drug Cost
$14K

Patient Demographics

Average Patient Age
84.0 years
Avg HCC Risk Score
2.02

Top Prescribed Drugs (Medicare Part D)

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

What SARIKA 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
Furosemide
40
Amlodipine Besylate
30
Januvia
Sitagliptin Phosphate
27
Levothyroxine Sodium
27
Tamsulosin Hcl
25
Donepezil Hcl
21
Atorvastatin Calcium
14
Escitalopram Oxalate
13
Incruse Ellipta
Umeclidinium Bromide
13
Latanoprost
13

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

Physical Medicine & Rehabilitation Physician Overview

How SARIKA PATEL, MD fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

SARIKA PATEL, MD's 417 claims are below the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in New York

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

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SARIKA PATEL, MD's specialty?
SARIKA PATEL, MD specializes in Physical Medicine & Rehabilitation Physician and practices in QUEENSBURY, New York. Credentials: MD.
How much does SARIKA PATEL, MD prescribe under Medicare Part D?
In 2023, SARIKA PATEL, MD wrote 417 Medicare Part D claims totaling $39K in drug costs for 22 beneficiaries.
What is SARIKA PATEL, MD's Medicare quality score?
SARIKA PATEL, MD has a CMS MIPS Final Score of 76.7003/100 (Quality: 77.9602, Cost: 61.0409). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SARIKA PATEL, MD located?
SARIKA PATEL, MD is located at 5 MAIN ST STE 6, QUEENSBURY, NY, 12804. Phone: (518) 798-2225.
What is SARIKA PATEL, MD's NPI number?
SARIKA PATEL, MD's National Provider Identifier (NPI) is 1134359565, issued on 07/20/2009.
Does SARIKA PATEL, MD prescribe more brand-name or generic drugs?
SARIKA PATEL, MD's prescribing is 26% brand-name and 74% generic drugs by claim count, with $25K in brand drug costs.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does SARIKA PATEL, MD prescribe most often?
Based on 2023 Medicare Part D data, SARIKA PATEL, MD's most frequently prescribed drugs include Furosemide, Amlodipine Besylate, Januvia. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SARIKA PATEL, MD accept Medicare?
SARIKA PATEL, MD appears in CMS Medicare data with 417 Part D claims and 22 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SARIKA PATEL, MD's credentials?
SARIKA PATEL, MD's NPI is 1134359565 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