2026 NPPES data Rheumatology Physician NPI 1851525729 MD
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SEEMA PATEL, MD

Rheumatology Physician in HENRICO, Virginia. 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
465
Medicare Part D claims · 108 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.7083/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$370.58
14 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SEEMA PATEL, MD reported a CMS MIPS final score of 80.7083/100 — below the 83.1 national average — and filed 465 Medicare Part D claims in 2023.

80.7083/100
MIPS score · -2 vs avg
465
Part D claims, 2023
88%
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.

SEEMA 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

81 33rd percentile higher than 33% 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%). This entry sits in this band. 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)

SEEMA 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 SEEMA PATEL, MD?

Near national average

NPI registry status

Active

Issued 05/07/2009

NPI 1851525729

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

465 77% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

MIPS final score

80.7083/100 2.3917% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Rheumatology Physician compares to other specialties among Virginia providers

Virginia providers

Rheumatology Physician share within Virginia

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

Medicare quality performance — MIPS

SEEMA PATEL, MD's 2023 MIPS final score plotted against the Rheumatology Physician national average

Near national average
MIPS Final Score
80.7083/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Rheumatology Physician) — 80.7083/100 vs national avg 83.1

0%100%National avg83%80.7%
MIPS final score (Rheumatology Physician) — 80.7083/100 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).

SEEMA PATEL, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 11958 W BROAD ST, HENRICO, VA, 23233, with a listed phone of (804) 360-4669. NPI 1851525729 was issued on 05/07/2009. 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 465 prescription claims written by this provider, covering 108 Medicare beneficiaries and totaling roughly $428K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 4.5%. 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 80.7083/100 for the 2023 performance year (Quality 88.4776, Cost 51.0576), compared with the national average of 83.1.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

11958 W BROAD ST
HENRICO, VA 23233

Provider Details

NPI 1851525729
Specialty Rheumatology Physician
Credentials MD
Gender Female
NPI Issued 05/07/2009

CMS Quality Score (MIPS)

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

80.7083
Final Score
Avg: 83.1
88.4776
Quality
51.0576
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where SEEMA 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.

RHEUMATOLOGY ASSOCIATES OF BALTIMORE LLC
BALTIMORE, MD

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

Total received

$371

Largest payer

ABBVIE INC.

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 · Typical

SEEMA PATEL, MD — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 465 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.

465
Total Claims
$428K
Total Drug Cost
108
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,012
Total Day Supply
29,230
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$408K
Generic Drug Cost
$20K
Opioid Claims
21 (4.5% rate)

Patient Demographics

Average Patient Age
70.7 years
Avg HCC Risk Score
1.25
Gender Split
83% female / 17% male

Top Prescribed Drugs (Medicare Part D)

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

What SEEMA 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
Prednisone
112
Hydroxychloroquine Sulfate
46
Methotrexate
Methotrexate Sodium
41
Enbrel Sureclick
Etanercept
28
Gabapentin
28
Methylprednisolone
18
Cyclobenzaprine Hcl
16
Meloxicam
16
Celecoxib
15
Humira(Cf) Pen
Adalimumab
11

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

Rheumatology Physician Overview

How SEEMA PATEL, MD fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

SEEMA PATEL, MD's 465 claims are below the specialty average of 2,054.

Nearby Rheumatology Physician Providers in Virginia

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

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

Frequently Asked Questions

What is SEEMA PATEL, MD's specialty?
SEEMA PATEL, MD specializes in Rheumatology Physician and practices in HENRICO, Virginia. Credentials: MD.
How much does SEEMA PATEL, MD prescribe under Medicare Part D?
In 2023, SEEMA PATEL, MD wrote 465 Medicare Part D claims totaling $428K in drug costs for 108 beneficiaries.
What is SEEMA PATEL, MD's Medicare quality score?
SEEMA PATEL, MD has a CMS MIPS Final Score of 80.7083/100 (Quality: 88.4776, Cost: 51.0576). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SEEMA PATEL, MD located?
SEEMA PATEL, MD is located at 11958 W BROAD ST, HENRICO, VA, 23233. Phone: (804) 360-4669.
What is SEEMA PATEL, MD's NPI number?
SEEMA PATEL, MD's National Provider Identifier (NPI) is 1851525729, issued on 05/07/2009.
Does SEEMA PATEL, MD prescribe more brand-name or generic drugs?
SEEMA PATEL, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $408K in brand drug costs.
Does SEEMA PATEL, MD prescribe opioids?
Yes, SEEMA PATEL, MD had 21 opioid claims in 2023 with an opioid prescribing rate of 4.5%.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does SEEMA PATEL, MD prescribe most often?
Based on 2023 Medicare Part D data, SEEMA PATEL, MD's most frequently prescribed drugs include Prednisone, Hydroxychloroquine Sulfate, Methotrexate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SEEMA PATEL, MD accept Medicare?
SEEMA PATEL, MD appears in CMS Medicare data with 465 Part D claims and 108 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SEEMA PATEL, MD's credentials?
SEEMA PATEL, MD's NPI is 1851525729 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