2026 NPPES data Foot & Ankle Surgery Podiatrist NPI 1841712643 DPM
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SEJAL PATEL, DPM

Foot & Ankle Surgery Podiatrist in FALLS CHURCH, 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
250
Medicare Part D claims · 96 beneficiaries · Foot & Ankle Surgery Podiatrist avg: 309
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$124.55
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SEJAL PATEL, DPM is a Foot & Ankle Surgery Podiatrist ([object Object]) practicing in FALLS CHURCH, Virginia with a Medicare Part D prescribing footprint of 250 claims across 96 beneficiaries — 19% brand-name prescribing . Industry payments of $124.55 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SEJAL PATEL, DPM filed 250 Medicare Part D claims in 2023 across FALLS CHURCH, Virginia. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

SEJAL PATEL, DPM at a glance

Quality data not reported

NPI registry status

Active

Issued 07/13/2017

NPI 1841712643

Primary specialty

Foot & Ankle Surgery Podiatrist

Mid-sized

8,920 US NPIs in this specialty

Medicare Part D claims

250 19% vs specialty avg

2023 prescription claims

Specialty avg: 309

Specialty distribution in Virginia

How Foot & Ankle Surgery Podiatrist compares to other specialties among Virginia providers

Virginia providers

Foot & Ankle Surgery Podiatrist share within Virginia

1. Foot & Ankle Surgery Podiatrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Foot & Ankle Surgery Podiatrist share within Virginia

Specialty board-certification context

Estimated specialty board-certified rate — Foot & Ankle Surgery Podiatrist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Foot & Ankle Surgery Podiatrist ABMS/AOA estimate

Est. board-certified rate (Foot & Ankle Surgery Podiatrist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Foot & Ankle Surgery Podiatrist) — 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).

SEJAL PATEL, DPM is a Foot & Ankle Surgery Podiatrist provider practicing in FALLS CHURCH, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DPM. NPI: 1841712643. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SEJAL PATEL, DPM appears in the CMS NPPES registry as a Foot & Ankle Surgery Podiatrist provider holding DPM credentials at 104A E BROAD ST STE A, FALLS CHURCH, VA, 22046, with a listed phone of (703) 237-1555. NPI 1841712643 was issued on 07/13/2017. 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 250 prescription claims written by this provider, covering 96 Medicare beneficiaries and totaling roughly $31K in drug spend, split 19% brand-name and 81% 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.

Foot & Ankle Surgery Podiatrist is a mid-sized specialty nationwide, with 8,920 enrolled providers across 53 states and an average of 309 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

104A E BROAD ST STE A
FALLS CHURCH, VA 22046

Provider Details

NPI 1841712643
Specialty Foot & Ankle Surgery Podiatrist
Credentials DPM
Gender Female
NPI Issued 07/13/2017

Hospital and facility affiliations

Facilities where SEJAL PATEL, DPM 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.

PRIVIA MEDICAL GROUP, LLC
FALLS CHURCH, VA

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 SEJAL PATEL, DPM. Source: openpaymentsdata.cms.gov.

Total received

$125

Largest payer

Vaporox, 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

SEJAL PATEL, DPM — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 250 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.

250
Total Claims
$31K
Total Drug Cost
96
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
306
Total Day Supply
8,069
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$26K
Generic Drug Cost
$5K
Antibiotic Claims
25

Patient Demographics

Average Patient Age
76.8 years
Avg HCC Risk Score
1.48
Gender Split
52% female / 48% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ketoconazole
70
Jublia
Efinaconazole
33
Terbinafine Hcl
31
Ciclopirox
19
Mupirocin
12

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

Foot & Ankle Surgery Podiatrist Overview

How SEJAL PATEL, DPM fits within the Foot & Ankle Surgery Podiatrist landscape nationally.

8,920
Foot & Ankle Surgery Podiatrist Providers in US
53
States with Foot & Ankle Surgery Podiatrist
309
Avg Claims per Provider

SEJAL PATEL, DPM's 250 claims are below the specialty average of 309.

Nearby Foot & Ankle Surgery Podiatrist Providers in Virginia

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

Compare Foot & Ankle Surgery Podiatrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is SEJAL PATEL, DPM's specialty?
SEJAL PATEL, DPM specializes in Foot & Ankle Surgery Podiatrist and practices in FALLS CHURCH, Virginia. Credentials: DPM.
How much does SEJAL PATEL, DPM prescribe under Medicare Part D?
In 2023, SEJAL PATEL, DPM wrote 250 Medicare Part D claims totaling $31K in drug costs for 96 beneficiaries.
Where is SEJAL PATEL, DPM located?
SEJAL PATEL, DPM is located at 104A E BROAD ST STE A, FALLS CHURCH, VA, 22046. Phone: (703) 237-1555.
What is SEJAL PATEL, DPM's NPI number?
SEJAL PATEL, DPM's National Provider Identifier (NPI) is 1841712643, issued on 07/13/2017.
Does SEJAL PATEL, DPM prescribe more brand-name or generic drugs?
SEJAL PATEL, DPM's prescribing is 19% brand-name and 81% generic drugs by claim count, with $26K in brand drug costs.
How many Foot & Ankle Surgery Podiatrist providers are there in the US?
There are 8,920 Foot & Ankle Surgery Podiatrist providers across 53 states in the US. The average Foot & Ankle Surgery Podiatrist provider writes 309 Medicare Part D claims per year.
What drugs does SEJAL PATEL, DPM prescribe most often?
Based on 2023 Medicare Part D data, SEJAL PATEL, DPM's most frequently prescribed drugs include Ketoconazole, Jublia, Terbinafine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SEJAL PATEL, DPM accept Medicare?
SEJAL PATEL, DPM appears in CMS Medicare data with 250 Part D claims and 96 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SEJAL PATEL, DPM's credentials?
SEJAL PATEL, DPM's NPI is 1841712643 with credentials DPM. 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