NPI registry status
Active
2026 NPPES data Sports Medicine (Physical Medicine & Rehabilitation) Physician NPI 1972553303 DO
Verify on CMS → Sheila Patel, DO
Sports Medicine (Physical Medicine & Rehabilitation) Physician in Austin, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,302 in Sports Medicine (Physical Medicine & Rehabilitation) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
379
Medicare Part D claims · 120 beneficiaries · Sports Medicine (Physical Medicine & Rehabilitation) Physician avg: 583
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
CMS neutral threshold · no category scores published
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Sheila Patel, DO carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 379 Medicare Part D claims in 2024.
- 75/100
- CMS neutral score · not measured
- 379
- Part D claims, 2024
- 92%
- 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.
Federal trust snapshot
What official records show about Sheila Patel, DO
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1972553303), first enumerated 05/10/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 379 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Sheila Patel, DO's individual license status. Verify directly with the state medical board.
Source: TMB annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1972553303 · Sports Medicine (Physical Medicine & Rehabilitation) Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-NEUTRAL · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1972553303
- ENUM-LEGACY 2006
- TAX-NARROW 1,302
- MIPS-NEUTRAL 75/100
- RX-LIGHT 379
- BOOK-THIN 98 in Texas
- PHOTO-ENUM Robert Baumgarten, P… · 2006
Sheila Patel, DO's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
379 ≥ 56th percentile 56% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Sheila Patel, DO 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 Sheila Patel, DO?
CMS neutral score, not measuredPrimary specialty
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Medicare Part D claims
379 35% vs specialty avg
MIPS final score
75/100
Specialty distribution in Texas
How Sports Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Texas providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1972553303 |
|---|---|
| Specialty | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| Credentials | DO |
| Gender | Female |
| NPI Issued | 05/10/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Individual
Hospital and facility affiliations
Facilities where Sheila Patel, DO 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.
The Austin Diagnostic Clinic PLLC
Austin, 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).
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 Sheila Patel, DO. To verify Sheila Patel, DO'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.
Brand vs generic prescribing mix · Generic-heavy
Sheila Patel, DO - brand share 8.0%
Sports Medicine (Physical Medicine & Rehabilitation) Physician average
8% brand-name claims vs 92% generic, on 379 2024 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 2024.
379
Total Claims
$12K
Total Drug Cost
120
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 399.1
- Total Day Supply
- 9,264
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $9K
- Generic Drug Cost
- $3K
- Opioid Claims
- 55 (14.5% rate)
- Antibiotic Claims
- 12
Patient Demographics
- Average Patient Age
- 77.4 years
- Avg HCC Risk Score
- 1.98
- Gender Split
- 53% female / 48% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Sheila Patel, DO prescribes most
Top Medicare Part D drugs by claim count, 2024
- Tramadol Hcl
Tramadol Hcl
19 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
18 claims
- Atorvastatin Calcium
Atorvastatin Calcium
15 claims
- Tamsulosin Hcl
Tamsulosin Hcl
15 claims
- Oxycodone Hcl
Oxycodone Hcl
14 claims
- Amlodipine Besylate
Amlodipine Besylate
13 claims
- Metoprolol Tartrate
Metoprolol Tartrate
13 claims
- Furosemide
Furosemide
11 claims
| Drug | Claims |
|---|---|
| Tramadol Hcl | 19 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 18 |
| Atorvastatin Calcium | 15 |
| Tamsulosin Hcl | 15 |
| Oxycodone Hcl | 14 |
| Amlodipine Besylate | 13 |
| Metoprolol Tartrate | 13 |
| Furosemide | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Physical Medicine & Rehabilitation) Physician in TX →
All providers in Texas →
Compare specialties →
Sports Medicine (Physical Medicine & Rehabilitation) Physician Overview
How Sheila Patel, DO fits within the Sports Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.
1,302
Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
52
States with Sports Medicine (Physical Medicine & Rehabilitation) Physician
583
Avg Claims per Provider
Sheila Patel, DO's 379 claims are below the specialty average of 583.
Nationwide Sports Medicine (Physical Medicine & Rehabilitation) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Patel, both outside Texas so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Patel.
One of 98 Sports Medicine (Physical Medicine & Rehabilitation) Physician providers enrolled in Texas, 5 are shown here.
Frequently Asked Questions
What is Sheila Patel, DO's specialty? ▼
Sheila Patel, DO specializes in Sports Medicine (Physical Medicine & Rehabilitation) Physician and practices in Austin, Texas. Credentials: DO.
How much does Sheila Patel, DO prescribe under Medicare Part D? ▼
In 2024, Sheila Patel, DO wrote 379 Medicare Part D claims totaling $12K in drug costs for 120 beneficiaries.
What is Sheila Patel, DO's Medicare quality score? ▼
Sheila Patel, DO has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sheila Patel, DO located? ▼
Sheila Patel, DO is located at 823 CONGRESS AVE STE 150-518, Austin, TX, 78701. Phone: (888) 380-0988.
What is Sheila Patel, DO's NPI number? ▼
Sheila Patel, DO's National Provider Identifier (NPI) is 1972553303, issued on 05/10/2006.
Does Sheila Patel, DO prescribe more brand-name or generic drugs? ▼
Sheila Patel, DO's prescribing is 8% brand-name and 92% generic drugs by claim count, with $9K in brand drug costs.
Does Sheila Patel, DO prescribe opioids? ▼
Yes, Sheila Patel, DO had 55 opioid claims in 2024 with an opioid prescribing rate of 14.5%.
How many Sports Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US? ▼
There are 1,302 Sports Medicine (Physical Medicine & Rehabilitation) Physician providers across 52 states in the US. The average Sports Medicine (Physical Medicine & Rehabilitation) Physician provider writes 583 Medicare Part D claims per year.
What drugs does Sheila Patel, DO prescribe most often? ▼
Based on 2024 Medicare Part D data, Sheila Patel, DO's most frequently prescribed drugs include Tramadol Hcl, Hydrocodone-Acetaminophen, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sheila Patel, DO accept Medicare? ▼
Sheila Patel, DO appears in CMS Medicare data with 379 Part D claims and 120 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sheila Patel, DO's credentials? ▼
Sheila Patel, DO's NPI is 1972553303 with credentials DO. 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.