2026 NPPES data Orthopaedic Surgery Physician NPI 1699759449 MD
Verify on CMS →

SHIRAZ PATEL, MD

Orthopaedic Surgery Physician in PADUCAH, Kentucky. 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
2K
Medicare Part D claims · 583 beneficiaries · Orthopaedic Surgery Physician avg: 324
MIPS score
79.6354/100
▼ 3 pts below national avg 83.1 · [object Object]

What the federal data shows

SHIRAZ PATEL, MD reported a CMS MIPS final score of 79.6354/100 — below the 83.1 national average — and filed 2,005 Medicare Part D claims in 2023.

79.6354/100
MIPS score · -3 vs avg
2K
Part D claims, 2023
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.

SHIRAZ 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

80 30th percentile higher than 30% 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)

SHIRAZ 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 SHIRAZ PATEL, MD?

Near national average

NPI registry status

Active

Issued 12/05/2005

NPI 1699759449

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

2,005 519% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

79.6354/100 3.46459999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Orthopaedic Surgery Physician compares to other specialties among Kentucky providers

Kentucky providers

Orthopaedic Surgery Physician share within Kentucky

1. Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery Physician share within Kentucky

Medicare quality performance — MIPS

SHIRAZ PATEL, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

Near national average
MIPS Final Score
79.6354/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) — 79.6354/100 vs national avg 83.1

0%100%National avg83%79.6%
MIPS final score (Orthopaedic Surgery Physician) — 79.6354/100 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).

SHIRAZ PATEL, MD appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding MD credentials at 200 CLINT HILL BLVD, PADUCAH, KY, 42001, with a listed phone of (270) 442-9461. NPI 1699759449 was issued on 12/05/2005. 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 2,005 prescription claims written by this provider, covering 583 Medicare beneficiaries and totaling roughly $81K in drug spend, with an opioid prescribing rate of 23.4%. 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 79.6354/100 for the 2023 performance year (Quality 78.445, Cost 53.6731), compared with the national average of 83.1.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

200 CLINT HILL BLVD
PADUCAH, KY 42001

Provider Details

NPI 1699759449
Specialty Orthopaedic Surgery Physician
Credentials MD
Gender Male
NPI Issued 12/05/2005

CMS Quality Score (MIPS)

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

79.6354
Final Score
Avg: 83.1
78.445
Quality
53.6731
Cost
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where SHIRAZ 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.

MERCY HEALTH PHYSICIANS KENTUCKY SPECIALTY CARE LLC
PADUCAH, KY

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

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,005
Total Claims
$81K
Total Drug Cost
583
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,020
Total Day Supply
23,794
Generic Drug Cost
$25K
Opioid Claims
469 (23.4% rate)
Antibiotic Claims
331

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.05
Gender Split
63% female / 37% male
Age Distribution
<65: 48, 65-74: 310, 75-84: 195, 85+: 30

Top Prescribed Drugs (Medicare Part D)

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

What SHIRAZ 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
Mupirocin
356
Oxycodone Hcl
341
Ondansetron Hcl
214
Amoxicillin
135
Xarelto
Rivaroxaban
115
Tamsulosin Hcl
102
Naloxone Hcl
98
Methylprednisolone
72
Doxycycline Monohydrate
69
Clindamycin Hcl
47

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

Orthopaedic Surgery Physician Overview

How SHIRAZ PATEL, MD fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

SHIRAZ PATEL, MD's 2,005 claims are above the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Kentucky

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

Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHIRAZ PATEL, MD's specialty?
SHIRAZ PATEL, MD specializes in Orthopaedic Surgery Physician and practices in PADUCAH, Kentucky. Credentials: MD.
How much does SHIRAZ PATEL, MD prescribe under Medicare Part D?
In 2023, SHIRAZ PATEL, MD wrote 2,005 Medicare Part D claims totaling $81K in drug costs for 583 beneficiaries.
What is SHIRAZ PATEL, MD's Medicare quality score?
SHIRAZ PATEL, MD has a CMS MIPS Final Score of 79.6354/100 (Quality: 78.445, Cost: 53.6731). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHIRAZ PATEL, MD located?
SHIRAZ PATEL, MD is located at 200 CLINT HILL BLVD, PADUCAH, KY, 42001. Phone: (270) 442-9461.
What is SHIRAZ PATEL, MD's NPI number?
SHIRAZ PATEL, MD's National Provider Identifier (NPI) is 1699759449, issued on 12/05/2005.
Does SHIRAZ PATEL, MD prescribe opioids?
Yes, SHIRAZ PATEL, MD had 469 opioid claims in 2023 with an opioid prescribing rate of 23.4%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does SHIRAZ PATEL, MD prescribe most often?
Based on 2023 Medicare Part D data, SHIRAZ PATEL, MD's most frequently prescribed drugs include Mupirocin, Oxycodone Hcl, Ondansetron Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHIRAZ PATEL, MD accept Medicare?
SHIRAZ PATEL, MD appears in CMS Medicare data with 2,005 Part D claims and 583 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHIRAZ PATEL, MD's credentials?
SHIRAZ PATEL, MD's NPI is 1699759449 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