2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1891107793 MD
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SHIV PATEL, MD

Sports Medicine (Orthopaedic Surgery) Physician in BURLESON, Texas. 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
622
Medicare Part D claims · 261 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
44.1687/100
▼ 39 pts below national avg 83.1 · [object Object]
Industry payments
$951.15
18 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SHIV PATEL, MD reported a CMS MIPS final score of 44.1687/100 — below the 83.1 national average — and filed 622 Medicare Part D claims in 2023.

44.1687/100
MIPS score · -39 vs avg
622
Part D claims, 2023
96%
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.

SHIV 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

44 4th percentile higher than 4% 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%). This entry sits in this band. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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)

SHIV 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 SHIV PATEL, MD?

Below national average

NPI registry status

Active

Issued 05/27/2014

NPI 1891107793

Primary specialty

Sports Medicine (Orthopaedic Surgery) Physician

Niche

2,681 US NPIs in this specialty

Medicare Part D claims

622 124% vs specialty avg

2023 prescription claims

Specialty avg: 278

MIPS final score

44.1687/100 38.93129999999999% pts

Below average band

vs 83.1 national avg

Specialty distribution in Texas

How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among Texas providers

Texas providers

Sports Medicine (Orthopaedic Surgery) Physician share within Texas

1. Sports Medicine (Orthopaedic Surgery) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Orthopaedic Surgery) Physician share within Texas

Medicare quality performance — MIPS

SHIV PATEL, MD's 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average

Below national average
MIPS Final Score
44.1687/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 44.1687/100 vs national avg 83.1

0%100%National avg83%44.2%
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 44.1687/100 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).

SHIV PATEL, MD appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding MD credentials at 215 OLD HIGHWAY 1187, BURLESON, TX, 76028, with a listed phone of (817) 926-2663. NPI 1891107793 was issued on 05/27/2014. 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 622 prescription claims written by this provider, covering 261 Medicare beneficiaries and totaling roughly $55K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 56.3%. 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 44.1687/100 for the 2023 performance year (Quality 25.9675, Cost 24.5947), compared with the national average of 83.1.

Sports Medicine (Orthopaedic Surgery) Physician is a narrow specialty nationwide, with 2,681 enrolled providers across 53 states and an average of 278 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

215 OLD HIGHWAY 1187
BURLESON, TX 76028

Provider Details

NPI 1891107793
Specialty Sports Medicine (Orthopaedic Surgery) Physician
Credentials MD
Gender Male
NPI Issued 05/27/2014

CMS Quality Score (MIPS)

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

44.1687
Final Score
Avg: 83.1
25.9675
Quality
24.5947
Cost
86
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SHIV 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.

LONE STAR ORTHOPAEDIC AND SPINE SPECIALISTS, PLLC
MANSFIELD, 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).

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

Total received

$951

Largest payer

Stryker Corporation

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.

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 SHIV PATEL, MD. To verify SHIV PATEL, MD'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

SHIV PATEL, MD — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 622 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.

622
Total Claims
$55K
Total Drug Cost
261
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
739
Total Day Supply
12,126
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$50K
Generic Drug Cost
$5K
Opioid Claims
350 (56.3% rate)
Antibiotic Claims
32

Patient Demographics

Average Patient Age
71.3 years
Avg HCC Risk Score
1.60
Gender Split
74% female / 26% male
Age Distribution
<65: 35, 65-74: 139, 75-84: 75, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

What SHIV 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
258
Tramadol Hcl
49
Meloxicam
45
Methocarbamol
38
Alendronate Sodium
21
Acetaminophen-Codeine
Acetaminophen With Codeine
20
Ibuprofen
18
Celecoxib
17
Methylprednisolone
16
Oxycodone Hcl
16

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

Sports Medicine (Orthopaedic Surgery) Physician Overview

How SHIV PATEL, MD fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.

2,681
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
278
Avg Claims per Provider

SHIV PATEL, MD's 622 claims are above the specialty average of 278.

Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in Texas

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

Compare Sports Medicine (Orthopaedic Surgery) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHIV PATEL, MD's specialty?
SHIV PATEL, MD specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in BURLESON, Texas. Credentials: MD.
How much does SHIV PATEL, MD prescribe under Medicare Part D?
In 2023, SHIV PATEL, MD wrote 622 Medicare Part D claims totaling $55K in drug costs for 261 beneficiaries.
What is SHIV PATEL, MD's Medicare quality score?
SHIV PATEL, MD has a CMS MIPS Final Score of 44.1687/100 (Quality: 25.9675, Cost: 24.5947). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHIV PATEL, MD located?
SHIV PATEL, MD is located at 215 OLD HIGHWAY 1187, BURLESON, TX, 76028. Phone: (817) 926-2663.
What is SHIV PATEL, MD's NPI number?
SHIV PATEL, MD's National Provider Identifier (NPI) is 1891107793, issued on 05/27/2014.
Does SHIV PATEL, MD prescribe more brand-name or generic drugs?
SHIV PATEL, MD's prescribing is 4% brand-name and 96% generic drugs by claim count, with $50K in brand drug costs.
Does SHIV PATEL, MD prescribe opioids?
Yes, SHIV PATEL, MD had 350 opioid claims in 2023 with an opioid prescribing rate of 56.3%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US?
There are 2,681 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 278 Medicare Part D claims per year.
What drugs does SHIV PATEL, MD prescribe most often?
Based on 2023 Medicare Part D data, SHIV PATEL, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Tramadol Hcl, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHIV PATEL, MD accept Medicare?
SHIV PATEL, MD appears in CMS Medicare data with 622 Part D claims and 261 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHIV PATEL, MD's credentials?
SHIV PATEL, MD's NPI is 1891107793 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