2026 NPPES data Anatomic Pathology Physician NPI 1831464965 D.O.
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SHWETA PATEL, D.O.

Anatomic Pathology Physician in PITTSBURGH, Pennsylvania. 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
11
Medicare Part D claims · Anatomic Pathology Physician avg: 214
MIPS score
85.4852/100
▲ 2 pts above national avg 83.1 · [object Object]

What the federal data shows

SHWETA PATEL, D.O. reported a CMS MIPS final score of 85.4852/100 — above the 83.1 national average — and filed 11 Medicare Part D claims in 2023.

85.4852/100
MIPS score · +2 vs avg
11
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.

SHWETA PATEL, D.O.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

85 49th percentile higher than 49% 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)

SHWETA PATEL, D.O. 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 SHWETA PATEL, D.O.?

High performer (top quartile)

NPI registry status

Active

Issued 03/22/2012

NPI 1831464965

Primary specialty

Anatomic Pathology Physician

Niche

2,597 US NPIs in this specialty

Medicare Part D claims

11 95% vs specialty avg

2023 prescription claims

Specialty avg: 214

MIPS final score

85.4852/100 2.3852000000000118% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Anatomic Pathology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Anatomic Pathology Physician share within Pennsylvania

1. Anatomic Pathology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Anatomic Pathology Physician share within Pennsylvania

Medicare quality performance — MIPS

SHWETA PATEL, D.O.'s 2023 MIPS final score plotted against the Anatomic Pathology Physician national average

High performer (top quartile)
MIPS Final Score
85.4852/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Anatomic Pathology Physician) — 85.4852/100 vs national avg 83.1

0%100%National avg83%85.5%
MIPS final score (Anatomic Pathology Physician) — 85.4852/100 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).

SHWETA PATEL, D.O. is a Anatomic Pathology Physician provider practicing in PITTSBURGH, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1831464965. 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.

SHWETA PATEL, D.O. appears in the CMS NPPES registry as a Anatomic Pathology Physician provider holding D.O. credentials at 320 E NORTH AVE, PITTSBURGH, PA, 15212, with a listed phone of (412) 359-6886. NPI 1831464965 was issued on 03/22/2012. 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 11 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $62 in drug spend. 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 85.4852/100 for the 2023 performance year (Quality 73.6095), compared with the national average of 83.1.

Anatomic Pathology Physician is a narrow specialty nationwide, with 2,597 enrolled providers across 54 states and an average of 214 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

320 E NORTH AVE
PITTSBURGH, PA 15212

Provider Details

NPI 1831464965
Specialty Anatomic Pathology Physician
Credentials D.O.
Gender Female
NPI Issued 03/22/2012

CMS Quality Score (MIPS)

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

85.4852
Final Score
Avg: 83.1
73.6095
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SHWETA PATEL, D.O. 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.

UNIVERSITY OF PENN-MEDICAL GROUP
PHILADELPHIA, PA

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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to SHWETA PATEL, D.O.. To verify SHWETA PATEL, D.O.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

11
Total Claims
$62
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11
Total Day Supply
330
Brand Drug Cost
$0
Generic Drug Cost
$62

Patient Demographics

Average Patient Age
66.0 years
Avg HCC Risk Score
1.51

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Amlodipine Besylate
11

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

Anatomic Pathology Physician Overview

How SHWETA PATEL, D.O. fits within the Anatomic Pathology Physician landscape nationally.

2,597
Anatomic Pathology Physician Providers in US
54
States with Anatomic Pathology Physician
214
Avg Claims per Provider

SHWETA PATEL, D.O.'s 11 claims are below the specialty average of 214.

Nearby Anatomic Pathology Physician Providers in Pennsylvania

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

Compare Anatomic Pathology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHWETA PATEL, D.O.'s specialty?
SHWETA PATEL, D.O. specializes in Anatomic Pathology Physician and practices in PITTSBURGH, Pennsylvania. Credentials: D.O..
How much does SHWETA PATEL, D.O. prescribe under Medicare Part D?
In 2023, SHWETA PATEL, D.O. wrote 11 Medicare Part D claims totaling $62 in drug costs for N/A beneficiaries.
What is SHWETA PATEL, D.O.'s Medicare quality score?
SHWETA PATEL, D.O. has a CMS MIPS Final Score of 85.4852/100 (Quality: 73.6095). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHWETA PATEL, D.O. located?
SHWETA PATEL, D.O. is located at 320 E NORTH AVE, PITTSBURGH, PA, 15212. Phone: (412) 359-6886.
What is SHWETA PATEL, D.O.'s NPI number?
SHWETA PATEL, D.O.'s National Provider Identifier (NPI) is 1831464965, issued on 03/22/2012.
How many Anatomic Pathology Physician providers are there in the US?
There are 2,597 Anatomic Pathology Physician providers across 54 states in the US. The average Anatomic Pathology Physician provider writes 214 Medicare Part D claims per year.
What drugs does SHWETA PATEL, D.O. prescribe most often?
Based on 2023 Medicare Part D data, SHWETA PATEL, D.O.'s most frequently prescribed drugs include Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHWETA PATEL, D.O. accept Medicare?
SHWETA PATEL, D.O. appears in CMS Medicare data with 11 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHWETA PATEL, D.O.'s credentials?
SHWETA PATEL, D.O.'s NPI is 1831464965 with credentials D.O.. 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