2026 NPPES data Podiatrist NPI 1124053400 DPM
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SHWETAL PATEL, DPM

Podiatrist in QUINCY, Illinois. 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
298
Medicare Part D claims · 175 beneficiaries · Podiatrist avg: 304
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$66.31
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SHWETAL PATEL, DPM filed 298 Medicare Part D claims in 2023 as a Podiatrist in QUINCY, Illinois, prescribing 96% generic.

298
Part D claims, 2023
96%
generic prescribing
$66.31
industry payments (Sunshine Act)

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.

SHWETAL PATEL, DPM's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

298 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about SHWETAL PATEL, DPM?

Quality data not reported

NPI registry status

Active

Issued 07/12/2006

NPI 1124053400

Primary specialty

Podiatrist

Mid-sized

10,498 US NPIs in this specialty

Medicare Part D claims

298 2% vs specialty avg

2023 prescription claims

Specialty avg: 304

Specialty distribution in Illinois

How Podiatrist compares to other specialties among Illinois providers

Illinois providers

Podiatrist share within Illinois

1. Podiatrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Podiatrist share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Podiatrist (ABMS / AOA reference)

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

Est. board-certified rate (Podiatrist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (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).

SHWETAL PATEL, DPM appears in the CMS NPPES registry as a Podiatrist provider holding DPM credentials at 1118 HAMPSHIRE ST, QUINCY, IL, 62301, with a listed phone of (217) 222-6550. NPI 1124053400 was issued on 07/12/2006. 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 298 prescription claims written by this provider, covering 175 Medicare beneficiaries and totaling roughly $7K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 29.9%. 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.

Podiatrist is a mid-sized specialty nationwide, with 10,498 enrolled providers across 54 states and an average of 304 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

1118 HAMPSHIRE ST
QUINCY, IL 62301

Provider Details

NPI 1124053400
Specialty Podiatrist
Credentials DPM
Gender Male
NPI Issued 07/12/2006

Hospital and facility affiliations

Facilities where SHWETAL 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.

QUINCY PHYSICIANS AND SURGEONS CLINIC PLLC
QUINCY, IL

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

Total received

$66

Largest payer

TREACE MEDICAL CONCEPTS, 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.

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to SHWETAL PATEL, DPM. To verify SHWETAL PATEL, DPM's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

SHWETAL PATEL, DPM — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 298 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.

298
Total Claims
$7K
Total Drug Cost
175
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
336
Total Day Supply
5,423
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$2K
Generic Drug Cost
$5K
Opioid Claims
89 (29.9% rate)
Antibiotic Claims
76

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
1.27
Gender Split
57% female / 43% male
Age Distribution
<65: 31, 65-74: 75, 75-84: 51, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

What SHWETAL PATEL, DPM 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
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
45
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
35
Cephalexin
31
Terbinafine Hcl
27
Ciclopirox
15
Gabapentin
15
Doxycycline Hyclate
14
Clotrimazole-Betamethasone
Clotrimazole/Betamethasone Dip
13
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
13

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

Podiatrist Overview

How SHWETAL PATEL, DPM fits within the Podiatrist landscape nationally.

10,498
Podiatrist Providers in US
54
States with Podiatrist
304
Avg Claims per Provider

SHWETAL PATEL, DPM's 298 claims are below the specialty average of 304.

Nearby Podiatrist Providers in Illinois

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

Compare Podiatrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHWETAL PATEL, DPM's specialty?
SHWETAL PATEL, DPM specializes in Podiatrist and practices in QUINCY, Illinois. Credentials: DPM.
How much does SHWETAL PATEL, DPM prescribe under Medicare Part D?
In 2023, SHWETAL PATEL, DPM wrote 298 Medicare Part D claims totaling $7K in drug costs for 175 beneficiaries.
Where is SHWETAL PATEL, DPM located?
SHWETAL PATEL, DPM is located at 1118 HAMPSHIRE ST, QUINCY, IL, 62301. Phone: (217) 222-6550.
What is SHWETAL PATEL, DPM's NPI number?
SHWETAL PATEL, DPM's National Provider Identifier (NPI) is 1124053400, issued on 07/12/2006.
Does SHWETAL PATEL, DPM prescribe more brand-name or generic drugs?
SHWETAL PATEL, DPM's prescribing is 4% brand-name and 96% generic drugs by claim count, with $2K in brand drug costs.
Does SHWETAL PATEL, DPM prescribe opioids?
Yes, SHWETAL PATEL, DPM had 89 opioid claims in 2023 with an opioid prescribing rate of 29.9%.
How many Podiatrist providers are there in the US?
There are 10,498 Podiatrist providers across 54 states in the US. The average Podiatrist provider writes 304 Medicare Part D claims per year.
What drugs does SHWETAL PATEL, DPM prescribe most often?
Based on 2023 Medicare Part D data, SHWETAL PATEL, DPM's most frequently prescribed drugs include Oxycodone-Acetaminophen, Hydrocodone-Acetaminophen, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHWETAL PATEL, DPM accept Medicare?
SHWETAL PATEL, DPM appears in CMS Medicare data with 298 Part D claims and 175 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHWETAL PATEL, DPM's credentials?
SHWETAL PATEL, DPM's NPI is 1124053400 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