NPI registry status
Active
2026 NPPES data Neurology Physician NPI 1043350366 M.D.
Verify on CMS → Sima Patel, M.D.
Neurology Physician in Minneapolis, Minnesota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 20,467 in Neurology 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
3K
Medicare Part D claims · 186 beneficiaries · Neurology Physician avg: 1K
Generic prescribing
88%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.3/100
▼ 1 pts below national avg 83.5 · Above neutral
Industry payments
$157.65
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Sima Patel, M.D. reported a CMS MIPS final score of 82.3/100 - below the 83.5 national average - and filed 2,845 Medicare Part D claims in 2024.
- 82.3/100
- MIPS score · -1 vs avg
- 3K
- Part D claims, 2024
- 88%
- 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 Sima Patel, M.D.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1043350366), first enumerated 02/07/2007.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 2,845 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)
Reported a CMS MIPS final score of 82.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.
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
- Reported
Industry payment transparency
$157.65 in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- 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 1043350366 · Neurology Physician
NPI-10 · ENUM-MID · TAX-MID · MIPS-INLINE · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1043350366
- ENUM-MID 2007
- TAX-MID 20K Neurology Physician
- MIPS-INLINE 82.3/100
- RX-MID 2,845
- BOOK-LIGHT 511 in Minnesota
- PHOTO-FINISH Muhammad Affan · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Patel · this pro…
Patel · this provider
82.3 MIPS pts
- Jacob Manske, M.…
Jacob Manske, M.D.
82.3 MIPS pts
- Muhammad Affan ·…
Muhammad Affan
82.3 MIPS pts
- Scott Cooper, MD…
Scott Cooper, MD
82.3 MIPS pts
- Kelsey Gagesch, …
Kelsey Gagesch, M.D.
82.3 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Sima Patel, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
82 ≥ 36th percentile 36% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Sima Patel, M.D. sits
This provider among neurology physician peers
Across the 5,099 neurology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sima Patel, M.D. writes more Part D claims than 82% of them and scores higher on MIPS quality than 41% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one neurology physician peer from a representative sample of 60; the gold marker is Sima Patel, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Sima Patel, M.D. 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 Sima Patel, M.D.?
Near national averagePrimary specialty
Neurology Physician
Medicare Part D claims
2,845 110% vs specialty avg
MIPS final score
82.3/100 1.2 pts vs avg
Specialty distribution in Minnesota
How Neurology Physician compares to other specialties among Minnesota providers
Medicare quality performance, MIPS
Sima Patel, M.D.'s 2023 MIPS final score plotted against the Neurology Physician national average
- MIPS Final Score
- 82.3/100
- vs 83.5 national avg · 2023 performance year
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 | 1043350366 |
|---|---|
| Specialty | Neurology Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 02/07/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
82.3405
Final Score
Measured-score avg: 83.5
81.5407
Quality
38.1722
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Sima Patel, M.D. 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.
Hennepin Healthcare System Inc
Minneapolis, MN
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 Sima Patel, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$158
Largest payer
LivaNova USA, 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.
Brand vs generic prescribing mix · Typical
Sima Patel, M.D. - brand share 10.0%
Neurology Physician average
10% brand-name claims vs 88% generic, on 2,845 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.
2,845
Total Claims
$544K
Total Drug Cost
186
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,921.733
- Total Day Supply
- 114,308
- Brand vs Generic
- 10% brand / 88% generic
- Brand Drug Cost
- $303K
- Generic Drug Cost
- $240K
Patient Demographics
- Average Patient Age
- 59.0 years
- Avg HCC Risk Score
- 1.64
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 101, 65-74: 54, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Sima Patel, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Lamotrigine
Lamotrigine
428 claims
- Levetiracetam
Levetiracetam
401 claims
- Lacosamide
Lacosamide
273 claims
- Divalproex Sodium Er 124
Divalproex Sodium Er
124 claims
- Zonisamide 120
Zonisamide
120 claims
- Carbamazepine Er 119
Carbamazepine Er
119 claims
- Divalproex Sodium 101
Divalproex Sodium
101 claims
- Felbamate 99
Felbamate
99 claims
| Drug | Claims |
|---|---|
| Lamotrigine | 428 |
| Levetiracetam | 401 |
| Lacosamide | 273 |
| Divalproex Sodium Er Divalproex Sodium | 124 |
| Zonisamide | 120 |
| Carbamazepine Er Carbamazepine | 119 |
| Divalproex Sodium | 101 |
| Felbamate | 99 |
| Lamotrigine Er Lamotrigine | 80 |
| Dilantin Phenytoin Sodium Extended | 79 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Neurology Physician Overview
How Sima Patel, M.D. fits within the Neurology Physician landscape nationally.
20,467
Neurology Physician Providers in US
54
States with Neurology Physician
1,356
Avg Claims per Provider
Sima Patel, M.D.'s 2,845 claims are above the specialty average of 1,356.
Nationwide Neurology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Patel, both outside Minnesota so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (82.3 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Neurology Physician Providers in Minnesota
Other clinicians with the same primary specialty enrolled in Minnesota, drawn from the same CMS NPPES roster as Patel.
One of 511 Neurology Physician providers enrolled in Minnesota, 5 are shown here.
Dr. Ingrid Abols-Mantyh
M.D.
Burnsville, MN
Dr. Jane Achenbach
MD
Cambridge, MN
Dr. George Adam
M.D.
Saint Louis Park, MN
Dr. Andrea Adams
M.D.
Rochester, MN
Rajiv Aggarwal
M.B., B.S.
Burnsville, MN
Compare Neurology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Sima Patel, M.D.'s specialty? ▼
Sima Patel, M.D. specializes in Neurology Physician and practices in Minneapolis, Minnesota. Credentials: M.D..
How much does Sima Patel, M.D. prescribe under Medicare Part D? ▼
In 2024, Sima Patel, M.D. wrote 2,845 Medicare Part D claims totaling $544K in drug costs for 186 beneficiaries.
What is Sima Patel, M.D.'s Medicare quality score? ▼
Sima Patel, M.D. has a CMS MIPS Final Score of 82.3/100 (Quality: 81.5, Cost: 38.2). 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 Sima Patel, M.D. located? ▼
Sima Patel, M.D. is located at 715 S 8TH ST, Minneapolis, MN, 55404. Phone: (612) 873-6963.
What is Sima Patel, M.D.'s NPI number? ▼
Sima Patel, M.D.'s National Provider Identifier (NPI) is 1043350366, issued on 02/07/2007.
Does Sima Patel, M.D. prescribe more brand-name or generic drugs? ▼
Sima Patel, M.D.'s prescribing is 10% brand-name and 88% generic drugs by claim count, with $303K in brand drug costs.
How many Neurology Physician providers are there in the US? ▼
There are 20,467 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,356 Medicare Part D claims per year.
What drugs does Sima Patel, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Sima Patel, M.D.'s most frequently prescribed drugs include Lamotrigine, Levetiracetam, Lacosamide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sima Patel, M.D. accept Medicare? ▼
Sima Patel, M.D. appears in CMS Medicare data with 2,845 Part D claims and 186 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sima Patel, M.D.'s credentials? ▼
Sima Patel, M.D.'s NPI is 1043350366 with credentials M.D.. 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.