NPI registry status
Active
2026 NPPES data Psychiatry Physician NPI 1245488188 M.D.
Verify on CMS → Sudha Patel, M.D.
Psychiatry Physician in Irvington, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 54,383 in Psychiatry 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
621
Medicare Part D claims · 59 beneficiaries · Psychiatry Physician avg: 1K
MIPS score
95/100
▲ 12 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Sudha Patel, M.D. reported a CMS MIPS final score of 95/100 - above the 83.5 national average - and filed 621 Medicare Part D claims in 2024.
- 95/100
- MIPS score · +12 vs avg
- 621
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥78th
- pct among measured MIPS (lower-bound band)
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 Sudha 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 1245488188), first enumerated 09/04/2008.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 621 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 95/100 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.
- 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 1245488188 · Psychiatry Physician
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1245488188
- ENUM-MID 2008
- TAX-MEGA 54K Psychiatry Physician
- MIPS-ELITE 95/100
- RX-LIGHT 621
- BOOK-THIN 478 in Kentucky
- PHOTO-FINISH Misty Eliason, M.D. · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Patel · this pro…
Patel · this provider
95 MIPS pts
- Daniel Parkinson…
Daniel Parkinson, MD
95 MIPS pts
- Ronald Johnson, …
Ronald Johnson, MD
95 MIPS pts
- Randy Readling, …
Randy Readling, M.D.
95 MIPS pts
- Misty Eliason, M…
Misty Eliason, M.D.
95 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Sudha 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.
95 ≥ 78th percentile 78% 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 Sudha Patel, M.D. sits
This provider among psychiatry physician peers
Across the 4,541 psychiatry physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sudha Patel, M.D. writes more Part D claims than 58% of them and scores higher on MIPS quality than 77% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one psychiatry physician peer from a representative sample of 60; the gold marker is Sudha 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)
Sudha Patel, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Sudha Patel, M.D.?
High performer (top quartile)Primary specialty
Psychiatry Physician
Medicare Part D claims
621 39% vs specialty avg
MIPS final score
95/100 11.5 pts vs avg
Specialty distribution in Kentucky
How Psychiatry Physician compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Sudha Patel, M.D.'s 2023 MIPS final score plotted against the Psychiatry Physician national average
- MIPS Final Score
- 95/100
- 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 | 1245488188 |
|---|---|
| Specialty | Psychiatry Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 09/04/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
95.012
Final Score
Measured-score avg: 83.5
80.0239
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
621
Total Claims
$8K
Total Drug Cost
59
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 749.233
- Total Day Supply
- 21,995
- Brand Drug Cost
- $0
- Generic Drug Cost
- $8K
Patient Demographics
- Average Patient Age
- 68.4 years
- Avg HCC Risk Score
- 1.52
- Gender Split
- 69% female / 31% male
- Age Distribution
- <65: 16, 65-74: 25, 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 Sudha Patel, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Fluoxetine Hcl
Fluoxetine Hcl
119 claims
- Trazodone Hcl
Trazodone Hcl
63 claims
- Buspirone Hcl
Buspirone Hcl
52 claims
- Aripiprazole
Aripiprazole
48 claims
- Lamotrigine 34
Lamotrigine
34 claims
- Alprazolam 32
Alprazolam
32 claims
- Sertraline Hcl 31
Sertraline Hcl
31 claims
- Donepezil Hcl 28
Donepezil Hcl
28 claims
| Drug | Claims |
|---|---|
| Fluoxetine Hcl | 119 |
| Trazodone Hcl | 63 |
| Buspirone Hcl | 52 |
| Aripiprazole | 48 |
| Lamotrigine | 34 |
| Alprazolam | 32 |
| Sertraline Hcl | 31 |
| Donepezil Hcl | 28 |
| Bupropion Xl Bupropion Hcl | 26 |
| Quetiapine Fumarate | 21 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Psychiatry Physician Overview
How Sudha Patel, M.D. fits within the Psychiatry Physician landscape nationally.
54,383
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,010
Avg Claims per Provider
Sudha Patel, M.D.'s 621 claims are below the specialty average of 1,010.
Nationwide Psychiatry Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Patel, both outside Kentucky so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (95 here).
Same NPPES enumeration year (2008)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Psychiatry Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Patel.
One of 478 Psychiatry Physician providers enrolled in Kentucky, 5 are shown here.
Dr. Syed Abbas
MD
Louisville, KY
Dr. Gihan Abdel Razik
M.D.
Newport, KY
Dr. Shabeer Abubucker
MD
Madisonville, KY
Dr. Sarah Acland
M.D.
Crestwood, KY
Dr. Christian Adams
MD
Lexington, KY
Compare Psychiatry Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Sudha Patel, M.D.'s specialty? ▼
Sudha Patel, M.D. specializes in Psychiatry Physician and practices in Irvington, Kentucky. Credentials: M.D..
How much does Sudha Patel, M.D. prescribe under Medicare Part D? ▼
In 2024, Sudha Patel, M.D. wrote 621 Medicare Part D claims totaling $8K in drug costs for 59 beneficiaries.
What is Sudha Patel, M.D.'s Medicare quality score? ▼
Sudha Patel, M.D. has a CMS MIPS Final Score of 95/100 (Quality: 80). 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 Sudha Patel, M.D. located? ▼
Sudha Patel, M.D. is located at 205 WEST US 60, Irvington, KY, 40146. Phone: (270) 547-7161.
What is Sudha Patel, M.D.'s NPI number? ▼
Sudha Patel, M.D.'s National Provider Identifier (NPI) is 1245488188, issued on 09/04/2008.
How many Psychiatry Physician providers are there in the US? ▼
There are 54,383 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,010 Medicare Part D claims per year.
What drugs does Sudha Patel, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Sudha Patel, M.D.'s most frequently prescribed drugs include Fluoxetine Hcl, Trazodone Hcl, Buspirone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sudha Patel, M.D. accept Medicare? ▼
Sudha Patel, M.D. appears in CMS Medicare data with 621 Part D claims and 59 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sudha Patel, M.D.'s credentials? ▼
Sudha Patel, M.D.'s NPI is 1245488188 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.