2026 NPPES data Specialist NPI 1962590539 M.D.
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SUDHIRKUMAR PATEL, M.D.

Specialist in GREENVILLE, South Carolina. 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
17K
Medicare Part D claims · 1K beneficiaries · Specialist avg: 1K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.5K
104 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SUDHIRKUMAR PATEL, M.D. filed 16,901 Medicare Part D claims in 2023 as a Specialist in GREENVILLE, South Carolina, prescribing 85% generic.

17K
Part D claims, 2023
85%
generic prescribing
$1.5K
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.

SUDHIRKUMAR PATEL, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

16,901 Top 2% higher than 98% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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 SUDHIRKUMAR PATEL, M.D.?

Quality data not reported

NPI registry status

Active

Issued 10/10/2006

NPI 1962590539

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

16,901 1047% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

Specialty distribution in South Carolina

How Specialist compares to other specialties among South Carolina providers

South Carolina providers

Specialist share within South Carolina

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within South Carolina

Specialty board-certification context

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

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

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

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

SUDHIRKUMAR PATEL, M.D. is a Specialist provider practicing in GREENVILLE, South Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1962590539. 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.

SUDHIRKUMAR PATEL, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 1208 AUGUSTA ST, GREENVILLE, SC, 29605, with a listed phone of (864) 522-6200. NPI 1962590539 was issued on 10/10/2006. 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 16,901 prescription claims written by this provider, covering 1,025 Medicare beneficiaries and totaling roughly $2.3 million in drug spend, split 15% brand-name and 85% generic by claim count. 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.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

1208 AUGUSTA ST
GREENVILLE, SC 29605

Provider Details

NPI 1962590539
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 10/10/2006

Hospital and facility affiliations

Facilities where SUDHIRKUMAR 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.

PRISMA HEALTH UNIVERSITY MEDICAL GROUP
GREENVILLE, SC

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 SUDHIRKUMAR PATEL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.5K

Largest payer

Bayer Healthcare Pharmaceuticals 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

SUDHIRKUMAR PATEL, M.D. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 16,901 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.

16,901
Total Claims
$2.3M
Total Drug Cost
1,025
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
40,074
Total Day Supply
1,177,599
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$2.0M
Generic Drug Cost
$257K
Antibiotic Claims
348

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.24
Gender Split
54% female / 46% male
Age Distribution
<65: 76, 65-74: 472, 75-84: 364, 85+: 113

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
937
Amlodipine Besylate
814
Levothyroxine Sodium
619
Losartan Potassium
581
Omeprazole
574
Metformin Hcl
559
Rosuvastatin Calcium
493
Carvedilol
473
Pravastatin Sodium
450
Lisinopril
402

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

Specialist Overview

How SUDHIRKUMAR PATEL, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

SUDHIRKUMAR PATEL, M.D.'s 16,901 claims are above the specialty average of 1,474.

Nearby Specialist Providers in South Carolina

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

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

Frequently Asked Questions

What is SUDHIRKUMAR PATEL, M.D.'s specialty?
SUDHIRKUMAR PATEL, M.D. specializes in Specialist and practices in GREENVILLE, South Carolina. Credentials: M.D..
How much does SUDHIRKUMAR PATEL, M.D. prescribe under Medicare Part D?
In 2023, SUDHIRKUMAR PATEL, M.D. wrote 16,901 Medicare Part D claims totaling $2.3M in drug costs for 1,025 beneficiaries.
Where is SUDHIRKUMAR PATEL, M.D. located?
SUDHIRKUMAR PATEL, M.D. is located at 1208 AUGUSTA ST, GREENVILLE, SC, 29605. Phone: (864) 522-6200.
What is SUDHIRKUMAR PATEL, M.D.'s NPI number?
SUDHIRKUMAR PATEL, M.D.'s National Provider Identifier (NPI) is 1962590539, issued on 10/10/2006.
Does SUDHIRKUMAR PATEL, M.D. prescribe more brand-name or generic drugs?
SUDHIRKUMAR PATEL, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $2.0M in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does SUDHIRKUMAR PATEL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SUDHIRKUMAR PATEL, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SUDHIRKUMAR PATEL, M.D. accept Medicare?
SUDHIRKUMAR PATEL, M.D. appears in CMS Medicare data with 16,901 Part D claims and 1,025 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUDHIRKUMAR PATEL, M.D.'s credentials?
SUDHIRKUMAR PATEL, M.D.'s NPI is 1962590539 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

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