Sumit J. Patel, MD
Pulmonary Disease Physician · Albuquerque, NM
Sumit J. Patel, MD is a pulmonary disease physician with a practice address in Albuquerque, New Mexico, and NPI 1740743210, issued on Apr 10, 2019. Check the license on the New Mexico Medical Board; the Medicare figures below come from public CMS files.
- Name
- Sumit J. Patel
- Credential
- MD
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License number
- 13274779-1205 UT
Self-reported in NPPES; status is on the state search - Practice location
- Department OF Internal Medicine 1 Unm, Albuquerque, NM 87131
- Phone
- (505) 272-4751
- Enumerated
- Apr 10, 2019
- Record last updated
- Jul 27, 2026
- Medicare enrollment
- Enrolled (PECOS I20241010003257); accepts Medicare assignment
- Medical or professional school
- University Of New Mexico School Of Medicine, 2019
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 62 in New Mexico → Look up another NPI →
Verify Sumit J. Patel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Mexico Medical BoardCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
92% fewer Medicare Part D claims than the average pulmonary disease physician in 2024
115 Medicare Part D claims for 35 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 54% of claims.
Most prescribed
- Trelegy Ellipta28 claims
- Stiolto Respimat18 claims
- Fluticasone-Salmeterol15 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 92.3 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $224.97
3 payments; by number, the most common kind was food and beverage; the largest payer was Pulmonx Corporation. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Ihc Health Services IncMurray, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sumit J. Patel among 62 pulmonary disease physician records in New Mexico
Sumit J. Patel, MD is one of 62 pulmonary disease physician records with a practice address in New Mexico. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 97% of them.
- NPI issued2019 · 97% of these records are older, 2% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated2019 · median 1999 among the 42 with a school on file
- Record last updated2026 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a New Mexico practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pulmonary Disease Physician providers in New Mexico
There are 62 pulmonary disease physician records in New Mexico.
All 62 in New Mexico → Every provider in Albuquerque → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Sara Assaf, M.D.Albuquerque, NM 871311396150397
- Helen Busby, MDAlbuquerque, NM 871311942215405
- Richard Crowell, MDAlbuquerque, NM 871311891701454
- Oleh Hnatiuk, M.D.Albuquerque, NM 871311811909278
- Vanessa Josef, MDAlbuquerque, NM 871311083117840
- Lana Melendres-Groves, MDAlbuquerque, NM 871311548309537
- Pope Moseley, MDAlbuquerque, NM 871311467467936
- Elyce Sheehan, MDAlbuquerque, NM 871311720498892
Common questions
What is Sumit J. Patel, MD's NPI number?
Sumit J. Patel, MD's National Provider Identifier (NPI) is 1740743210, issued on Apr 10, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Sumit J. Patel, MD located?
The NPPES record lists a practice address at Department OF Internal Medicine 1 Unm, Albuquerque, NM, 87131. Phone: (505) 272-4751. Providers update this record themselves, so call before visiting.
How can I verify Sumit J. Patel, MD's license?
Search the New Mexico Medical Board at https://www.nmmb.state.nm.us/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sumit J. Patel, MD prescribe under Medicare Part D?
In 2024, Sumit J. Patel, MD had 115 Medicare Part D claims for 35 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Sumit J. Patel, MD's MIPS final score?
The 2023 MIPS final score is 92.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.