Sumit M. Patel, M.D.
Pulmonary Disease Physician · Chattanooga, TN
Sumit M. Patel, M.D. is a pulmonary disease physician with a practice address in Chattanooga, Tennessee, and NPI 1255695011, issued on Jun 26, 2012. Check the license (Tennessee 59404, as entered in NPPES) on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Sumit M. Patel
- Credential
- M.D.
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License number
- 59404 TN
Self-reported in NPPES; status is on the state search - Practice location
- 725 Glenwood Dr Ste E500, Chattanooga, TN 37404
- Phone
- (423) 495-2635
- Enumerated
- Jun 26, 2012
- Record last updated
- Aug 14, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (423) 495-2638
- Medicare enrollment
- Enrolled (PECOS I20200317001380); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 359 in Tennessee → Look up another NPI →
Also registered at 725 Glenwood Dr Ste E500
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Johanna Cortes, NPGerontology Nurse Practitioner1841979531
- Osamuyi Idubor, DOPulmonary Disease Physician1740741644
- Carole Johnson, FNP-CFamily Nurse Practitioner1962536631
- Kristen Miranda, NPNurse Practitioner1659727378
- Janice Sims, APRNGerontology Nurse Practitioner1407528896
- Jesse Tucker, M.D.Pulmonary Disease Physician1902148042
Verify Sumit M. Patel in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTennessee Board of Medical Examiners
Search for license 59404Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
23% fewer Medicare Part D claims than the average pulmonary disease physician in 2024
1,093 Medicare Part D claims for 265 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 73% of claims.
Most prescribed
- Trelegy Ellipta292 claims
- Albuterol Sulfate Hfa153 claims
- Anoro Ellipta91 claims
- Breztri Aerosphere53 claims
- Montelukast Sodium45 claims
- Breo Ellipta43 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 MIPS final score for 2023 (Medicare payment program): 94.7 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,038.53
46 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. 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
- Memorial Health Partners Foundation, IncFort Oglethorpe, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sumit M. Patel among 359 pulmonary disease physician records in Tennessee
Sumit M. Patel, M.D. is one of 359 pulmonary disease physician records with a practice address in Tennessee. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 71% of them.
- NPI issued2012 · 71% of these records are older, 25% newer
- In a Medicare fileYes · 89% of these records are
- In the CMS Doctors and Clinicians fileYes · 80% of these records are
- Graduated2012 · median 2003 among the 288 with a school on file
- Record last updated2019 · 38% 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 Tennessee 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 Tennessee
There are 359 pulmonary disease physician records in Tennessee.
All 359 in Tennessee → Every provider in Chattanooga → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Carlos Baleeiro, MDChattanooga, TN 374041841223039
- Michael Czarnecki, MDChattanooga, TN 374041780774083
- Clyde Everhart, MDChattanooga, TN 374041316943665
- John Forman, MDChattanooga, TN 374041366449506
- Angelique GrossChattanooga, TN 374041902291172
- David Guan, M.D.Chattanooga, TN 374041891772208
- Osamuyi Idubor, DOChattanooga, TN 374041740741644
- Catherine Martinez, MDChattanooga, TN 374041861547622
Common questions
What is Sumit M. Patel, M.D.'s NPI number?
Sumit M. Patel, M.D.'s National Provider Identifier (NPI) is 1255695011, issued on Jun 26, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Sumit M. Patel, M.D. located?
The NPPES record lists a practice address at 725 Glenwood Dr Ste E500, Chattanooga, TN, 37404. Phone: (423) 495-2635. Providers update this record themselves, so call before visiting.
How can I verify Sumit M. Patel, M.D.'s license?
NPPES lists Tennessee license number 59404, as entered by the provider. Search the Tennessee Board of Medical Examiners at https://www.tn.gov/health/licensure/me.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sumit M. Patel, M.D. prescribe under Medicare Part D?
In 2024, Sumit M. Patel, M.D. had 1,093 Medicare Part D claims for 265 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Sumit M. Patel, M.D.'s MIPS final score?
The 2023 MIPS final score is 94.7 of 100. 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.