2026 NPPES data Ophthalmology Physician NPI 1760476964 MD, PHD
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SUNIL PATEL, MD, PHD

Ophthalmology Physician in ABILENE, Texas. 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
3K
Medicare Part D claims · 565 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$2.0K
21 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SUNIL PATEL, MD, PHD reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 2,751 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
3K
Part D claims, 2023
75%
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.

SUNIL PATEL, MD, PHD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

100 Top 7% higher than 93% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

SUNIL PATEL, MD, PHD 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 SUNIL PATEL, MD, PHD?

High performer (top quartile)

NPI registry status

Active

Issued 09/02/2005

NPI 1760476964

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

2,751 94% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Ophthalmology Physician compares to other specialties among Texas providers

Texas providers

Ophthalmology Physician share within Texas

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Texas

Medicare quality performance — MIPS

SUNIL PATEL, MD, PHD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Ophthalmology Physician) — 100/100 vs national avg 83.1

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).

SUNIL PATEL, MD, PHD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD, PHD credentials at 5441 HEALTH CENTER DRIVE, ABILENE, TX, 79606, with a listed phone of (325) 673-9806. NPI 1760476964 was issued on 09/02/2005. 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 2,751 prescription claims written by this provider, covering 565 Medicare beneficiaries and totaling roughly $151K in drug spend, split 25% brand-name and 75% generic by claim count, with an opioid prescribing rate of 3.9%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 100), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

5441 HEALTH CENTER DRIVE
ABILENE, TX 79606

Provider Details

NPI 1760476964
Specialty Ophthalmology Physician
Credentials MD, PHD
Gender Male
NPI Issued 09/02/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

100
Final Score
Avg: 83.1
100
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where SUNIL PATEL, MD, PHD 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.

OPHTHALMOLOGY SPECIALISTS OF TEXAS PLLC
WILLOW PARK, TX

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 SUNIL PATEL, MD, PHD. Source: openpaymentsdata.cms.gov.

Total received

$2.0K

Largest payer

US Oncology Corporate, 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.

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to SUNIL PATEL, MD, PHD. To verify SUNIL PATEL, MD, PHD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

SUNIL PATEL, MD, PHD — brand share 25.0%
Specialty average (est.)

25% brand-name claims vs 75% generic, on 2,751 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.

2,751
Total Claims
$151K
Total Drug Cost
565
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,042
Total Day Supply
103,744
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$95K
Generic Drug Cost
$56K
Opioid Claims
108 (3.9% rate)
Antibiotic Claims
144

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.53
Gender Split
47% female / 53% male
Age Distribution
<65: 62, 65-74: 249, 75-84: 167, 85+: 87

Top Prescribed Drugs (Medicare Part D)

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

What SUNIL PATEL, MD, PHD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Brimonidine Tartrate
314
Ketorolac Tromethamine
305
Prednisolone Acetate
266
Ofloxacin
235
Timolol Maleate
213
Latanoprost
211
Ciprofloxacin Hcl
150
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
138
Dorzolamide Hcl
101
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
100

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

Ophthalmology Physician Overview

How SUNIL PATEL, MD, PHD fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

SUNIL PATEL, MD, PHD's 2,751 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Texas

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

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SUNIL PATEL, MD, PHD's specialty?
SUNIL PATEL, MD, PHD specializes in Ophthalmology Physician and practices in ABILENE, Texas. Credentials: MD, PHD.
How much does SUNIL PATEL, MD, PHD prescribe under Medicare Part D?
In 2023, SUNIL PATEL, MD, PHD wrote 2,751 Medicare Part D claims totaling $151K in drug costs for 565 beneficiaries.
What is SUNIL PATEL, MD, PHD's Medicare quality score?
SUNIL PATEL, MD, PHD has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SUNIL PATEL, MD, PHD located?
SUNIL PATEL, MD, PHD is located at 5441 HEALTH CENTER DRIVE, ABILENE, TX, 79606. Phone: (325) 673-9806.
What is SUNIL PATEL, MD, PHD's NPI number?
SUNIL PATEL, MD, PHD's National Provider Identifier (NPI) is 1760476964, issued on 09/02/2005.
Does SUNIL PATEL, MD, PHD prescribe more brand-name or generic drugs?
SUNIL PATEL, MD, PHD's prescribing is 25% brand-name and 75% generic drugs by claim count, with $95K in brand drug costs.
Does SUNIL PATEL, MD, PHD prescribe opioids?
Yes, SUNIL PATEL, MD, PHD had 108 opioid claims in 2023 with an opioid prescribing rate of 3.9%.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does SUNIL PATEL, MD, PHD prescribe most often?
Based on 2023 Medicare Part D data, SUNIL PATEL, MD, PHD's most frequently prescribed drugs include Brimonidine Tartrate, Ketorolac Tromethamine, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SUNIL PATEL, MD, PHD accept Medicare?
SUNIL PATEL, MD, PHD appears in CMS Medicare data with 2,751 Part D claims and 565 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SUNIL PATEL, MD, PHD's credentials?
SUNIL PATEL, MD, PHD's NPI is 1760476964 with credentials MD, PHD. 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.
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 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