NPI registry status
Active
2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1568790921 M.D.
Verify on CMS → Suresh Patil, M.D.
Adult Reconstructive Orthopaedic Surgery Physician in Lewistown, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,245 in Adult Reconstructive Orthopaedic Surgery 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
83
Medicare Part D claims · 52 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 493
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Suresh Patil, M.D. filed 83 Medicare Part D claims in 2023 as a Adult Reconstructive Orthopaedic Surgery Physician in Lewistown, Pennsylvania.
- 83
- Part D claims, 2023
- 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.
Suresh Patil, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
83 0th percentile higher than 0% of 1,370,886 prescribers
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
✓
Board certification likely (heuristic, not verified)
Suresh Patil, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations - 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 Suresh Patil, M.D.?
Quality data not reportedPrimary specialty
Adult Reconstructive Orthopaedic Surgery Physician
Medicare Part D claims
83 83% vs specialty avg
Specialty distribution in Pennsylvania
How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among Pennsylvania providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Adult Reconstructive Orthopaedic Surgery Physician. Verify directly:
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).
Suresh Patil, M.D. appears in the CMS NPPES registry as a Adult Reconstructive Orthopaedic Surgery Physician provider holding M.D. credentials at 310 ELECTRIC AVE STE 240, Lewistown, PA, 17044, with a listed phone of (717) 242-8124. NPI 1568790921 was issued on 11/24/2009.
Medicare Part D records for calendar year 2023 show 83 prescription claims written by this provider, covering 52 Medicare beneficiaries and totaling roughly $904 in drug spend, with an opioid prescribing rate of 34.9%.
Adult Reconstructive Orthopaedic Surgery Physician is a narrow specialty nationwide, with 1,245 enrolled providers across 51 states and an average of 493 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
Provider Details
| NPI | 1568790921 |
|---|---|
| Specialty | Adult Reconstructive Orthopaedic Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 11/24/2009 |
Hospital and facility affiliations
Facilities where Suresh Patil, 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.
Geisinger Clinic
Lewistown, PA
Phoenix Rehabilitation And Health Services Inc
Cranberry Township, PA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Suresh Patil, M.D.. To verify Suresh Patil, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
83
Total Claims
$904
Total Drug Cost
52
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 89
- Total Day Supply
- 743
- Generic Drug Cost
- $600
- Opioid Claims
- 29 (34.9% rate)
- Antibiotic Claims
- 30
Patient Demographics
- Average Patient Age
- 71.4 years
- Avg HCC Risk Score
- 1.21
- Gender Split
- 62% female / 38% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Cephalexin | 27 |
| Oxycodone Hcl | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Adult Reconstructive Orthopaedic Surgery Physician in PA →
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Adult Reconstructive Orthopaedic Surgery Physician Overview
How Suresh Patil, M.D. fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.
1,245
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
493
Avg Claims per Provider
Suresh Patil, M.D.'s 83 claims are below the specialty average of 493.
Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Patil.
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Adult Reconstructive Orthopaedic Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
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How insurance networks affect your costs
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Virtual care options and coverage in 2026
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Frequently Asked Questions
What is Suresh Patil, M.D.'s specialty? ▼
Suresh Patil, M.D. specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in Lewistown, Pennsylvania. Credentials: M.D..
How much does Suresh Patil, M.D. prescribe under Medicare Part D? ▼
In 2023, Suresh Patil, M.D. wrote 83 Medicare Part D claims totaling $904 in drug costs for 52 beneficiaries.
Where is Suresh Patil, M.D. located? ▼
Suresh Patil, M.D. is located at 310 ELECTRIC AVE STE 240, Lewistown, PA, 17044. Phone: (717) 242-8124.
What is Suresh Patil, M.D.'s NPI number? ▼
Suresh Patil, M.D.'s National Provider Identifier (NPI) is 1568790921, issued on 11/24/2009.
Does Suresh Patil, M.D. prescribe opioids? ▼
Yes, Suresh Patil, M.D. had 29 opioid claims in 2023 with an opioid prescribing rate of 34.9%.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US? ▼
There are 1,245 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 493 Medicare Part D claims per year.
What drugs does Suresh Patil, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Suresh Patil, M.D.'s most frequently prescribed drugs include Cephalexin, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Suresh Patil, M.D. accept Medicare? ▼
Suresh Patil, M.D. appears in CMS Medicare data with 83 Part D claims and 52 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Suresh Patil, M.D.'s credentials? ▼
Suresh Patil, M.D.'s NPI is 1568790921 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 (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
Compiled from official public sources by the PlainDoctor editorial team.