NPPES file of Aug 9, 2026

Ushma Patel, MD

Physical Medicine & Rehabilitation Physician · Ashland, KY

Ushma Patel, MD is a physical medicine & rehabilitation physician with a practice address in Ashland, Kentucky, and NPI 1043322175, issued on Aug 31, 2006. Check the license (Kentucky 39645, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1043322175
Name
Ushma Patel
Credential
MD
Primary taxonomy
Physical Medicine & Rehabilitation Physician 208100000X
License number
39645 KY
Self-reported in NPPES; status is on the state search
Practice location
617 23RD Street, Ashland, KY 41101
Phone
(606) 408-7246
Enumerated
Aug 31, 2006
Record last updated
Dec 23, 2011 (not updated in 15 years: call before relying on the address or phone)
Fax
(606) 408-7230
Medicaid ID
64109796 KY
Medicare enrollment
Enrolled (PECOS I20050823000975); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 617 23RD Street

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Dhruv Pandya, MDPhysical Medicine & Rehabilitation Physician1437261575

Verify Ushma Patel in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersKentucky Board of Medical Licensure
    Search for license 39645
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Kentucky license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

7.9 times the Medicare Part D claims of the average physical medicine & rehabilitation physician in 2024

5,710 Medicare Part D claims for 491 beneficiaries, against an average of 727 among the 7,448 providers of this specialty who prescribed in Part D. Brand-name drugs were under 1% of claims. 3,329 claims were for opioids.

  1. Ushma Patel5,710
  2. Specialty average727

Most prescribed

  1. Hydrocodone-Acetaminophen1,918 claims
  2. Gabapentin821 claims
  3. Oxycodone-Acetaminophen739 claims
  4. Pregabalin472 claims
  5. Tramadol Hcl321 claims
  6. Tizanidine Hcl291 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): 0 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.

  1. Qualityout of 100 · 30% of the final score0.0
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities0 of 40 points · 15%0.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $556.39

59 payments; by number, the most common kind was food and beverage; the largest payer was Boston Scientific Corporation. The 3,895 providers of this specialty with any payment received $1,237.86 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Ushma Patel$556.39
  2. Specialty average$1,237.86

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Ashland Physiatry And Pain ManagementAshland, KY
  2. Premier Therapy And Health Centers IncIronton, OH

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Ushma Patel among 158 physical medicine & rehabilitation physician records in Kentucky

Ushma Patel, MD is one of 158 physical medicine & rehabilitation physician records with a practice address in Kentucky. 58% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.

  • NPI issued2006 · 7% of these records are older, 64% newer
  • In a Medicare fileYes · 58% of these records are
  • In the CMS Doctors and Clinicians fileYes · 53% of these records are
  • Graduated1998 · median 2009 among the 82 with a school on file
  • Record last updated2011 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208100000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Physical Medicine & Rehabilitation Physician providers in Kentucky

There are 158 physical medicine & rehabilitation physician records in Kentucky.

The 8 physical medicine & rehabilitation physician records with the nearest ZIP codes

  1. Dhruv Pandya, MDAshland, KY 411011437261575
  2. Craig Bertsch, P.T.Wilder, KY 410761033115753
  3. Michael Reister, P.T.Wilder, KY 410761528064250
  4. Joann Terry, P.T.Wilder, KY 410761124024823
  5. Molly Dalton, PTAFort Thomas, KY 410751457128308
  6. Michael Bertram, MDFlorence, KY 410421194754622
  7. Stephen Heis, DO, MHPFlorence, KY 410421184006504
  8. Gerda Maissel, MDFlorence, KY 410421518064534

Common questions

What is Ushma Patel, MD's NPI number?

Ushma Patel, MD's National Provider Identifier (NPI) is 1043322175, issued on Aug 31, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Ushma Patel, MD located?

The NPPES record lists a practice address at 617 23RD Street, Ashland, KY, 41101. Phone: (606) 408-7246. Providers update this record themselves, so call before visiting.

How can I verify Ushma Patel, MD's license?

NPPES lists Kentucky license number 39645, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Ushma Patel, MD prescribe under Medicare Part D?

In 2024, Ushma Patel, MD had 5,710 Medicare Part D claims for 491 beneficiaries; the average among physical medicine & rehabilitation physician prescribers was 727. Part D covers Medicare prescriptions only.

What is Ushma Patel, MD's MIPS final score?

The 2023 MIPS final score is 0 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.