NPI registry status
Active
2026 NPPES data Transplant Hepatology Physician NPI 1235366972 M.D.
Verify on CMS → Vaishali Patel, M.D.
Transplant Hepatology Physician in Richmond, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 151 in Transplant Hepatology 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
491
Medicare Part D claims · 76 beneficiaries · Transplant Hepatology Physician avg: 553
MIPS score
76.2/100
▼ 7 pts below national avg 83.5 · Above neutral
Industry payments
$143.75
4 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Vaishali Patel, M.D. reported a CMS MIPS final score of 76.2/100 - below the 83.5 national average - and filed 491 Medicare Part D claims in 2024.
- 76.2/100
- MIPS score · -7 vs avg
- 491
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥17th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Vaishali Patel, M.D.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1235366972), first enumerated 06/21/2009.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 491 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 76.2/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$143.75 in reported industry payments (4 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1235366972 · Transplant Hepatology Physician
NPI-10 · ENUM-MID · TAX-TRACE · MIPS-BELOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1235366972
- ENUM-MID 2009
- TAX-TRACE 151
- MIPS-BELOW 76.2/100
- RX-LIGHT 491
- BOOK-THIN 2 in Virginia
- PHOTO-FINISH Jawaid Shaw, MBBS · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Patel · this pro…
Patel · this provider
76.2 MIPS pts
- Jawaid Shaw, MBB…
Jawaid Shaw, MBBS
76.2 MIPS pts
- Tami Daugherty, …
Tami Daugherty, M.D.
76.5 MIPS pts
- Allison Kwong, M…
Allison Kwong, MD
76.5 MIPS pts
- Rohit Satoskar, …
Rohit Satoskar, M.D.
76.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Vaishali Patel, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
76 ≥ 17th percentile 17% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Vaishali Patel, M.D. sits
This provider among transplant hepatology physician peers
Across the 56 transplant hepatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Vaishali Patel, M.D. writes more Part D claims than 54% of them and scores higher on MIPS quality than 9% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one transplant hepatology physician peer from a representative sample of 55; the gold marker is Vaishali Patel, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Vaishali Patel, M.D. 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 Vaishali Patel, M.D.?
Below national averagePrimary specialty
Transplant Hepatology Physician
Medicare Part D claims
491 11% vs specialty avg
MIPS final score
76.2/100 7.3 pts vs avg
Specialty distribution in Virginia
How Transplant Hepatology Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Vaishali Patel, M.D.'s 2023 MIPS final score plotted against the Transplant Hepatology Physician national average
- MIPS Final Score
- 76.2/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1235366972 |
|---|---|
| Specialty | Transplant Hepatology Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 06/21/2009 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
76.2306
Final Score
Measured-score avg: 83.5
64.5816
Quality
56.1869
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Vaishali Patel, 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.
Mcv Associated Physicians
Richmond, VA
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 Vaishali Patel, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$144
Largest payer
Astellas Pharma US 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
491
Total Claims
$202K
Total Drug Cost
76
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 904.6
- Total Day Supply
- 26,527
- Generic Drug Cost
- $29K
- Antibiotic Claims
- 44
Patient Demographics
- Average Patient Age
- 64.0 years
- Avg HCC Risk Score
- 2.73
- Gender Split
- 53% female / 47% male
- Age Distribution
- <65: 29, 65-74: 36, 75-84: 11, 85+: 0
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Vaishali Patel, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Tacrolimus
Tacrolimus
71 claims
- Xifaxan
Xifaxan
37 claims
- Azathioprine
Azathioprine
34 claims
- Carvedilol
Carvedilol
32 claims
- Vemlidy
Vemlidy
29 claims
- Pantoprazole Sodium 24
Pantoprazole Sodium
24 claims
- Prednisone 24
Prednisone
24 claims
- Cyclosporine Modif… 23
Cyclosporine Modified
23 claims
| Drug | Claims |
|---|---|
| Tacrolimus | 71 |
| Xifaxan Rifaximin | 37 |
| Azathioprine | 34 |
| Carvedilol | 32 |
| Vemlidy Tenofovir Alafenamide | 29 |
| Pantoprazole Sodium | 24 |
| Prednisone | 24 |
| Cyclosporine Modified Cyclosporine, Modified | 23 |
| Mycophenolic Acid Mycophenolate Sodium | 23 |
| Furosemide | 22 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Transplant Hepatology Physician Overview
How Vaishali Patel, M.D. fits within the Transplant Hepatology Physician landscape nationally.
151
Transplant Hepatology Physician Providers in US
36
States with Transplant Hepatology Physician
553
Avg Claims per Provider
Vaishali Patel, M.D.'s 491 claims are below the specialty average of 553.
Nationwide Transplant Hepatology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Patel, both outside Virginia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (76.2 here).
Same NPPES enumeration year (2009)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Transplant Hepatology Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Patel.
Compare Transplant Hepatology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Vaishali Patel, M.D.'s specialty? ▼
Vaishali Patel, M.D. specializes in Transplant Hepatology Physician and practices in Richmond, Virginia. Credentials: M.D..
How much does Vaishali Patel, M.D. prescribe under Medicare Part D? ▼
In 2024, Vaishali Patel, M.D. wrote 491 Medicare Part D claims totaling $202K in drug costs for 76 beneficiaries.
What is Vaishali Patel, M.D.'s Medicare quality score? ▼
Vaishali Patel, M.D. has a CMS MIPS Final Score of 76.2/100 (Quality: 64.6, Cost: 56.2). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Vaishali Patel, M.D. located? ▼
Vaishali Patel, M.D. is located at 1200 E BROAD ST, Richmond, VA, 23298. Phone: (804) 828-4060.
What is Vaishali Patel, M.D.'s NPI number? ▼
Vaishali Patel, M.D.'s National Provider Identifier (NPI) is 1235366972, issued on 06/21/2009.
How many Transplant Hepatology Physician providers are there in the US? ▼
There are 151 Transplant Hepatology Physician providers across 36 states in the US. The average Transplant Hepatology Physician provider writes 553 Medicare Part D claims per year.
What drugs does Vaishali Patel, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Vaishali Patel, M.D.'s most frequently prescribed drugs include Tacrolimus, Xifaxan, Azathioprine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Vaishali Patel, M.D. accept Medicare? ▼
Vaishali Patel, M.D. appears in CMS Medicare data with 491 Part D claims and 76 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Vaishali Patel, M.D.'s credentials? ▼
Vaishali Patel, M.D.'s NPI is 1235366972 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.