2026 NPPES data Hospitalist Physician NPI 1891282596 MD
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VATSAL PATEL, MD

Hospitalist Physician in COLORADO SPRINGS, Colorado. 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
490
Medicare Part D claims · 218 beneficiaries · Hospitalist Physician avg: 888
MIPS score
98.3118/100
▲ 15 pts above national avg 83.1 · [object Object]
Industry payments
$21.24
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

VATSAL PATEL, MD reported a CMS MIPS final score of 98.3118/100 — above the 83.1 national average — and filed 490 Medicare Part D claims in 2023.

98.3118/100
MIPS score · +15 vs avg
490
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.

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

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

98 Top 11% higher than 89% 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)

VATSAL PATEL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 VATSAL PATEL, MD?

High performer (top quartile)

NPI registry status

Active

Issued 04/18/2018

NPI 1891282596

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

490 45% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

98.3118/100 15.21180000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Colorado

How Hospitalist Physician compares to other specialties among Colorado providers

Colorado providers

Hospitalist Physician share within Colorado

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

Medicare quality performance — MIPS

VATSAL PATEL, MD's 2023 MIPS final score plotted against the Hospitalist Physician national average

High performer (top quartile)
MIPS Final Score
98.3118/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 98.3118/100 vs national avg 83.1

0%100%National avg83%98.3%
MIPS final score (Hospitalist Physician) — 98.3118/100 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).

VATSAL PATEL, MD appears in the CMS NPPES registry as a Hospitalist Physician provider holding MD credentials at 2222 N NEVADA AVE, COLORADO SPRINGS, CO, 80907, with a listed phone of (719) 776-8040. NPI 1891282596 was issued on 04/18/2018. 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 490 prescription claims written by this provider, covering 218 Medicare beneficiaries and totaling roughly $33K in drug spend, with an opioid prescribing rate of 4.9%. 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 98.3118/100 for the 2023 performance year (Quality 97.88, Cost 84.566), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

2222 N NEVADA AVE
COLORADO SPRINGS, CO 80907

Provider Details

NPI 1891282596
Specialty Hospitalist Physician
Credentials MD
Gender Male
NPI Issued 04/18/2018

CMS Quality Score (MIPS)

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

98.3118
Final Score
Avg: 83.1
97.88
Quality
84.566
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where VATSAL PATEL, MD 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.

COGENT HEALTHCARE OF GEORGIA PC
SAVANNAH, GA
NORTH ATLANTA PROFESSIONAL SERVICES LLC
CUMMING, GA

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 VATSAL PATEL, MD. Source: openpaymentsdata.cms.gov.

Total received

$21

Largest payer

PFIZER 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 2023.

490
Total Claims
$33K
Total Drug Cost
218
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
546
Total Day Supply
12,504
Generic Drug Cost
$5K
Opioid Claims
24 (4.9% rate)
Antibiotic Claims
65

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
2.80
Gender Split
54% female / 46% male
Age Distribution
<65: 52, 65-74: 69, 75-84: 72, 85+: 25

Top Prescribed Drugs (Medicare Part D)

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

What VATSAL PATEL, MD 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
Atorvastatin Calcium
38
Metoprolol Tartrate
24
Prednisone
21
Pantoprazole Sodium
20
Eliquis
Apixaban
17
Furosemide
14
Amlodipine Besylate
12
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
12
Levofloxacin
11

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

Hospitalist Physician Overview

How VATSAL PATEL, MD fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

VATSAL PATEL, MD's 490 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Colorado

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

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

Frequently Asked Questions

What is VATSAL PATEL, MD's specialty?
VATSAL PATEL, MD specializes in Hospitalist Physician and practices in COLORADO SPRINGS, Colorado. Credentials: MD.
How much does VATSAL PATEL, MD prescribe under Medicare Part D?
In 2023, VATSAL PATEL, MD wrote 490 Medicare Part D claims totaling $33K in drug costs for 218 beneficiaries.
What is VATSAL PATEL, MD's Medicare quality score?
VATSAL PATEL, MD has a CMS MIPS Final Score of 98.3118/100 (Quality: 97.88, Cost: 84.566). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is VATSAL PATEL, MD located?
VATSAL PATEL, MD is located at 2222 N NEVADA AVE, COLORADO SPRINGS, CO, 80907. Phone: (719) 776-8040.
What is VATSAL PATEL, MD's NPI number?
VATSAL PATEL, MD's National Provider Identifier (NPI) is 1891282596, issued on 04/18/2018.
Does VATSAL PATEL, MD prescribe opioids?
Yes, VATSAL PATEL, MD had 24 opioid claims in 2023 with an opioid prescribing rate of 4.9%.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does VATSAL PATEL, MD prescribe most often?
Based on 2023 Medicare Part D data, VATSAL PATEL, MD's most frequently prescribed drugs include Atorvastatin Calcium, Metoprolol Tartrate, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does VATSAL PATEL, MD accept Medicare?
VATSAL PATEL, MD appears in CMS Medicare data with 490 Part D claims and 218 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify VATSAL PATEL, MD's credentials?
VATSAL PATEL, MD's NPI is 1891282596 with credentials MD. 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