2026 NPPES data Pediatric Gastroenterology Physician NPI 1437128527 M.D.
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YOGESHKUMAR PATEL, M.D.

Pediatric Gastroenterology 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
4K
Medicare Part D claims · 817 beneficiaries · Pediatric Gastroenterology Physician avg: 69
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$1.6K
80 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

YOGESHKUMAR PATEL, M.D. reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 3,845 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
4K
Part D claims, 2023
81%
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.

YOGESHKUMAR PATEL, M.D.'s MIPS score vs every scored U.S. clinician

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

75 15th percentile higher than 15% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

YOGESHKUMAR PATEL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 YOGESHKUMAR PATEL, M.D.?

Below national average

NPI registry status

Active

Issued 03/14/2006

NPI 1437128527

Primary specialty

Pediatric Gastroenterology Physician

Niche

1,587 US NPIs in this specialty

Medicare Part D claims

3,845 5472% vs specialty avg

2023 prescription claims

Specialty avg: 69

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Pediatric Gastroenterology Physician compares to other specialties among Texas providers

Texas providers

Pediatric Gastroenterology Physician share within Texas

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

Medicare quality performance — MIPS

YOGESHKUMAR PATEL, M.D.'s 2023 MIPS final score plotted against the Pediatric Gastroenterology Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Gastroenterology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Pediatric Gastroenterology Physician) — 75/100 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).

YOGESHKUMAR PATEL, M.D. appears in the CMS NPPES registry as a Pediatric Gastroenterology Physician provider holding M.D. credentials at 14 HOSPITAL DR, ABILENE, TX, 79606, with a listed phone of (325) 795-2100. NPI 1437128527 was issued on 03/14/2006. 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 3,845 prescription claims written by this provider, covering 817 Medicare beneficiaries and totaling roughly $846K in drug spend, split 19% brand-name and 81% generic by claim count. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Pediatric Gastroenterology Physician is a narrow specialty nationwide, with 1,587 enrolled providers across 50 states and an average of 69 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

14 HOSPITAL DR
ABILENE, TX 79606

Provider Details

NPI 1437128527
Specialty Pediatric Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 03/14/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

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 YOGESHKUMAR PATEL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.6K

Largest payer

ABBVIE 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 YOGESHKUMAR PATEL, M.D.. To verify YOGESHKUMAR PATEL, M.D.'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 · Typical

YOGESHKUMAR PATEL, M.D. — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 3,845 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.

3,845
Total Claims
$846K
Total Drug Cost
817
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,757
Total Day Supply
187,132
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$687K
Generic Drug Cost
$158K
Antibiotic Claims
131

Patient Demographics

Average Patient Age
70.0 years
Avg HCC Risk Score
1.68
Gender Split
61% female / 39% male
Age Distribution
<65: 163, 65-74: 392, 75-84: 216, 85+: 46

Top Prescribed Drugs (Medicare Part D)

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

What YOGESHKUMAR PATEL, M.D. 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
Pantoprazole Sodium
695
Sucralfate
393
Omeprazole
382
Metoclopramide Hcl
367
Famotidine
283
Dicyclomine Hcl
150
Linzess
Linaclotide
126
Colestipol Hcl
103
Esomeprazole Magnesium
94
Ondansetron Hcl
83

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

Pediatric Gastroenterology Physician Overview

How YOGESHKUMAR PATEL, M.D. fits within the Pediatric Gastroenterology Physician landscape nationally.

1,587
Pediatric Gastroenterology Physician Providers in US
50
States with Pediatric Gastroenterology Physician
69
Avg Claims per Provider

YOGESHKUMAR PATEL, M.D.'s 3,845 claims are above the specialty average of 69.

Nearby Pediatric Gastroenterology Physician Providers in Texas

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

Compare Pediatric Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is YOGESHKUMAR PATEL, M.D.'s specialty?
YOGESHKUMAR PATEL, M.D. specializes in Pediatric Gastroenterology Physician and practices in ABILENE, Texas. Credentials: M.D..
How much does YOGESHKUMAR PATEL, M.D. prescribe under Medicare Part D?
In 2023, YOGESHKUMAR PATEL, M.D. wrote 3,845 Medicare Part D claims totaling $846K in drug costs for 817 beneficiaries.
What is YOGESHKUMAR PATEL, M.D.'s Medicare quality score?
YOGESHKUMAR PATEL, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is YOGESHKUMAR PATEL, M.D. located?
YOGESHKUMAR PATEL, M.D. is located at 14 HOSPITAL DR, ABILENE, TX, 79606. Phone: (325) 795-2100.
What is YOGESHKUMAR PATEL, M.D.'s NPI number?
YOGESHKUMAR PATEL, M.D.'s National Provider Identifier (NPI) is 1437128527, issued on 03/14/2006.
Does YOGESHKUMAR PATEL, M.D. prescribe more brand-name or generic drugs?
YOGESHKUMAR PATEL, M.D.'s prescribing is 19% brand-name and 81% generic drugs by claim count, with $687K in brand drug costs.
How many Pediatric Gastroenterology Physician providers are there in the US?
There are 1,587 Pediatric Gastroenterology Physician providers across 50 states in the US. The average Pediatric Gastroenterology Physician provider writes 69 Medicare Part D claims per year.
What drugs does YOGESHKUMAR PATEL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, YOGESHKUMAR PATEL, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Sucralfate, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does YOGESHKUMAR PATEL, M.D. accept Medicare?
YOGESHKUMAR PATEL, M.D. appears in CMS Medicare data with 3,845 Part D claims and 817 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify YOGESHKUMAR PATEL, M.D.'s credentials?
YOGESHKUMAR PATEL, M.D.'s NPI is 1437128527 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

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