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PROVIDER PROFILE · NPI 1508807330

Nilesh PatelMD

Family PracticeAudubon, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$2K
Payment records
75
By payment type
Food and Beverage$2K
QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
15.0
Cost
83.9
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
0.00%
Individual
PRESCRIBING · PART D · 2024
Total Rx claims
6,124
Beneficiaries
—
Total drug cost
$472K
Distinct drugs
114
Brand share
19.1%
Top prescribed drugs
Atorvastatin Calcium432 claims
Levothyroxine Sodium323 claims
Metformin Hcl262 claims
Amlodipine Besylate254 claims
Pantoprazole Sodium192 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
999
Unique beneficiaries
—
Total services
1,629
Distinct HCPCS
12
Medicare payment
$108K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 4,194 Family Practice providers in PA — top quintile (cohort median 645).
REFERRAL NETWORK

Where Nilesh Patel's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 33 inbound referrers · 47 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
182521
EINSTEIN MEDICAL CENTER MONTGOMERY151666
Howard Cobert
Cardiology · East Norriton, PA
72452
Heather Kratz
Nurse Practitioner · Plymouth Meeting, PA
49189
SCHWARTZ, GARY46202
MANDELL, DELAINE45162
Arthur Belber
Cardiology · East Norriton, PA
42166
Stefan Neagu
Internal Medicine · East Norriton, PA
31146
PULEO, SAMUEL28190
KRAUS, JOHN2556
Vincent Quinn
Cardiology · Blue Bell, PA
2383
Susan Summerton
Diagnostic Radiology · Philadelphia, PA
2277
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
SHANNONDELL, INC.114466
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Norristown, PA
100280
EINSTEIN MEDICAL CENTER MONTGOMERY98335
EINSTEIN MEDICAL CENTER MONTGOMERY67217
Heather Kratz
Nurse Practitioner · Plymouth Meeting, PA
57270
Symphony Diagnostic Services No 1 Llc
Portable X-Ray Supplier · Sparks, MD
53263
Arthur Belber
Cardiology · East Norriton, PA
43180
NPI 192200138740210
SCHWARTZ, GARY39154
Paul Cryan
Podiatry · Ardmore, PA
3083
Howard Cobert
Cardiology · East Norriton, PA
27117
KRAUS, JOHN2744
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.