Nilpesh Patel, M.D
NPI 1851577308 · Orthopaedic Surgery Physician · Rockwall, TX
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nilpesh Patel, M.D is a Orthopaedic Surgery Physician provider in Rockwall, TX (NPI 1851577308).
Provider details
- NPI number
- 1851577308
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- N7323 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
2,324 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 616 | $86 |
| X-Ray of Hand, Minimum of 3 Views73130 | 409 | $35 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 194 | $105 |
| X-Ray of Wrist, Minimum of 3 Views73110 | 185 | $39 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 177 | $121 |
| Aspiration And/Or Injection of Fluid From Small Joint20600 | 130 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Meloxicam | 130 | 68 |
| Ibuprofen | 75 | 56 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 63 | 51 |
| Acetaminophen With Codeinebrand: Acetaminophen-Codeine | 17 | 16 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 11 | — |
| Tramadol Hcl | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,444 across 21 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (4)
- 325 N Fm 548 Suite 100Forney, TX 75126Phone: (972) 771-8111Fax: (972) 771-8103
- 200 N Arch StRoyse City, TX 75189-8631Phone: (972) 771-8111
- 200 N Virginia StTerrell, TX 75160-2732Phone: (972) 771-8111
- 731 Woodbridge Pkwy Suite 100Wylie, TX 75098Phone: (972) 771-8111Fax: (972) 771-8103
Registry dates
- Enumerated
- 2008-01-15
- Last updated
- 2025-08-15
- Certified
- 2025-08-15
Frequently asked questions
- What is Nilpesh Patel's NPI number?
- Nilpesh Patel's National Provider Identifier (NPI) is 1851577308, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nilpesh Patel's specialty?
- Nilpesh Patel is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Nilpesh Patel located?
- Nilpesh Patel's practice location on file with NPPES is 1301 Summer Lee Dr, Rockwall, TX 75032-5452.
- What is Nilpesh Patel's phone number?
- The practice phone number listed in the NPPES registry for Nilpesh Patel is (972) 771-8111.
- Does Nilpesh Patel accept Medicare?
- Nilpesh Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nilpesh Patel's NPI active?
- Yes — Nilpesh Patel's NPI (1851577308) is active in the NPPES registry as of the last update on 2025-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.