Pediatr Crit Care Med
Adrenal Cortex HormonesBody Weights and MeasuresCritical Illness
Dr. Sanjay K. Patel, MD
NPI1043263833PAC ID6305925561
- Medicare services, 2024
- 4,366
- Medicare patients, 2024
- 1,675
- Part D claims, 2024
- 4,402
- Publications
- 1
- MIPS score, 2024
- 92
- Practice address
- 3060 Communications Pkwy, Plano, TX 75093
- Practice phone
- Call (972) 398-8103
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Lone Star Surgical Center
Plano, Texas
Find Dr. Patel's professional email, personal email and mobile number
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Dr. Sanjay K. Patel is an ophthalmologist in Plano, Texas
Dr. Patel practices at Lone Star Surgical Center in Plano, Texas.
Dr. Patel's NPI, 1043263833, was assigned on May 19, 2006. Dr. Patel graduated from UT Southwestern Medical Center in 1994. Dr. Patel's Texas license number on file is K7199.
NPI and contact details
- NPI
- 1043263833NPI Registry (opens in a new tab)
- Medicare PAC ID
- 6305925561
- NPI enumeration date
- May 19, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (972) 398-8103
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 58
- Medical school graduation
- 1994
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Sanjay K. Patel practices at Lone Star Surgical Center in Plano, Texas
Dr. Patel's primary practice is Lone Star Surgical Center, at 3060 Communications Pkwy, Plano, TX 75093 in Collin County. The practice phone is (972) 398-8103.
- Lone Star Surgical Center3060 Communications Pkwy, Plano, TX 75093 · Collin CountyPhone(972) 398-8103
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Sanjay K. Patel is affiliated with 2 sites of care and 2 medical groups
Dr. Patel's primary practice is Lone Star Surgical Center in Plano, Texas. Dmand AI also links Dr. Patel to 2 medical groups and 1 ambulatory surgery center, each named with a free account.
Lone Star Surgical CenterPrimary
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Sanjay K. Patel's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Patel practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Lone Star Surgical Center | Available with a free account |
| +1 more site and 2 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Sanjay K. Patel is one of 1,311 ophthalmologists in Texas
Ophthalmology is Dr. Patel's primary specialty in the NPI Registry, under taxonomy code 207W00000X. Dr. Patel is board certified in ophthalmology by the American Board of Ophthalmology. Dr. Patel has a license on file in Texas.
Specialties and state licenses
- Ophthalmology, TexasPrimary
Clinical focus
Dmand AI lists age-related macular degeneration, cataract, cataract surgery with lens implant, cold sores or genital herpes, conjunctivitis, dry eye, eyelid inflammation and glaucoma among the conditions Dr. Patel treats.
Ophthalmologists near Dr. Patel
Counts of ophthalmologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Sanjay K. Patel billed Medicare for 4,366 services in 2024
CMS data shows 4,366 Medicare services from Dr. Patel across 18 procedure codes in 2024, for 1,675 Medicare patients. Medicare paid $441,831 for them.
Medicare services, 20244,366
Medicare patients1,675
Paid by Medicare$441,831
Procedure codes18
Dr. Patel's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Tests and treatments
- 2023: 3,5412024: 3,4154%
- Surgery
- 2023: 7392024: 66011%
- Office and hospital visits
- 2023: 3072024: 24919%
- Imaging
- 2023: 572024: 4226%
Where Dr. Patel's Medicare services took place, 2024
- In an office3,70685%
- In a facility66015%
Dr. Patel compared with the Texas median for ophthalmologists, 2024
- Dr. Patel
- Texas median
- Medicare services
- 4,366vs 1,3533.2 times
- Medicare patients
- 1,675vs 4923.4 times
- Part D claims
- 4,268vs 6137.0 times
Medians across 1,290 ophthalmologists in Texas with Dmand AI profiles that report each measure.
Dr. Patel's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. Patel?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Patel and other ophthalmologists in Texas.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Sanjay K. Patel treated 1,675 Medicare patients in 2024, average age 76
CMS counts 1,675 Medicare patients who saw Dr. Patel in 2024. The largest group is 75 to 84, with 779 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 5% are also on Medicaid. Their average risk score is 1.05, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Patel's median patient age at 73, with 56% women.
Medicare patients, 20241,675
Average age76
Average risk score1.05
Also on Medicaid5%
Dr. Patel's Medicare patients by age, 2024
Dr. Patel's Medicare patients by sex, 2024
- Women99559%
- Men68041%
Chronic conditions among Dr. Patel's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis45%
- Diabetes36%
- Ischemic heart disease30%
- Chronic kidney disease26%
- Mood disorders19%
- Anxiety18%
Share of Medicare patients with each condition. A patient can have several.
Dr. Patel's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 73
Patient panel by sex, all payers
- Women56%
- Men42%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Sanjay K. Patel wrote 4,402 Medicare Part D claims in 2024
In 2024, Dr. Patel wrote 4,402 Medicare Part D claims for 1,189 patients. 60% of them were for generic drugs. CMS names the drug for 4,268 of them, across 17 drugs with 11 or more claims each, at $316,916 in total drug cost. In 2023, CMS named 4,237 claims across 17 drugs.
Part D claims, 20244,402
Drugs named by CMS17
Total drug cost$316,916
Part D patients1,189
Dr. Patel's Part D claims by kind of drug, 2024
- Generic2,624 claims60%
- Brand-name1,778 claims40%
Dr. Patel's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Patel's Part D claims, 2024
- Antibiotics0%11 of 4,402 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 4,2372024: 4,2681%
Drugs named by CMS: 17 in 2024, 17 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Sanjay K. Patel scored 92 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 92 out of 100 for Dr. Patel for performance year 2024, reported as part of a group. Dr. Patel accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 624 procedures of cataract surgery by Dr. Patel, more than 97% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Dr. Patel's MIPS scores, performance year 2024
- 92of 100Final score
- 94.9of 100Quality
- 40of 100Improvement Activities
- 80of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Patel ranks in Medicare procedure volume
- Cataract surgery
- 97th percentile624 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. Sanjay K. Patel has 1 publication on record
Dmand AI links 1 paper to Dr. Patel.
Papers1
Recent publications by Dr. Patel
See who Dr. Patel researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Patel works with, so you can find a warm path to the right ophthalmologists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Sanjay K. Patel received $10,544 in industry payments from 2016 to 2025
CMS Open Payments shows 253 general payments to Dr. Patel from 32 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 78% of the total. Alcon Laboratories Inc paid the most, $6,639.
General payments to Dr. Patel by program year, 2016 to 2025
General payments to Dr. Patel by kind, 2016 to 2025
$10.5Kin total
- Food and beverage$8,24878%
- Travel and lodging$1,84718%
- Speaker and faculty fees$1682%
- Consulting fees$1501%
- Education$1311%
Companies that paid Dr. Patel the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Sanjay K. Patel has 2 awards and honors on record
Dmand AI lists 2 awards for Dr. Patel, most recently CMS Stage 1 EHR in 2013.
Awards and honors for Dr. Patel
- 2013
- CMS Stage 1 EHR
- 2012
- AAO Fellow
Source: Dmand AI Professional Profile Data
Dr. Sanjay K. Patel graduated from UT Southwestern Medical Center
Dr. Patel graduated from UT Southwestern Medical Center in 1994. Dr. Patel is a member of AAO.
- Medical school
- Board certified in ophthalmology
Source: Dmand AI Professional Profile Data
Dr. Sanjay K. Patel accepts plans from 23 insurance carriers
Dr. Patel is in network with 23 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. HMO plans come from the most carriers, 14. Check the plan with the practice before a visit.
- Aetna
- Elevance
- Excellus BlueCross BlueShield
- Blue Cross Blue Shield of Michigan
- United Healthcare
- Cigna
- HCSC
- Humana
- +15 more carriersWith a free account
Plan types Dr. Patel accepts, by number of carriers
- HMO14
- PPO14
- Medicare12
- POS7
- EPO5
Source: Dmand AI Insurance Network Data
Sources for Dr. Sanjay K. Patel's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Sanjay K. Patel
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Sanjay K. Patel's NPI number?
Dr. Sanjay K. Patel's NPI number is 1043263833. It was assigned on May 19, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Sanjay K. Patel?
Dr. Sanjay K. Patel is an ophthalmologist in Plano, Texas. The primary specialty in the NPI Registry is Ophthalmology Physician (taxonomy code 207W00000X).
Where does Dr. Sanjay K. Patel practice?
Dr. Patel practices at 3060 Communications Pkwy, Plano, TX 75093. Dr. Patel's primary practice is Lone Star Surgical Center in Plano, Texas. Dmand AI also links Dr. Patel to 2 medical groups and 1 ambulatory surgery center.
What is Dr. Sanjay K. Patel's office phone number?
The practice phone on file for Dr. Patel is (972) 398-8103.
What is Dr. Sanjay K. Patel's medical license number?
Dr. Patel's Texas license number on file is K7199.
Does Dr. Sanjay K. Patel accept Medicare?
Yes. CMS data shows Dr. Patel billed Medicare for 4,366 services in 2024, and Dr. Patel accepts Medicare assignment.
What is Dr. Sanjay K. Patel's MIPS score?
Dr. Patel's MIPS final score for performance year 2024 is 92 out of 100, reported as part of a group.
How many Medicare patients does Dr. Sanjay K. Patel see?
CMS counts 1,675 Medicare patients who saw Dr. Patel in 2024, with an average age of 76.
Is Dr. Sanjay K. Patel board certified?
Yes. Dr. Patel is board certified in ophthalmology by the American Board of Ophthalmology.
What services does Dr. Sanjay K. Patel bill to Medicare?
In 2024, Dr. Patel's most billed Medicare services were eye exam or test (92014), eye exam or test (92136) and eye exam or test (92012).
Show 6 more questionsShow fewer questions
Where did Dr. Sanjay K. Patel go to medical school?
Dr. Patel graduated from UT Southwestern Medical Center in 1994.
What drugs does Dr. Sanjay K. Patel prescribe most?
In 2024 Medicare Part D data, Dr. Patel's most prescribed drugs by claims were Latanoprost, Prednisolone Acetate and Moxifloxacin.
Has Dr. Sanjay K. Patel received payments from drug or device companies?
CMS Open Payments shows $10,544 in general payments to Dr. Patel from 32 companies from 2016 to 2025. The largest total came from Alcon Laboratories Inc.
How long has Dr. Sanjay K. Patel been practicing?
Dr. Patel graduated from medical school in 1994, 32 years ago.
Does Dr. Sanjay K. Patel do research?
Dmand AI links 1 publication to Dr. Patel.
What insurance does Dr. Sanjay K. Patel accept?
Dr. Patel is in network with 23 carriers, including Aetna, Elevance and Excellus BlueCross BlueShield. HMO plans come from the most carriers, 14. Check the plan with the practice before a visit.
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