Sizan B. Patel, M.D.
NPI 1043655368ActiveIndividual· Internal Medicine· Toms River, NJ
Internal Medicine (M.D.) with Shore Medical Specialists and 1 other group, practicing in Toms River, New Jersey. Their prescriptions cost Medicare Part D more than their services did: $441,906 for 3,959 claims, against $176,071 paid for services in 2024. Davol Inc. was the largest of 4 companies reporting payments in 2025, $250.68 in all, mostly food and beverage. Lists Community Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1043655368 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 30, 2013 |
| Last updated in NPPES | Oct 11, 2023 |
| Certified by provider | Oct 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 25MA09802300 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 464 |
|---|---|
| Services billed | 1,895 across 27 procedure codes |
| Paid by Medicare | $176,071 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,959 · 6,777 30-day fills |
|---|---|
| Patients | 385 |
| Total drug cost | $441,906 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical groups
- Shore Medical SpecialistsToms River, NJ · 6 clinicians
- Shoremedical5 LLCToms River, NJ · 6 clinicians
Hospital affiliations
- Community Medical CenterToms River, NJ
- Monmouth Medical Center-Southern CampusLakewood, NJ
Other facilities
- Visiting Nurse Association of Central Jersey Home Care and HospiceHome health agency · Toms River, NJ
- Serenity Hospice CareHospice · Trenton, NJ
- Complete Care at Holiday CityNursing home · Toms River, NJ
Industry payments (Open Payments)
- 2025$250.68 · 6 payments from 4 companies
- 2024$147.30 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Davol Inc. | $150.00 | 1 |
| Exact Sciences Corporation | $63.69 | 3 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $18.57 | 1 |
| Lundbeck LLC | $18.42 | 1 |
What the 2025 payments were for
- Food and Beverage$250.68 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 161 internal medicine physicians in Toms River · All internal medicine physicians in New Jersey