Isheet Patel, M.D.
Opted out of Medicare from February 2024 to February 2028. Internal Medicine (M.D.) in Lone Tree, Colorado, licensed in CO and PA, with an NPI issued in June 2015. Their prescriptions cost Medicare Part D more than their services did: $329,573 for 2,745 claims, against $2,872 paid for services in 2024. Sumitomo Pharma America, Inc. was the largest of 3 companies reporting payments in 2025, $83.67 in all, mostly food and beverage.
Overview
| NPI | 1275914194 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 16, 2015 |
| Last updated in NPPES | Feb 23, 2024 |
| Certified by provider | Feb 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | DR.0060384 | CO |
| Student in an Organized Health Care Education/Training Program | 390200000X | MT208039 | PA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Feb 15, 2024 – Feb 15, 2028 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 52 |
|---|---|
| Services billed | 82 across 14 procedure codes |
| Paid by Medicare | $2,872 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,745 · 6,770 30-day fills |
|---|---|
| Patients | 383 |
| Total drug cost | $329,573 |
| Generic share | 85% of claims |
Industry payments (Open Payments)
- 2025$83.67 · 4 payments from 3 companies
- 2024$117.94 · 6 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Sumitomo Pharma America, Inc. | $49.91 | 2 |
| Cleerly, Inc. | $17.64 | 1 |
| Esperion Therapeutics, Inc. | $16.12 | 1 |
What the 2025 payments were for
- Food and Beverage$83.67 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 55 internal medicine physicians in Lone Tree · All internal medicine physicians in Colorado