2026 NPPES data Ophthalmology Physician NPI 1154383438 M.D.
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ALAN BENEDICT, M.D.

Ophthalmology Physician in MARIETTA, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 360 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
73%
generic claims · 27% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.9348/100
▲ 10 pts above national avg 83.1 · [object Object]
What the federal data reveals: ALAN BENEDICT, M.D. is a Ophthalmology Physician ([object Object]) practicing in MARIETTA, Georgia with a Medicare Part D prescribing footprint of 1K claims across 360 beneficiaries — 27% brand-name prescribing . Their CMS MIPS Final Score of 92.9348/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ALAN BENEDICT, M.D. reported a CMS MIPS final score of 92.9348 out of 100, above the 83.1 national average, and filed 1,351 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ALAN BENEDICT, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ALAN BENEDICT, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/04/2006

NPI 1154383438

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

1,351 5% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

92.9348/100 9.834800000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Ophthalmology Physician compares to other specialties among Georgia providers

Georgia providers

Ophthalmology Physician share within Georgia

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Georgia

Medicare quality performance — MIPS

ALAN BENEDICT, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
92.9348/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 92.9348/100 vs national avg 83.1

0%100%National avg83%92.9%
MIPS final score (Ophthalmology Physician) — 92.9348/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ALAN BENEDICT, M.D. is a Ophthalmology Physician provider practicing in MARIETTA, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1154383438. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ALAN BENEDICT, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 653 CHEROKEE ST NE, MARIETTA, GA, 30060, with a listed phone of (770) 419-1393. NPI 1154383438 was issued on 04/04/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BENEDICT most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,351 prescription claims written by this provider, covering 360 Medicare beneficiaries and totaling roughly $186K in drug spend, split 27% brand-name and 73% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 92.9348/100 for the 2023 performance year (Quality 80.3814), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

653 CHEROKEE ST NE
MARIETTA, GA 30060

Provider Details

NPI 1154383438
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 04/04/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

92.9348
Final Score
Avg: 83.1
80.3814
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Brand vs generic prescribing mix · Above average

ALAN BENEDICT, M.D. — brand share 27.0%
Specialty average (est.)

27% brand-name claims vs 73% generic, on 1,351 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,351
Total Claims
$186K
Total Drug Cost
360
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,839
Total Day Supply
82,683
Brand vs Generic
27% brand / 73% generic
Brand Drug Cost
$154K
Generic Drug Cost
$32K

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
1.16
Gender Split
61% female / 39% male
Age Distribution
<65: 15, 65-74: 145, 75-84: 161, 85+: 39

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Latanoprost
537
Timolol Maleate
129
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
115
Brimonidine Tartrate
101
Lumigan
Bimatoprost
83
Dorzolamide Hcl
74
Restasis
Cyclosporine
50
Erythromycin
Erythromycin Base
31
Prednisolone Acetate
30
Combigan
Brimonidine Tartrate/Timolol
27

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Ophthalmology Physician Overview

How ALAN BENEDICT, M.D. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

ALAN BENEDICT, M.D.'s 1,351 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as BENEDICT.

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ALAN BENEDICT, M.D.'s specialty?
ALAN BENEDICT, M.D. specializes in Ophthalmology Physician and practices in MARIETTA, Georgia. Credentials: M.D..
How much does ALAN BENEDICT, M.D. prescribe under Medicare Part D?
In 2023, ALAN BENEDICT, M.D. wrote 1,351 Medicare Part D claims totaling $186K in drug costs for 360 beneficiaries.
What is ALAN BENEDICT, M.D.'s Medicare quality score?
ALAN BENEDICT, M.D. has a CMS MIPS Final Score of 92.9348/100 (Quality: 80.3814). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ALAN BENEDICT, M.D. located?
ALAN BENEDICT, M.D. is located at 653 CHEROKEE ST NE, MARIETTA, GA, 30060. Phone: (770) 419-1393.
What is ALAN BENEDICT, M.D.'s NPI number?
ALAN BENEDICT, M.D.'s National Provider Identifier (NPI) is 1154383438, issued on 04/04/2006.
Does ALAN BENEDICT, M.D. prescribe more brand-name or generic drugs?
ALAN BENEDICT, M.D.'s prescribing is 27% brand-name and 73% generic drugs by claim count, with $154K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does ALAN BENEDICT, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ALAN BENEDICT, M.D.'s most frequently prescribed drugs include Latanoprost, Timolol Maleate, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ALAN BENEDICT, M.D. accept Medicare?
ALAN BENEDICT, M.D. appears in CMS Medicare data with 1,351 Part D claims and 360 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ALAN BENEDICT, M.D.'s credentials?
ALAN BENEDICT, M.D.'s NPI is 1154383438 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology