2026 NPPES data Ophthalmology Physician NPI 1891803326 M.D.
Verify on CMS →

Ali Banihashemi, M.D.

Ophthalmology Physician in Bakersfield, California. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 22,090 in Ophthalmology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
7K
Medicare Part D claims · 1K beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
65%
generic claims · 35% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$19.34
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Ali Banihashemi, M.D. filed 7,172 Medicare Part D claims in 2023 as a Ophthalmology Physician in Bakersfield, California, prescribing 65% generic.

7K
Part D claims, 2023
65%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Ali Banihashemi, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

7,172 Top 4% higher than 96% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2K+: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic, not verified)

Ali Banihashemi, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Ali Banihashemi, M.D.?

Quality data not reported

NPI registry status

Active

Issued 08/25/2006

NPI 1891803326

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

7,172 vs specialty avg

2023 prescription claims

Specialty avg: 1,420

Specialty distribution in California

How Ophthalmology Physician compares to other specialties among California providers

California providers

Largest specialties in California (% of in-state providers)

Behavior Technician - 17.3%Behavior Technician17.3%Marriage & Family Therapist - 5.5%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Pharmacist - 3.5%Pharmacist3.5%Clinical Social Worker - 3.1%Clinical Social Worker3.1%Ophthalmology Physician - 0.3%Ophthalmology Physician0.3%
Largest specialties in California (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Ophthalmology Physician. Verify directly:

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).

Ali Banihashemi, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 4580 CALIFORNIA AVE, Bakersfield, CA, 93309, with a listed phone of (661) 846-4985. NPI 1891803326 was issued on 08/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Banihashemi 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 7,172 prescription claims written by this provider, covering 1,370 Medicare beneficiaries and totaling roughly $829K in drug spend, split 35% brand-name and 65% 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.

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

4580 CALIFORNIA AVE
Bakersfield, CA 93309

Provider Details

NPI 1891803326
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 08/25/2006

Hospital and facility affiliations

Facilities where Ali Banihashemi, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Ace Eyecare Inc
Bakersfield, CA
Hosein Mohammadi, M.D., Inc.
Bakersfield, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Ali Banihashemi, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$19

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - California MBC 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 - they are NOT specific to Ali Banihashemi, M.D.. To verify Ali Banihashemi, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

Ali Banihashemi, M.D. - brand share 35.0%
Ophthalmology Physician average

35% brand-name claims vs 65% generic, on 7,172 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.

7,172
Total Claims
$829K
Total Drug Cost
1,370
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
13,296
Total Day Supply
380,170
Brand vs Generic
35% brand / 65% generic
Brand Drug Cost
$663K
Generic Drug Cost
$166K
Antibiotic Claims
35

Patient Demographics

Average Patient Age
76.1 years
Avg HCC Risk Score
1.98
Gender Split
57% female / 43% male
Age Distribution
<65: 71, 65-74: 560, 75-84: 531, 85+: 208

Top Prescribed Drugs (Medicare Part D)

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

What Ali Banihashemi, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Latanoprost
2,177
Timolol Maleate
786
Brimonidine Tartrate
539
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
433
Moxifloxacin
Moxifloxacin Hcl
429
Prednisolone Acetate
399
Dorzolamide Hcl
307
Difluprednate
253
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
240
Lumigan
Bimatoprost
200

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

Ophthalmology Physician Overview

How Ali Banihashemi, 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

Ali Banihashemi, M.D.'s 7,172 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in California

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

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the California medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Ophthalmology Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Ali Banihashemi, M.D.'s specialty?
Ali Banihashemi, M.D. specializes in Ophthalmology Physician and practices in Bakersfield, California. Credentials: M.D..
How much does Ali Banihashemi, M.D. prescribe under Medicare Part D?
In 2023, Ali Banihashemi, M.D. wrote 7,172 Medicare Part D claims totaling $829K in drug costs for 1,370 beneficiaries.
Where is Ali Banihashemi, M.D. located?
Ali Banihashemi, M.D. is located at 4580 CALIFORNIA AVE, Bakersfield, CA, 93309. Phone: (661) 846-4985.
What is Ali Banihashemi, M.D.'s NPI number?
Ali Banihashemi, M.D.'s National Provider Identifier (NPI) is 1891803326, issued on 08/25/2006.
Does Ali Banihashemi, M.D. prescribe more brand-name or generic drugs?
Ali Banihashemi, M.D.'s prescribing is 35% brand-name and 65% generic drugs by claim count, with $663K 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 Ali Banihashemi, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Ali Banihashemi, M.D.'s most frequently prescribed drugs include Latanoprost, Timolol Maleate, Brimonidine Tartrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ali Banihashemi, M.D. accept Medicare?
Ali Banihashemi, M.D. appears in CMS Medicare data with 7,172 Part D claims and 1,370 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ali Banihashemi, M.D.'s credentials?
Ali Banihashemi, M.D.'s NPI is 1891803326 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.
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

Compiled from official public sources by the PlainDoctor editorial team.