NPI registry status
Active
2026 NPPES data Optometrist NPI 1609807890 O.D.
Verify on CMS → Allison Benacci, O.D.
Optometrist in Erie, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 60,484 in Optometrist, 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
333
Medicare Part D claims · 120 beneficiaries · Optometrist avg: 257
Generic prescribing
38%
generic claims · 62% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
99.2/100
▲ 16 pts above national avg 83.1 · Exceptional
Industry payments
$23.56
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Allison Benacci, O.D. reported a CMS MIPS final score of 99.2/100 - above the 83.1 national average - and filed 333 Medicare Part D claims in 2023.
- 99.2/100
- MIPS score · +16 vs avg
- 333
- Part D claims, 2023
- 38%
- generic prescribing
- $23.56
- industry payments (Sunshine Act)
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.
Allison Benacci, O.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
99 Top 9% higher than 91% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023
Where Allison Benacci, O.D. sits
This provider among optometrist peers
Across the 6,527 optometrist providers who report both Medicare Part D prescribing and a MIPS quality score, Allison Benacci, O.D. writes more Part D claims than 47% of them and scores higher on MIPS quality than 89% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one optometrist peer from a representative sample of 60; the gold marker is Allison Benacci, O.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Allison Benacci, O.D.?
High performer (top quartile)Primary specialty
Optometrist
Medicare Part D claims
333 30% vs specialty avg
MIPS final score
99.2/100 16.1 pts vs avg
Specialty distribution in Pennsylvania
How Optometrist compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Allison Benacci, O.D.'s 2023 MIPS final score plotted against the Optometrist national average
- MIPS Final Score
- 99.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Optometrist) - 99.2/100 vs national avg 83.1
How MIPS and board certification work
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).
Allison Benacci, O.D. appears in the CMS NPPES registry as an Optometrist provider holding O.D. credentials at 2640 W 38TH ST, Erie, PA, 16506, with a listed phone of (814) 835-8258. NPI 1609807890 was issued on 07/05/2006.
Medicare Part D records for calendar year 2023 show 333 prescription claims written by this provider, covering 120 Medicare beneficiaries and totaling roughly $103K in drug spend, split 62% brand-name and 38% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 99.2/100 for the 2023 performance year (Quality 88.4), compared with the national average of 83.1.
Optometrist is a high-volume specialty nationwide, with 60,484 enrolled providers across 56 states and an average of 257 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
Provider Details
| NPI | 1609807890 |
|---|---|
| Specialty | Optometrist |
| Credentials | O.D. |
| Gender | Female |
| NPI Issued | 07/05/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
99.1842
Final Score
Avg: 83.1
88.3684
Quality
Reporting: Individual
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 Allison Benacci, O.D.. Source: openpaymentsdata.cms.gov.
Total received
$24
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 - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Allison Benacci, O.D.. To verify Allison Benacci, O.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Brand-heavy
Allison Benacci, O.D. - brand share 62.0%
Optometrist average
62% brand-name claims vs 38% generic, on 333 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.
333
Total Claims
$103K
Total Drug Cost
120
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 623
- Total Day Supply
- 17,797
- Brand vs Generic
- 62% brand / 38% generic
- Brand Drug Cost
- $91K
- Generic Drug Cost
- $12K
Patient Demographics
- Average Patient Age
- 74.4 years
- Avg HCC Risk Score
- 1.19
- Gender Split
- 65% female / 35% male
- Age Distribution
- <65: 11, 65-74: 49, 75-84: 44, 85+: 16
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Allison Benacci, O.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Lumigan
Lumigan
73 claims
- Latanoprost
Latanoprost
71 claims
- Dorzolamide-Timolol 28
Dorzolamide-Timolol
28 claims
- Combigan 27
Combigan
27 claims
- Restasis 15
Restasis
15 claims
| Drug | Claims |
|---|---|
| Lumigan Bimatoprost | 73 |
| Latanoprost | 71 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 28 |
| Combigan Brimonidine Tartrate/Timolol | 27 |
| Restasis Cyclosporine | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Optometrist Overview
How Allison Benacci, O.D. fits within the Optometrist landscape nationally.
60,484
Optometrist Providers in US
56
States with Optometrist
257
Avg Claims per Provider
Allison Benacci, O.D.'s 333 claims are above the specialty average of 257.
Nearby Optometrist Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Benacci.
Dr. Dina Abdelhady
OD
Glenside, PA
Dr. Travis Abel
O.D.
Plymouth Meeting, PA
Dr. Mark Abelman
OD
Pittsburgh, PA
Azad Abulkalam
King Of Prussia, PA
Dr. Khabirah Acosta
OD
Philadelphia, PA
Compare Optometrist 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Optometrist 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.
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Frequently Asked Questions
What is Allison Benacci, O.D.'s specialty? ▼
Allison Benacci, O.D. specializes in Optometrist and practices in Erie, Pennsylvania. Credentials: O.D..
How much does Allison Benacci, O.D. prescribe under Medicare Part D? ▼
In 2023, Allison Benacci, O.D. wrote 333 Medicare Part D claims totaling $103K in drug costs for 120 beneficiaries.
What is Allison Benacci, O.D.'s Medicare quality score? ▼
Allison Benacci, O.D. has a CMS MIPS Final Score of 99.2/100 (Quality: 88.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Allison Benacci, O.D. located? ▼
Allison Benacci, O.D. is located at 2640 W 38TH ST, Erie, PA, 16506. Phone: (814) 835-8258.
What is Allison Benacci, O.D.'s NPI number? ▼
Allison Benacci, O.D.'s National Provider Identifier (NPI) is 1609807890, issued on 07/05/2006.
Does Allison Benacci, O.D. prescribe more brand-name or generic drugs? ▼
Allison Benacci, O.D.'s prescribing is 62% brand-name and 38% generic drugs by claim count, with $91K in brand drug costs.
How many Optometrist providers are there in the US? ▼
There are 60,484 Optometrist providers across 56 states in the US. The average Optometrist provider writes 257 Medicare Part D claims per year.
What drugs does Allison Benacci, O.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Allison Benacci, O.D.'s most frequently prescribed drugs include Lumigan, Latanoprost, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Allison Benacci, O.D. accept Medicare? ▼
Allison Benacci, O.D. appears in CMS Medicare data with 333 Part D claims and 120 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Allison Benacci, O.D.'s credentials? ▼
Allison Benacci, O.D.'s NPI is 1609807890 with credentials O.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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.