2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1568646776 M.D.
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ALOK BANSAL, M.D.

Retina Specialist (Ophthalmology) Physician in MOUNTAIN VIEW, California. 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
76
Medicare Part D claims · 36 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
What the federal data reveals: ALOK BANSAL, M.D. is a Retina Specialist (Ophthalmology) Physician ([object Object]) practicing in MOUNTAIN VIEW, California with a Medicare Part D prescribing footprint of 76 claims across 36 beneficiaries — 30% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ALOK BANSAL, M.D. reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 76 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)

ALOK BANSAL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ALOK BANSAL, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 12/24/2007

NPI 1568646776

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

76 86% vs specialty avg

2023 prescription claims

Specialty avg: 558

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Retina Specialist (Ophthalmology) Physician compares to other specialties among California providers

California providers

Retina Specialist (Ophthalmology) Physician share within California

1. Retina Specialist (Ophthalmology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Retina Specialist (Ophthalmology) Physician share within California

Medicare quality performance — MIPS

ALOK BANSAL, M.D.'s 2023 MIPS final score plotted against the Retina Specialist (Ophthalmology) Physician national average

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

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

0%100%National avg83%99%
MIPS final score (Retina Specialist (Ophthalmology) Physician) — 100/100 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).

ALOK BANSAL, M.D. is a Retina Specialist (Ophthalmology) Physician provider practicing in MOUNTAIN VIEW, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1568646776. 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.

ALOK BANSAL, M.D. appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding M.D. credentials at 2485 HOSPITAL DR, MOUNTAIN VIEW, CA, 94040, with a listed phone of (650) 988-7480. NPI 1568646776 was issued on 12/24/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BANSAL 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 76 prescription claims written by this provider, covering 36 Medicare beneficiaries and totaling roughly $3K in drug spend, split 30% brand-name and 70% 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 100/100 for the 2023 performance year (Quality 100), compared with the national average of 83.1.

Retina Specialist (Ophthalmology) Physician is a narrow specialty nationwide, with 913 enrolled providers across 48 states and an average of 558 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

2485 HOSPITAL DR
MOUNTAIN VIEW, CA 94040

Provider Details

NPI 1568646776
Specialty Retina Specialist (Ophthalmology) Physician
Credentials M.D.
Gender Male
NPI Issued 12/24/2007

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where ALOK BANSAL, 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.

NORTHERN CALIFORNIA RETINA VITREOUS ASSOCIATES MEDICAL GROUP, INC.
MOUNTAIN VIEW, 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).

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 ALOK BANSAL, M.D.. To verify ALOK BANSAL, 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

ALOK BANSAL, M.D. — brand share 30.0%
Specialty average (est.)

30% brand-name claims vs 70% generic, on 76 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.

76
Total Claims
$3K
Total Drug Cost
36
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
105
Total Day Supply
2,721
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$2K
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.76
Gender Split
64% female / 36% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
24
Prednisolone Acetate
13

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

Retina Specialist (Ophthalmology) Physician Overview

How ALOK BANSAL, M.D. fits within the Retina Specialist (Ophthalmology) Physician landscape nationally.

913
Retina Specialist (Ophthalmology) Physician Providers in US
48
States with Retina Specialist (Ophthalmology) Physician
558
Avg Claims per Provider

ALOK BANSAL, M.D.'s 76 claims are below the specialty average of 558.

Nearby Retina Specialist (Ophthalmology) Physician Providers in California

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

Compare Retina Specialist (Ophthalmology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ALOK BANSAL, M.D.'s specialty?
ALOK BANSAL, M.D. specializes in Retina Specialist (Ophthalmology) Physician and practices in MOUNTAIN VIEW, California. Credentials: M.D..
How much does ALOK BANSAL, M.D. prescribe under Medicare Part D?
In 2023, ALOK BANSAL, M.D. wrote 76 Medicare Part D claims totaling $3K in drug costs for 36 beneficiaries.
What is ALOK BANSAL, M.D.'s Medicare quality score?
ALOK BANSAL, M.D. has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ALOK BANSAL, M.D. located?
ALOK BANSAL, M.D. is located at 2485 HOSPITAL DR, MOUNTAIN VIEW, CA, 94040. Phone: (650) 988-7480.
What is ALOK BANSAL, M.D.'s NPI number?
ALOK BANSAL, M.D.'s National Provider Identifier (NPI) is 1568646776, issued on 12/24/2007.
Does ALOK BANSAL, M.D. prescribe more brand-name or generic drugs?
ALOK BANSAL, M.D.'s prescribing is 30% brand-name and 70% generic drugs by claim count, with $2K in brand drug costs.
How many Retina Specialist (Ophthalmology) Physician providers are there in the US?
There are 913 Retina Specialist (Ophthalmology) Physician providers across 48 states in the US. The average Retina Specialist (Ophthalmology) Physician provider writes 558 Medicare Part D claims per year.
What drugs does ALOK BANSAL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ALOK BANSAL, M.D.'s most frequently prescribed drugs include Neomycin-Polymyxin-Dexameth, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ALOK BANSAL, M.D. accept Medicare?
ALOK BANSAL, M.D. appears in CMS Medicare data with 76 Part D claims and 36 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ALOK BANSAL, M.D.'s credentials?
ALOK BANSAL, M.D.'s NPI is 1568646776 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