2026 NPPES data Vision Therapy Optometrist NPI 1043256175 M.D.
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ARTHUR EDELSTEIN MD, M.D.

Vision Therapy Optometrist in LYNWOOD, 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
4K
Medicare Part D claims · 678 beneficiaries · Vision Therapy Optometrist avg: 209
Generic prescribing
64%
generic claims · 36% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
What the federal data reveals: ARTHUR EDELSTEIN MD, M.D. is a Vision Therapy Optometrist ([object Object]) practicing in LYNWOOD, California with a Medicare Part D prescribing footprint of 4K claims across 678 beneficiaries — 36% brand-name prescribing . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ARTHUR EDELSTEIN MD, M.D. reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 4,211 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ARTHUR EDELSTEIN MD, M.D. at a glance

Below national average

NPI registry status

Active

Issued 06/20/2006

NPI 1043256175

Primary specialty

Vision Therapy Optometrist

Rare

369 US NPIs in this specialty

Medicare Part D claims

4,211 1915% vs specialty avg

2023 prescription claims

Specialty avg: 209

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in California

How Vision Therapy Optometrist compares to other specialties among California providers

California providers

Vision Therapy Optometrist share within California

1. Vision Therapy Optometrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Vision Therapy Optometrist share within California

Medicare quality performance — MIPS

ARTHUR EDELSTEIN MD, M.D.'s 2023 MIPS final score plotted against the Vision Therapy Optometrist national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Vision Therapy Optometrist) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Vision Therapy Optometrist) — 0/100 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).

ARTHUR EDELSTEIN MD, M.D. is a Vision Therapy Optometrist provider practicing in LYNWOOD, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1043256175. 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.

ARTHUR EDELSTEIN MD, M.D. appears in the CMS NPPES registry as a Vision Therapy Optometrist provider holding M.D. credentials at 3737 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA, 90262, with a listed phone of (310) 638-0402. NPI 1043256175 was issued on 06/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what EDELSTEIN MD 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 4,211 prescription claims written by this provider, covering 678 Medicare beneficiaries and totaling roughly $200K in drug spend, split 36% brand-name and 64% 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 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Vision Therapy Optometrist is a narrow specialty nationwide, with 369 enrolled providers across 42 states and an average of 209 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

3737 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262

Provider Details

NPI 1043256175
Specialty Vision Therapy Optometrist
Credentials M.D.
Gender Male
NPI Issued 06/20/2006

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where ARTHUR EDELSTEIN MD, 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.

ARTHUR J EDELSTEIN MD A PROFESSIONAL CORPORATION
LYNWOOD, 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 ARTHUR EDELSTEIN MD, M.D.. To verify ARTHUR EDELSTEIN MD, 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

ARTHUR EDELSTEIN MD, M.D. — brand share 36.0%
Specialty average (est.)

36% brand-name claims vs 64% generic, on 4,211 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.

4,211
Total Claims
$200K
Total Drug Cost
678
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,934
Total Day Supply
162,188
Brand vs Generic
36% brand / 64% generic
Brand Drug Cost
$116K
Generic Drug Cost
$84K

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.95
Gender Split
59% female / 41% male
Age Distribution
<65: 54, 65-74: 284, 75-84: 246, 85+: 94

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
1,629
Brimonidine Tartrate
492
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
449
Ketorolac Tromethamine
378
Dorzolamide Hcl
256
Prednisolone Acetate
238
Timolol Maleate
144
Moxifloxacin
Moxifloxacin Hcl
143
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
80
Ciprofloxacin Hcl
64

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

Vision Therapy Optometrist Overview

How ARTHUR EDELSTEIN MD, M.D. fits within the Vision Therapy Optometrist landscape nationally.

369
Vision Therapy Optometrist Providers in US
42
States with Vision Therapy Optometrist
209
Avg Claims per Provider

ARTHUR EDELSTEIN MD, M.D.'s 4,211 claims are above the specialty average of 209.

Nearby Vision Therapy Optometrist Providers in California

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

Compare Vision Therapy Optometrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is ARTHUR EDELSTEIN MD, M.D.'s specialty?
ARTHUR EDELSTEIN MD, M.D. specializes in Vision Therapy Optometrist and practices in LYNWOOD, California. Credentials: M.D..
How much does ARTHUR EDELSTEIN MD, M.D. prescribe under Medicare Part D?
In 2023, ARTHUR EDELSTEIN MD, M.D. wrote 4,211 Medicare Part D claims totaling $200K in drug costs for 678 beneficiaries.
What is ARTHUR EDELSTEIN MD, M.D.'s Medicare quality score?
ARTHUR EDELSTEIN MD, M.D. has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ARTHUR EDELSTEIN MD, M.D. located?
ARTHUR EDELSTEIN MD, M.D. is located at 3737 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA, 90262. Phone: (310) 638-0402.
What is ARTHUR EDELSTEIN MD, M.D.'s NPI number?
ARTHUR EDELSTEIN MD, M.D.'s National Provider Identifier (NPI) is 1043256175, issued on 06/20/2006.
Does ARTHUR EDELSTEIN MD, M.D. prescribe more brand-name or generic drugs?
ARTHUR EDELSTEIN MD, M.D.'s prescribing is 36% brand-name and 64% generic drugs by claim count, with $116K in brand drug costs.
How many Vision Therapy Optometrist providers are there in the US?
There are 369 Vision Therapy Optometrist providers across 42 states in the US. The average Vision Therapy Optometrist provider writes 209 Medicare Part D claims per year.
What drugs does ARTHUR EDELSTEIN MD, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ARTHUR EDELSTEIN MD, M.D.'s most frequently prescribed drugs include Latanoprost, Brimonidine Tartrate, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ARTHUR EDELSTEIN MD, M.D. accept Medicare?
ARTHUR EDELSTEIN MD, M.D. appears in CMS Medicare data with 4,211 Part D claims and 678 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ARTHUR EDELSTEIN MD, M.D.'s credentials?
ARTHUR EDELSTEIN MD, M.D.'s NPI is 1043256175 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