NPI registry status
Active
2026 NPPES data Ophthalmology Physician NPI 1750397576 MD
Verify on CMS → Balamurali Ambati, MD
Ophthalmology Physician in Eugene, Oregon.
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
703
Medicare Part D claims · 189 beneficiaries · Ophthalmology Physician avg: 1K
MIPS score
96/100
▲ 13 pts above national avg 83.1 · Exceptional
Industry payments
$7.5K
32 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Balamurali Ambati, MD reported a CMS MIPS final score of 96/100 - above the 83.1 national average - and filed 703 Medicare Part D claims in 2023.
- 96/100
- MIPS score · +13 vs avg
- 703
- Part D claims, 2023
- 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.
Balamurali Ambati, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
96 Top 21% higher than 79% 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 Balamurali Ambati, MD sits
This provider among ophthalmology physician peers
Across the 9,866 ophthalmology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Balamurali Ambati, MD writes more Part D claims than 34% of them and scores higher on MIPS quality than 75% - 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 ophthalmology physician peer from a representative sample of 60; the gold marker is Balamurali Ambati, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Balamurali Ambati, MD 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).
What does the federal data show about Balamurali Ambati, MD?
High performer (top quartile)Primary specialty
Ophthalmology Physician
Medicare Part D claims
703 50% vs specialty avg
MIPS final score
96/100 12.9 pts vs avg
Specialty distribution in Oregon
How Ophthalmology Physician compares to other specialties among Oregon providers
Medicare quality performance, MIPS
Balamurali Ambati, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average
- MIPS Final Score
- 96/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Ophthalmology Physician) - 96/100 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).
Balamurali Ambati, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 360 S GARDEN WAY STE 250, Eugene, OR, 97401, with a listed phone of (541) 343-5000. NPI 1750397576 was issued on 08/01/2006.
Medicare Part D records for calendar year 2023 show 703 prescription claims written by this provider, covering 189 Medicare beneficiaries and totaling roughly $213K in drug spend, with an opioid prescribing rate of 1.6%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 96/100 for the 2023 performance year (Quality 100, Cost 86.6), 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
Provider Details
| NPI | 1750397576 |
|---|---|
| Specialty | Ophthalmology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 08/01/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
95.9793
Final Score
Avg: 83.1
100
Quality
86.5976
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Balamurali Ambati, MD 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.
Pacific Clear Vision Institute PC
Eugene, OR
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 Balamurali Ambati, MD. Source: openpaymentsdata.cms.gov.
Total received
$7.5K
Largest payer
Glaukos Corporation
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
703
Total Claims
$213K
Total Drug Cost
189
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,093
- Total Day Supply
- 29,421
- Generic Drug Cost
- $17K
- Opioid Claims
- 11 (1.6% rate)
- Antibiotic Claims
- 56
Patient Demographics
- Average Patient Age
- 74.5 years
- Avg HCC Risk Score
- 1.04
- Gender Split
- 62% female / 38% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Balamurali Ambati, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Latanoprost
Latanoprost
203 claims
- Prednisolone Acetate
Prednisolone Acetate
99 claims
- Timolol Maleate 62
Timolol Maleate
62 claims
- Doxycycline Hyclate 40
Doxycycline Hyclate
40 claims
- Ofloxacin 39
Ofloxacin
39 claims
- Pilocarpine Hcl 37
Pilocarpine Hcl
37 claims
- Brimonidine Tartrate 28
Brimonidine Tartrate
28 claims
- Acyclovir 21
Acyclovir
21 claims
| Drug | Claims |
|---|---|
| Latanoprost | 203 |
| Prednisolone Acetate | 99 |
| Timolol Maleate | 62 |
| Doxycycline Hyclate | 40 |
| Ofloxacin | 39 |
| Pilocarpine Hcl | 37 |
| Brimonidine Tartrate | 28 |
| Acyclovir | 21 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 17 |
| Dorzolamide Hcl | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Ophthalmology Physician Overview
How Balamurali Ambati, MD 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
Balamurali Ambati, MD's 703 claims are below the specialty average of 1,420.
Nearby Ophthalmology Physician Providers in Oregon
Other clinicians with the same primary specialty enrolled in Oregon, drawn from the same CMS NPPES roster as Ambati.
Dr. Aazy Aaby
MD
Portland, OR
Dr. Blake Acohido
M.D.
Portland, OR
Dr. Bart Adams
MD
Pendleton, OR
Dr. Christopher Aderman
M.D.
Troutdale, OR
Dr. Talal Alabduljalil
MD
Portland, OR
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 Oregon 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.
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Frequently Asked Questions
What is Balamurali Ambati, MD's specialty? ▼
Balamurali Ambati, MD specializes in Ophthalmology Physician and practices in Eugene, Oregon. Credentials: MD.
How much does Balamurali Ambati, MD prescribe under Medicare Part D? ▼
In 2023, Balamurali Ambati, MD wrote 703 Medicare Part D claims totaling $213K in drug costs for 189 beneficiaries.
What is Balamurali Ambati, MD's Medicare quality score? ▼
Balamurali Ambati, MD has a CMS MIPS Final Score of 96/100 (Quality: 100, Cost: 86.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Balamurali Ambati, MD located? ▼
Balamurali Ambati, MD is located at 360 S GARDEN WAY STE 250, Eugene, OR, 97401. Phone: (541) 343-5000.
What is Balamurali Ambati, MD's NPI number? ▼
Balamurali Ambati, MD's National Provider Identifier (NPI) is 1750397576, issued on 08/01/2006.
Does Balamurali Ambati, MD prescribe opioids? ▼
Yes, Balamurali Ambati, MD had 11 opioid claims in 2023 with an opioid prescribing rate of 1.6%.
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 Balamurali Ambati, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Balamurali Ambati, MD's most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Balamurali Ambati, MD accept Medicare? ▼
Balamurali Ambati, MD appears in CMS Medicare data with 703 Part D claims and 189 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Balamurali Ambati, MD's credentials? ▼
Balamurali Ambati, MD's NPI is 1750397576 with credentials MD. 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.