2026 NPPES data Optometrist NPI 1205020864 O.D.
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CARLO FODOR, O.D.

Optometrist in SEBASTIAN, Florida. 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
672
Medicare Part D claims · 139 beneficiaries · Optometrist avg: 257
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$308.07
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CARLO FODOR, O.D. filed 672 Medicare Part D claims in 2023 as a Optometrist in SEBASTIAN, Florida, prescribing 76% generic.

672
Part D claims, 2023
76%
generic prescribing
$308.07
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.

CARLO FODOR, O.D.'s Medicare Part D volume vs every U.S. prescriber

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

672 Top 31% higher than 69% 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%). This entry sits in this band. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. 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

What does the federal data show about CARLO FODOR, O.D.?

Quality data not reported

NPI registry status

Active

Issued 08/28/2007

NPI 1205020864

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

672 161% vs specialty avg

2023 prescription claims

Specialty avg: 257

Specialty distribution in Florida

How Optometrist compares to other specialties among Florida providers

Florida providers

Optometrist share within Florida

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

Specialty board-certification context

Estimated specialty board-certified rate — Optometrist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Optometrist ABMS/AOA estimate

Est. board-certified rate (Optometrist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Optometrist) — ABMS / AOA estimate

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).

CARLO FODOR, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 1619 US HIGHWAY 1, SEBASTIAN, FL, 32958, with a listed phone of (772) 388-9330. NPI 1205020864 was issued on 08/28/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FODOR 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 672 prescription claims written by this provider, covering 139 Medicare beneficiaries and totaling roughly $48K in drug spend, split 24% brand-name and 76% 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.

Optometrist is a high-volume specialty nationwide, with 60,463 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

1619 US HIGHWAY 1
SEBASTIAN, FL 32958

Provider Details

NPI 1205020864
Specialty Optometrist
Credentials O.D.
Gender Male
NPI Issued 08/28/2007

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 CARLO FODOR, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$308

Largest payer

Bausch & Lomb Americas 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 — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to CARLO FODOR, O.D.. To verify CARLO FODOR, O.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

CARLO FODOR, O.D. — brand share 24.0%
Specialty average (est.)

24% brand-name claims vs 76% generic, on 672 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.

672
Total Claims
$48K
Total Drug Cost
139
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
974
Total Day Supply
25,956
Brand vs Generic
24% brand / 76% generic
Brand Drug Cost
$35K
Generic Drug Cost
$13K
Antibiotic Claims
19

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
1.39
Gender Split
63% female / 37% male
Age Distribution
<65: 22, 65-74: 71, 75-84: 33, 85+: 13

Top Prescribed Drugs (Medicare Part D)

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

What CARLO FODOR, O.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
360
Timolol Maleate
90
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
67
Restasis
Cyclosporine
21
Dorzolamide Hcl
19
Brimonidine Tartrate
16
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
14
Alrex
Loteprednol Etabonate
12
Azithromycin
12

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

Optometrist Overview

How CARLO FODOR, O.D. fits within the Optometrist landscape nationally.

60,463
Optometrist Providers in US
56
States with Optometrist
257
Avg Claims per Provider

CARLO FODOR, O.D.'s 672 claims are above the specialty average of 257.

Nearby Optometrist Providers in Florida

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

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

Frequently Asked Questions

What is CARLO FODOR, O.D.'s specialty?
CARLO FODOR, O.D. specializes in Optometrist and practices in SEBASTIAN, Florida. Credentials: O.D..
How much does CARLO FODOR, O.D. prescribe under Medicare Part D?
In 2023, CARLO FODOR, O.D. wrote 672 Medicare Part D claims totaling $48K in drug costs for 139 beneficiaries.
Where is CARLO FODOR, O.D. located?
CARLO FODOR, O.D. is located at 1619 US HIGHWAY 1, SEBASTIAN, FL, 32958. Phone: (772) 388-9330.
What is CARLO FODOR, O.D.'s NPI number?
CARLO FODOR, O.D.'s National Provider Identifier (NPI) is 1205020864, issued on 08/28/2007.
Does CARLO FODOR, O.D. prescribe more brand-name or generic drugs?
CARLO FODOR, O.D.'s prescribing is 24% brand-name and 76% generic drugs by claim count, with $35K in brand drug costs.
How many Optometrist providers are there in the US?
There are 60,463 Optometrist providers across 56 states in the US. The average Optometrist provider writes 257 Medicare Part D claims per year.
What drugs does CARLO FODOR, O.D. prescribe most often?
Based on 2023 Medicare Part D data, CARLO FODOR, O.D.'s most frequently prescribed drugs include Latanoprost, Timolol Maleate, Neomycin-Polymyxin-Dexameth. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARLO FODOR, O.D. accept Medicare?
CARLO FODOR, O.D. appears in CMS Medicare data with 672 Part D claims and 139 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARLO FODOR, O.D.'s credentials?
CARLO FODOR, O.D.'s NPI is 1205020864 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

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