2026 NPPES data Optometrist NPI 1265163919 OD
Verify on CMS →

CARTER BENSMAN, OD

Optometrist in SIDNEY, Ohio. 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
78
Medicare Part D claims · 42 beneficiaries · Optometrist avg: 257
Generic prescribing
47%
generic claims · 53% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.7K
22 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CARTER BENSMAN, OD is a Optometrist ([object Object]) practicing in SIDNEY, Ohio with a Medicare Part D prescribing footprint of 78 claims across 42 beneficiaries — 53% brand-name prescribing . Industry payments of $1.7K across 22 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CARTER BENSMAN, OD filed 78 Medicare Part D claims in 2023 across SIDNEY, Ohio. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

CARTER BENSMAN, OD at a glance

Quality data not reported

NPI registry status

Active

Issued 06/23/2022

NPI 1265163919

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

78 70% vs specialty avg

2023 prescription claims

Specialty avg: 257

Specialty distribution in Ohio

How Optometrist compares to other specialties among Ohio providers

Ohio providers

Optometrist share within Ohio

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

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).

CARTER BENSMAN, OD is a Optometrist provider practicing in SIDNEY, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: OD. NPI: 1265163919. 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.

CARTER BENSMAN, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 1086 FAIRINGTON DR, SIDNEY, OH, 45365, with a listed phone of (937) 492-9197. NPI 1265163919 was issued on 06/23/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BENSMAN 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 78 prescription claims written by this provider, covering 42 Medicare beneficiaries and totaling roughly $2K in drug spend, split 53% brand-name and 47% 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

1086 FAIRINGTON DR
SIDNEY, OH 45365

Provider Details

NPI 1265163919
Specialty Optometrist
Credentials OD
Gender Male
NPI Issued 06/23/2022

Hospital and facility affiliations

Facilities where CARTER BENSMAN, OD 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.

PRIMARY EYECARE ASSOCIATES INC
SIDNEY, OH

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 CARTER BENSMAN, OD. Source: openpaymentsdata.cms.gov.

Total received

$1.7K

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 — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to CARTER BENSMAN, OD. To verify CARTER BENSMAN, OD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

CARTER BENSMAN, OD — brand share 53.0%
Specialty average (est.)

53% brand-name claims vs 47% generic, on 78 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.

78
Total Claims
$2K
Total Drug Cost
42
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
124
Total Day Supply
3,187
Brand vs Generic
53% brand / 47% generic
Brand Drug Cost
$993
Generic Drug Cost
$621

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
0.95
Gender Split
57% female / 43% 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
Latanoprost
28
Prednisolone Acetate
15

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

Optometrist Overview

How CARTER BENSMAN, OD fits within the Optometrist landscape nationally.

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

CARTER BENSMAN, OD's 78 claims are below the specialty average of 257.

Nearby Optometrist Providers in Ohio

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

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

Frequently Asked Questions

What is CARTER BENSMAN, OD's specialty?
CARTER BENSMAN, OD specializes in Optometrist and practices in SIDNEY, Ohio. Credentials: OD.
How much does CARTER BENSMAN, OD prescribe under Medicare Part D?
In 2023, CARTER BENSMAN, OD wrote 78 Medicare Part D claims totaling $2K in drug costs for 42 beneficiaries.
Where is CARTER BENSMAN, OD located?
CARTER BENSMAN, OD is located at 1086 FAIRINGTON DR, SIDNEY, OH, 45365. Phone: (937) 492-9197.
What is CARTER BENSMAN, OD's NPI number?
CARTER BENSMAN, OD's National Provider Identifier (NPI) is 1265163919, issued on 06/23/2022.
Does CARTER BENSMAN, OD prescribe more brand-name or generic drugs?
CARTER BENSMAN, OD's prescribing is 53% brand-name and 47% generic drugs by claim count, with $993 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 CARTER BENSMAN, OD prescribe most often?
Based on 2023 Medicare Part D data, CARTER BENSMAN, OD's most frequently prescribed drugs include Latanoprost, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARTER BENSMAN, OD accept Medicare?
CARTER BENSMAN, OD appears in CMS Medicare data with 78 Part D claims and 42 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARTER BENSMAN, OD's credentials?
CARTER BENSMAN, OD's NPI is 1265163919 with credentials OD. 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