2026 NPPES data Optometrist NPI 1780753939 OD
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CHARLES KEFALAS, OD

Optometrist in CHICAGO, Illinois. 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
128
Medicare Part D claims · 31 beneficiaries · Optometrist avg: 257
Generic prescribing
43%
generic claims · 57% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

CHARLES KEFALAS, OD filed 128 Medicare Part D claims in 2023 as a Optometrist in CHICAGO, Illinois, prescribing 43% generic.

128
Part D claims, 2023
43%
generic prescribing

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.

CHARLES KEFALAS, OD's Medicare Part D volume vs every U.S. prescriber

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

128 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 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 CHARLES KEFALAS, OD?

Quality data not reported

NPI registry status

Active

Issued 11/06/2006

NPI 1780753939

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

128 50% vs specialty avg

2023 prescription claims

Specialty avg: 257

Specialty distribution in Illinois

How Optometrist compares to other specialties among Illinois providers

Illinois providers

Optometrist share within Illinois

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

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).

CHARLES KEFALAS, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 4256 W 63RD ST, CHICAGO, IL, 60629, with a listed phone of (773) 582-0660. NPI 1780753939 was issued on 11/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KEFALAS 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 128 prescription claims written by this provider, covering 31 Medicare beneficiaries and totaling roughly $15K in drug spend, split 57% brand-name and 43% 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

4256 W 63RD ST
CHICAGO, IL 60629

Provider Details

NPI 1780753939
Specialty Optometrist
Credentials OD
Gender Male
NPI Issued 11/06/2006

Hospital and facility affiliations

Facilities where CHARLES KEFALAS, 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.

CHARLES S KEFALAS ODPC
CHICAGO, IL

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 — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to CHARLES KEFALAS, OD. To verify CHARLES KEFALAS, OD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

CHARLES KEFALAS, OD — brand share 57.0%
Specialty average (est.)

57% brand-name claims vs 43% generic, on 128 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.

128
Total Claims
$15K
Total Drug Cost
31
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
232
Total Day Supply
6,504
Brand vs Generic
57% brand / 43% generic
Brand Drug Cost
$10K
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
1.12

Top Prescribed Drugs (Medicare Part D)

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

What CHARLES KEFALAS, OD 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
81
Lumigan
Bimatoprost
12
Travoprost
11

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

Optometrist Overview

How CHARLES KEFALAS, OD fits within the Optometrist landscape nationally.

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

CHARLES KEFALAS, OD's 128 claims are below the specialty average of 257.

Nearby Optometrist Providers in Illinois

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

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

Frequently Asked Questions

What is CHARLES KEFALAS, OD's specialty?
CHARLES KEFALAS, OD specializes in Optometrist and practices in CHICAGO, Illinois. Credentials: OD.
How much does CHARLES KEFALAS, OD prescribe under Medicare Part D?
In 2023, CHARLES KEFALAS, OD wrote 128 Medicare Part D claims totaling $15K in drug costs for 31 beneficiaries.
Where is CHARLES KEFALAS, OD located?
CHARLES KEFALAS, OD is located at 4256 W 63RD ST, CHICAGO, IL, 60629. Phone: (773) 582-0660.
What is CHARLES KEFALAS, OD's NPI number?
CHARLES KEFALAS, OD's National Provider Identifier (NPI) is 1780753939, issued on 11/06/2006.
Does CHARLES KEFALAS, OD prescribe more brand-name or generic drugs?
CHARLES KEFALAS, OD's prescribing is 57% brand-name and 43% generic drugs by claim count, with $10K 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 CHARLES KEFALAS, OD prescribe most often?
Based on 2023 Medicare Part D data, CHARLES KEFALAS, OD's most frequently prescribed drugs include Latanoprost, Lumigan, Travoprost. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CHARLES KEFALAS, OD accept Medicare?
CHARLES KEFALAS, OD appears in CMS Medicare data with 128 Part D claims and 31 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CHARLES KEFALAS, OD's credentials?
CHARLES KEFALAS, OD's NPI is 1780753939 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