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2026 NPPES data Ophthalmology Physician NPI 1811230766 M.D.
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Daniel Agarwal, M.D.

Ophthalmology Physician in San Luis Obispo, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 22,388 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
594
Medicare Part D claims · 165 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
63%
generic claims · 37% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
65.3/100
▼ 18 pts below national avg 83.5 · Mid-tier
Industry payments
$3.3K
23 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Daniel Agarwal, M.D. reported a CMS MIPS final score of 65.3/100 - below the 83.5 national average - and filed 594 Medicare Part D claims in 2024.

65.3/100
MIPS score · -18 vs avg
594
Part D claims, 2024
63%
generic prescribing
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.

Federal trust snapshot

What official records show about Daniel Agarwal, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1811230766), first enumerated 03/28/2013.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 594 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 65.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $3.3K in reported industry payments (23 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    California statewide board action statistics are published annually — these figures describe aggregate state activity, not Daniel Agarwal, M.D.'s individual license status. Verify directly with the state medical board.

    Source: MBC annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1811230766 · Ophthalmology Physician

NPI-10 · ENUM-MID · TAX-MID · MIPS-LOW · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1811230766
  • ENUM-MID 2013
  • TAX-MID 22K Ophthalmology Physician
  • MIPS-LOW 65.3/100
  • RX-LIGHT 594
  • BOOK-LIGHT 2,888 in California
  • PHOTO-FINISH Kevin Croft · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Daniel Agarwal, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

65 ≥ 7th percentile 7% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). This entry sits in this band. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Daniel Agarwal, M.D. sits

This provider among ophthalmology physician peers

Across the 8,767 ophthalmology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Daniel Agarwal, M.D. writes more Part D claims than 31% of them and scores higher on MIPS quality than 9% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 43Daniel Agarwal, M.D., Part D claim volume, percentile in specialty: 31 · MIPS quality, percentile: 9
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 Daniel Agarwal, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Daniel Agarwal, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Daniel Agarwal, M.D.?

Below national average

NPI registry status

Active

Issued 03/28/2013

NPI 1811230766

Primary specialty

Ophthalmology Physician

Mid-sized

22,388 US NPIs in this specialty

Medicare Part D claims

594 60% vs specialty avg

2024 prescription claims

Specialty avg: 1,490

MIPS final score

65.3/100 18.2 pts vs avg

Mid-tier band

vs 83.5 national avg

Specialty distribution in California

How Ophthalmology Physician compares to other specialties among California providers

California providers
Behavior Technician17.9%Marriage & Family Therapist5.4%Student in an Organized Heal…5.1%Mental Health Counselor3.7%Pharmacist3.4%Clinical Social Worker3.1%Ophthalmology Physician0.3%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Daniel Agarwal, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
65.3/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%65.3%
MIPS final score (Ophthalmology Physician) - 65.3/100 vs national avg 83.5
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).

Practice Address

689 TANK FARM RD
San Luis Obispo, CA 93401
(805) 781-3937

Provider Details

NPI 1811230766
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 03/28/2013

CMS Quality Score (MIPS)

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

65.3246
Final Score
Measured-score avg: 83.5
100
Quality
54.348
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Daniel Agarwal, 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.

Elite Eyecare Medical Group A Medical Corporation
Santa Maria, CA
San Luis Obispo Eye Associates, A Medical Group Inc.
San Luis Obispo, 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).

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 Daniel Agarwal, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$3.3K

Largest payer

Genentech USA, 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 - 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 Daniel Agarwal, M.D.. To verify Daniel Agarwal, 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

Daniel Agarwal, M.D. - brand share 37.0%
Ophthalmology Physician average

37% brand-name claims vs 63% generic, on 594 2024 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 2024.

594
Total Claims
$31K
Total Drug Cost
165
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
904.533
Total Day Supply
24,355
Brand vs Generic
37% brand / 63% generic
Brand Drug Cost
$16K
Generic Drug Cost
$14K

Patient Demographics

Average Patient Age
77.2 years
Avg HCC Risk Score
1.20
Gender Split
52% female / 48% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Daniel Agarwal, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Prednisolone Acetate
 124
Ketorolac Tromethamine
 80
Latanoprost
 55
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
53
Moxifloxacin
Moxifloxacin Hcl
50
Brimonidine Tartrate
 34
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
31
Difluprednate
 22
Atropine Sulfate
 21
Bromfenac Sodium
 13

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

More Ophthalmology Physician in CA → All providers in California → Compare specialties →

Ophthalmology Physician Overview

How Daniel Agarwal, M.D. fits within the Ophthalmology Physician landscape nationally.

22,388
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,490
Avg Claims per Provider

Daniel Agarwal, M.D.'s 594 claims are below the specialty average of 1,490.

Nationwide Ophthalmology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Agarwal, both outside California so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (65.3 here).

Kevin Croft 65.3 OK Seth Bricel 65.3 WA Dana Jungschaffer 65.3 WA Paul Kremer 65.3 WA

Same NPPES enumeration year (2013)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Alan Barlow Asheville, NC Franklin Freda Williamsburg, VA Adam Luka Cleveland, TN Ze Zhang New Orleans, LA

Nearby Ophthalmology Physician Providers in California

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

One of 2,888 Ophthalmology Physician providers enrolled in California, 5 are shown here.

Dr. Sam Abbassi
MD, MS
West Hills, CA
Dr. Richard Abbott
M.D.
San Francisco, CA
Dr. Nizar Abdelfattah
MD
Pasadena, CA
Dr. Parastou Abedi
MD
Aliso Viejo, CA
Dr. Shahla Abedi
MD
Aliso Viejo, CA

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Daniel Agarwal, M.D.'s specialty? ▼
Daniel Agarwal, M.D. specializes in Ophthalmology Physician and practices in San Luis Obispo, California. Credentials: M.D..
How much does Daniel Agarwal, M.D. prescribe under Medicare Part D? ▼
In 2024, Daniel Agarwal, M.D. wrote 594 Medicare Part D claims totaling $31K in drug costs for 165 beneficiaries.
What is Daniel Agarwal, M.D.'s Medicare quality score? ▼
Daniel Agarwal, M.D. has a CMS MIPS Final Score of 65.3/100 (Quality: 100, Cost: 54.3). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Daniel Agarwal, M.D. located? ▼
Daniel Agarwal, M.D. is located at 689 TANK FARM RD, San Luis Obispo, CA, 93401. Phone: (805) 781-3937.
What is Daniel Agarwal, M.D.'s NPI number? ▼
Daniel Agarwal, M.D.'s National Provider Identifier (NPI) is 1811230766, issued on 03/28/2013.
Does Daniel Agarwal, M.D. prescribe more brand-name or generic drugs? ▼
Daniel Agarwal, M.D.'s prescribing is 37% brand-name and 63% generic drugs by claim count, with $16K in brand drug costs.
How many Ophthalmology Physician providers are there in the US? ▼
There are 22,388 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,490 Medicare Part D claims per year.
What drugs does Daniel Agarwal, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Daniel Agarwal, M.D.'s most frequently prescribed drugs include Prednisolone Acetate, Ketorolac Tromethamine, Latanoprost. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Daniel Agarwal, M.D. accept Medicare? ▼
Daniel Agarwal, M.D. appears in CMS Medicare data with 594 Part D claims and 165 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Daniel Agarwal, M.D.'s credentials? ▼
Daniel Agarwal, M.D.'s NPI is 1811230766 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

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 (2024). 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 August 2026 (NPPES) / 2024 (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 editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.