2026 NPPES data Optometrist NPI 1235615899 OD
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ELIZABETH BAYLOR, OD

Optometrist in VIRGINIA BEACH, Virginia. 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
167
Medicare Part D claims · 34 beneficiaries · Optometrist avg: 257
Generic prescribing
66%
generic claims · 34% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.9064/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$78.16
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ELIZABETH BAYLOR, OD is a Optometrist ([object Object]) practicing in VIRGINIA BEACH, Virginia with a Medicare Part D prescribing footprint of 167 claims across 34 beneficiaries — 34% brand-name prescribing . Their CMS MIPS Final Score of 75.9064/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $78.16 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ELIZABETH BAYLOR, OD reported a CMS MIPS final score of 75.9064 out of 100, below the 83.1 national average, and filed 167 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ELIZABETH BAYLOR, OD at a glance

Below national average

NPI registry status

Active

Issued 07/17/2018

NPI 1235615899

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

167 35% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

75.9064/100 7.193599999999989% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Optometrist compares to other specialties among Virginia providers

Virginia providers

Optometrist share within Virginia

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

Medicare quality performance — MIPS

ELIZABETH BAYLOR, OD's 2023 MIPS final score plotted against the Optometrist national average

Below national average
MIPS Final Score
75.9064/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 75.9064/100 vs national avg 83.1

0%100%National avg83%75.9%
MIPS final score (Optometrist) — 75.9064/100 vs national avg 83.1

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).

ELIZABETH BAYLOR, OD is a Optometrist provider practicing in VIRGINIA BEACH, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: OD. NPI: 1235615899. 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.

ELIZABETH BAYLOR, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 345 EDWIN DR, VIRGINIA BEACH, VA, 23462, with a listed phone of (757) 497-5555. NPI 1235615899 was issued on 07/17/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAYLOR 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 167 prescription claims written by this provider, covering 34 Medicare beneficiaries and totaling roughly $24K in drug spend, split 34% brand-name and 66% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75.9064/100 for the 2023 performance year (Quality 100, Cost 19.688), compared with the national average of 83.1.

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

345 EDWIN DR
VIRGINIA BEACH, VA 23462

Provider Details

NPI 1235615899
Specialty Optometrist
Credentials OD
Gender Female
NPI Issued 07/17/2018

CMS Quality Score (MIPS)

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

75.9064
Final Score
Avg: 83.1
100
Quality
19.688
Cost

Reporting: Group practice

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 ELIZABETH BAYLOR, OD. Source: openpaymentsdata.cms.gov.

Total received

$78

Largest payer

Alcon Vision LLC

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.

Brand vs generic prescribing mix · Above average

ELIZABETH BAYLOR, OD — brand share 34.0%
Specialty average (est.)

34% brand-name claims vs 66% generic, on 167 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.

167
Total Claims
$24K
Total Drug Cost
34
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
222
Total Day Supply
5,772
Brand vs Generic
34% brand / 66% generic
Brand Drug Cost
$21K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
73.7 years
Avg HCC Risk Score
1.32

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
85
Travoprost
15

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

Optometrist Overview

How ELIZABETH BAYLOR, OD fits within the Optometrist landscape nationally.

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

ELIZABETH BAYLOR, OD's 167 claims are below the specialty average of 257.

Nearby Optometrist Providers in Virginia

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

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

Frequently Asked Questions

What is ELIZABETH BAYLOR, OD's specialty?
ELIZABETH BAYLOR, OD specializes in Optometrist and practices in VIRGINIA BEACH, Virginia. Credentials: OD.
How much does ELIZABETH BAYLOR, OD prescribe under Medicare Part D?
In 2023, ELIZABETH BAYLOR, OD wrote 167 Medicare Part D claims totaling $24K in drug costs for 34 beneficiaries.
What is ELIZABETH BAYLOR, OD's Medicare quality score?
ELIZABETH BAYLOR, OD has a CMS MIPS Final Score of 75.9064/100 (Quality: 100, Cost: 19.688). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ELIZABETH BAYLOR, OD located?
ELIZABETH BAYLOR, OD is located at 345 EDWIN DR, VIRGINIA BEACH, VA, 23462. Phone: (757) 497-5555.
What is ELIZABETH BAYLOR, OD's NPI number?
ELIZABETH BAYLOR, OD's National Provider Identifier (NPI) is 1235615899, issued on 07/17/2018.
Does ELIZABETH BAYLOR, OD prescribe more brand-name or generic drugs?
ELIZABETH BAYLOR, OD's prescribing is 34% brand-name and 66% generic drugs by claim count, with $21K 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 ELIZABETH BAYLOR, OD prescribe most often?
Based on 2023 Medicare Part D data, ELIZABETH BAYLOR, OD's most frequently prescribed drugs include Latanoprost, Travoprost. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ELIZABETH BAYLOR, OD accept Medicare?
ELIZABETH BAYLOR, OD appears in CMS Medicare data with 167 Part D claims and 34 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ELIZABETH BAYLOR, OD's credentials?
ELIZABETH BAYLOR, OD's NPI is 1235615899 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.
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