2026 NPPES data Ophthalmology Physician NPI 1811204894 MD
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HARPAL SANDHU, MD

Ophthalmology Physician in PORTLAND, Oregon. 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
459
Medicare Part D claims · 161 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
64%
generic claims · 36% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.8757/100
▼ 3 pts below national avg 83.1 · [object Object]
Industry payments
$220.45
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

HARPAL SANDHU, MD reported a CMS MIPS final score of 79.8757/100 — below the 83.1 national average — and filed 459 Medicare Part D claims in 2023.

79.8757/100
MIPS score · -3 vs avg
459
Part D claims, 2023
64%
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.

HARPAL SANDHU, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

80 30th percentile higher than 30% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

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

Board certification likely (heuristic — not verified)

HARPAL SANDHU, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 HARPAL SANDHU, MD?

Near national average

NPI registry status

Active

Issued 09/11/2010

NPI 1811204894

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

459 68% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

79.8757/100 3.2242999999999995% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Oregon

How Ophthalmology Physician compares to other specialties among Oregon providers

Oregon providers

Ophthalmology Physician share within Oregon

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Oregon

Medicare quality performance — MIPS

HARPAL SANDHU, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

Near national average
MIPS Final Score
79.8757/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 79.8757/100 vs national avg 83.1

0%100%National avg83%79.9%
MIPS final score (Ophthalmology Physician) — 79.8757/100 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).

HARPAL SANDHU, MD is a Ophthalmology Physician provider practicing in PORTLAND, Oregon, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1811204894. 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.

HARPAL SANDHU, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 5440 SW WESTGATE DR STE 217, PORTLAND, OR, 97221, with a listed phone of (503) 274-2121. NPI 1811204894 was issued on 09/11/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SANDHU 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 459 prescription claims written by this provider, covering 161 Medicare beneficiaries and totaling roughly $20K in drug spend, split 36% brand-name and 64% 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 79.8757/100 for the 2023 performance year (Quality 100, Cost 32.919), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

5440 SW WESTGATE DR STE 217
PORTLAND, OR 97221

Provider Details

NPI 1811204894
Specialty Ophthalmology Physician
Credentials MD
Gender Male
NPI Issued 09/11/2010

CMS Quality Score (MIPS)

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

79.8757
Final Score
Avg: 83.1
100
Quality
32.919
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where HARPAL SANDHU, MD 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.

RETINA NORTHWEST PC
VANCOUVER, WA

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 HARPAL SANDHU, MD. Source: openpaymentsdata.cms.gov.

Total received

$220

Largest payer

Regeneron Pharmaceuticals, 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.

Brand vs generic prescribing mix · Above average

HARPAL SANDHU, MD — brand share 36.0%
Specialty average (est.)

36% brand-name claims vs 64% generic, on 459 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.

459
Total Claims
$20K
Total Drug Cost
161
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
674
Total Day Supply
17,435
Brand vs Generic
36% brand / 64% generic
Brand Drug Cost
$10K
Generic Drug Cost
$10K

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
1.51
Gender Split
59% female / 41% 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
Prednisolone Acetate
127
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
38
Prednisone
30
Ketorolac Tromethamine
29
Moxifloxacin
Moxifloxacin Hcl
27
Latanoprost
23
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
21
Diclofenac Sodium
20
Atropine Sulfate
18
Timolol Maleate
14

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

Ophthalmology Physician Overview

How HARPAL SANDHU, MD fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

HARPAL SANDHU, MD's 459 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Oregon

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

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

Frequently Asked Questions

What is HARPAL SANDHU, MD's specialty?
HARPAL SANDHU, MD specializes in Ophthalmology Physician and practices in PORTLAND, Oregon. Credentials: MD.
How much does HARPAL SANDHU, MD prescribe under Medicare Part D?
In 2023, HARPAL SANDHU, MD wrote 459 Medicare Part D claims totaling $20K in drug costs for 161 beneficiaries.
What is HARPAL SANDHU, MD's Medicare quality score?
HARPAL SANDHU, MD has a CMS MIPS Final Score of 79.8757/100 (Quality: 100, Cost: 32.919). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HARPAL SANDHU, MD located?
HARPAL SANDHU, MD is located at 5440 SW WESTGATE DR STE 217, PORTLAND, OR, 97221. Phone: (503) 274-2121.
What is HARPAL SANDHU, MD's NPI number?
HARPAL SANDHU, MD's National Provider Identifier (NPI) is 1811204894, issued on 09/11/2010.
Does HARPAL SANDHU, MD prescribe more brand-name or generic drugs?
HARPAL SANDHU, MD's prescribing is 36% brand-name and 64% generic drugs by claim count, with $10K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does HARPAL SANDHU, MD prescribe most often?
Based on 2023 Medicare Part D data, HARPAL SANDHU, MD's most frequently prescribed drugs include Prednisolone Acetate, Dorzolamide-Timolol, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HARPAL SANDHU, MD accept Medicare?
HARPAL SANDHU, MD appears in CMS Medicare data with 459 Part D claims and 161 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HARPAL SANDHU, MD's credentials?
HARPAL SANDHU, MD's NPI is 1811204894 with credentials MD. 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