NPI registry status
Active
2026 NPPES data Optometrist NPI 1619328606 OD
Verify on CMS → Jeff Banas, OD
Optometrist in Mount Pleasant, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 60,484 in Optometrist, 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
2K
Medicare Part D claims · 479 beneficiaries · Optometrist avg: 257
Generic prescribing
37%
generic claims · 63% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.2/100
▼ 5 pts below national avg 83.1 · Above neutral
Industry payments
$11.5K
80 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Jeff Banas, OD reported a CMS MIPS final score of 78.2/100 - below the 83.1 national average - and filed 1,752 Medicare Part D claims in 2023.
- 78.2/100
- MIPS score · -5 vs avg
- 2K
- Part D claims, 2023
- 37%
- generic prescribing
- $11.5K
- industry payments (Sunshine Act)
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.
Jeff Banas, OD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
78 27th percentile higher than 27% of 477,587 scored providers
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
Where Jeff Banas, OD sits
This provider among optometrist peers
Across the 6,527 optometrist providers who report both Medicare Part D prescribing and a MIPS quality score, Jeff Banas, OD writes more Part D claims than 95% of them and scores higher on MIPS quality than 33% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one optometrist peer from a representative sample of 60; the gold marker is Jeff Banas, OD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Jeff Banas, OD?
Near national averagePrimary specialty
Optometrist
Medicare Part D claims
1,752 7× vs specialty avg
MIPS final score
78.2/100 4.9 pts vs avg
Specialty distribution in Wisconsin
How Optometrist compares to other specialties among Wisconsin providers
Medicare quality performance, MIPS
Jeff Banas, OD's 2023 MIPS final score plotted against the Optometrist national average
- MIPS Final Score
- 78.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Optometrist) - 78.2/100 vs national avg 83.1
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).
Jeff Banas, OD appears in the CMS NPPES registry as an Optometrist provider holding OD credentials at 3805B SPRING ST STE 140, Mount Pleasant, WI, 53405, with a listed phone of (262) 637-0500. NPI 1619328606 was issued on 06/30/2016.
Medicare Part D records for calendar year 2023 show 1,752 prescription claims written by this provider, covering 479 Medicare beneficiaries and totaling roughly $1.0 million in drug spend, split 63% brand-name and 37% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 78.2/100 for the 2023 performance year (Quality 100, Cost 27.2), compared with the national average of 83.1.
Optometrist is a high-volume specialty nationwide, with 60,484 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
Provider Details
| NPI | 1619328606 |
|---|---|
| Specialty | Optometrist |
| Credentials | OD |
| Gender | Male |
| NPI Issued | 06/30/2016 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
78.1516
Final Score
Avg: 83.1
100
Quality
27.172
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Jeff Banas, 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.
Eye Centers OF Racine And Kenosha Ltd
Mount Pleasant, WI
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 Jeff Banas, OD. Source: openpaymentsdata.cms.gov.
Total received
$11.5K
Largest payer
Nordic Pharma, 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 · Brand-heavy
Jeff Banas, OD - brand share 63.0%
Optometrist average
63% brand-name claims vs 37% generic, on 1,752 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.
1,752
Total Claims
$1.0M
Total Drug Cost
479
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,608
- Total Day Supply
- 72,757
- Brand vs Generic
- 63% brand / 37% generic
- Brand Drug Cost
- $966K
- Generic Drug Cost
- $48K
- Antibiotic Claims
- 44
Patient Demographics
- Average Patient Age
- 74.0 years
- Avg HCC Risk Score
- 1.53
- Gender Split
- 62% female / 38% male
- Age Distribution
- <65: 50, 65-74: 206, 75-84: 163, 85+: 60
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Jeff Banas, OD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Restasis
Restasis
197 claims
- Combigan
Combigan
140 claims
- Lumigan
Lumigan
134 claims
- Prednisolone Acetate
Prednisolone Acetate
113 claims
- Dorzolamide-Timolol
Dorzolamide-Timolol
89 claims
- Brimonidine Tartra…
Brimonidine Tartrate-Timolol
87 claims
- Latanoprost 70
Latanoprost
70 claims
- Simbrinza 70
Simbrinza
70 claims
| Drug | Claims |
|---|---|
| Restasis Cyclosporine | 197 |
| Combigan Brimonidine Tartrate/Timolol | 140 |
| Lumigan Bimatoprost | 134 |
| Prednisolone Acetate | 113 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 89 |
| Brimonidine Tartrate-Timolol Brimonidine Tartrate/Timolol | 87 |
| Latanoprost | 70 |
| Simbrinza Brinzolamide/Brimonidine Tart | 70 |
| Timolol Maleate | 69 |
| Bromfenac Sodium | 65 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Optometrist Overview
How Jeff Banas, OD fits within the Optometrist landscape nationally.
60,484
Optometrist Providers in US
56
States with Optometrist
257
Avg Claims per Provider
Jeff Banas, OD's 1,752 claims are above the specialty average of 257.
Nearby Optometrist Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Banas.
Dr. Katie Abata
O.D.
Appleton, WI
Dr. Brianna Adams
OD
Stoughton, WI
Dr. Gerald Adams
OD
Westby, WI
James Adams
Portage, WI
Dr. Lawrence Addison
O.D.
Weston, WI
Compare Optometrist nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Wisconsin medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Optometrist peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Jeff Banas, OD's specialty? ▼
Jeff Banas, OD specializes in Optometrist and practices in Mount Pleasant, Wisconsin. Credentials: OD.
How much does Jeff Banas, OD prescribe under Medicare Part D? ▼
In 2023, Jeff Banas, OD wrote 1,752 Medicare Part D claims totaling $1.0M in drug costs for 479 beneficiaries.
What is Jeff Banas, OD's Medicare quality score? ▼
Jeff Banas, OD has a CMS MIPS Final Score of 78.2/100 (Quality: 100, Cost: 27.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jeff Banas, OD located? ▼
Jeff Banas, OD is located at 3805B SPRING ST STE 140, Mount Pleasant, WI, 53405. Phone: (262) 637-0500.
What is Jeff Banas, OD's NPI number? ▼
Jeff Banas, OD's National Provider Identifier (NPI) is 1619328606, issued on 06/30/2016.
Does Jeff Banas, OD prescribe more brand-name or generic drugs? ▼
Jeff Banas, OD's prescribing is 63% brand-name and 37% generic drugs by claim count, with $966K in brand drug costs.
How many Optometrist providers are there in the US? ▼
There are 60,484 Optometrist providers across 56 states in the US. The average Optometrist provider writes 257 Medicare Part D claims per year.
What drugs does Jeff Banas, OD prescribe most often? ▼
Based on 2023 Medicare Part D data, Jeff Banas, OD's most frequently prescribed drugs include Restasis, Combigan, Lumigan. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jeff Banas, OD accept Medicare? ▼
Jeff Banas, OD appears in CMS Medicare data with 1,752 Part D claims and 479 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jeff Banas, OD's credentials? ▼
Jeff Banas, OD's NPI is 1619328606 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
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 (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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.