2026 NPPES data Optometrist NPI 1790948420 O.D.
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KRISTEN BANEK, O.D.

Optometrist in BRIGHTON, Massachusetts. 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
60
Medicare Part D claims · 29 beneficiaries · Optometrist avg: 257
Generic prescribing
60%
generic claims · 40% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$270.8
8 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KRISTEN BANEK, O.D. is a Optometrist ([object Object]) practicing in BRIGHTON, Massachusetts with a Medicare Part D prescribing footprint of 60 claims across 29 beneficiaries — 40% brand-name prescribing . Industry payments of $270.8 across 8 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KRISTEN BANEK, O.D. filed 60 Medicare Part D claims in 2023 across BRIGHTON, Massachusetts. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

KRISTEN BANEK, O.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 07/02/2008

NPI 1790948420

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

60 77% vs specialty avg

2023 prescription claims

Specialty avg: 257

Specialty distribution in Massachusetts

How Optometrist compares to other specialties among Massachusetts providers

Massachusetts providers

Optometrist share within Massachusetts

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

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).

KRISTEN BANEK, O.D. is a Optometrist provider practicing in BRIGHTON, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O.D.. NPI: 1790948420. 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.

KRISTEN BANEK, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 372 WASHINGTON ST, BRIGHTON, MA, 02135, with a listed phone of (617) 782-6650. NPI 1790948420 was issued on 07/02/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BANEK 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 60 prescription claims written by this provider, covering 29 Medicare beneficiaries and totaling roughly $6K in drug spend, split 40% brand-name and 60% 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

372 WASHINGTON ST
BRIGHTON, MA 02135

Provider Details

NPI 1790948420
Specialty Optometrist
Credentials O.D.
Gender Female
NPI Issued 07/02/2008

Hospital and facility affiliations

Facilities where KRISTEN BANEK, O.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.

GAYLORD EYE CARE CENTER INC
GAYLORD, MI

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 KRISTEN BANEK, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$271

Largest payer

CooperVision 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 — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to KRISTEN BANEK, O.D.. To verify KRISTEN BANEK, O.D.'s current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

KRISTEN BANEK, O.D. — brand share 40.0%
Specialty average (est.)

40% brand-name claims vs 60% generic, on 60 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.

60
Total Claims
$6K
Total Drug Cost
29
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
79
Total Day Supply
1,950
Brand vs Generic
40% brand / 60% generic
Brand Drug Cost
$5K
Generic Drug Cost
$705

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
0.82

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
22

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

Optometrist Overview

How KRISTEN BANEK, O.D. fits within the Optometrist landscape nationally.

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

KRISTEN BANEK, O.D.'s 60 claims are below the specialty average of 257.

Nearby Optometrist Providers in Massachusetts

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

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

Frequently Asked Questions

What is KRISTEN BANEK, O.D.'s specialty?
KRISTEN BANEK, O.D. specializes in Optometrist and practices in BRIGHTON, Massachusetts. Credentials: O.D..
How much does KRISTEN BANEK, O.D. prescribe under Medicare Part D?
In 2023, KRISTEN BANEK, O.D. wrote 60 Medicare Part D claims totaling $6K in drug costs for 29 beneficiaries.
Where is KRISTEN BANEK, O.D. located?
KRISTEN BANEK, O.D. is located at 372 WASHINGTON ST, BRIGHTON, MA, 02135. Phone: (617) 782-6650.
What is KRISTEN BANEK, O.D.'s NPI number?
KRISTEN BANEK, O.D.'s National Provider Identifier (NPI) is 1790948420, issued on 07/02/2008.
Does KRISTEN BANEK, O.D. prescribe more brand-name or generic drugs?
KRISTEN BANEK, O.D.'s prescribing is 40% brand-name and 60% generic drugs by claim count, with $5K 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 KRISTEN BANEK, O.D. prescribe most often?
Based on 2023 Medicare Part D data, KRISTEN BANEK, O.D.'s most frequently prescribed drugs include Latanoprost. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KRISTEN BANEK, O.D. accept Medicare?
KRISTEN BANEK, O.D. appears in CMS Medicare data with 60 Part D claims and 29 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KRISTEN BANEK, O.D.'s credentials?
KRISTEN BANEK, O.D.'s NPI is 1790948420 with credentials O.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

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