2026 NPPES data Optometrist NPI 1861048936 OD
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KRUPA PATEL, OD

Optometrist in LOVES PARK, Illinois. 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
1K
Medicare Part D claims · 293 beneficiaries · Optometrist avg: 257
Generic prescribing
65%
generic claims · 35% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.3909/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$22.59
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KRUPA PATEL, OD reported a CMS MIPS final score of 91.3909/100 — above the 83.1 national average — and filed 1,131 Medicare Part D claims in 2023.

91.3909/100
MIPS score · +8 vs avg
1K
Part D claims, 2023
65%
generic prescribing
$22.59
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.

KRUPA PATEL, OD's MIPS score vs every scored U.S. clinician

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

91 Top 37% higher than 63% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

What does the federal data show about KRUPA PATEL, OD?

High performer (top quartile)

NPI registry status

Active

Issued 08/14/2019

NPI 1861048936

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

1,131 340% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

91.3909/100 8.290900000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Optometrist compares to other specialties among Illinois providers

Illinois providers

Optometrist share within Illinois

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

Medicare quality performance — MIPS

KRUPA PATEL, OD's 2023 MIPS final score plotted against the Optometrist national average

High performer (top quartile)
MIPS Final Score
91.3909/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 91.3909/100 vs national avg 83.1

0%100%National avg83%91.4%
MIPS final score (Optometrist) — 91.3909/100 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).

KRUPA PATEL, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 4301 N MULFORD RD, LOVES PARK, IL, 61111, with a listed phone of (815) 227-0077. NPI 1861048936 was issued on 08/14/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PATEL 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 1,131 prescription claims written by this provider, covering 293 Medicare beneficiaries and totaling roughly $167K in drug spend, split 35% brand-name and 65% 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 91.3909/100 for the 2023 performance year (Quality 100, Cost 71.303), 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

4301 N MULFORD RD
LOVES PARK, IL 61111

Provider Details

NPI 1861048936
Specialty Optometrist
Credentials OD
Gender Female
NPI Issued 08/14/2019

CMS Quality Score (MIPS)

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

91.3909
Final Score
Avg: 83.1
100
Quality
71.303
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where KRUPA PATEL, 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.

ROCKFORD EYE AND LASER CENTER LTD
LOVES PARK, IL

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 KRUPA PATEL, OD. Source: openpaymentsdata.cms.gov.

Total received

$23

Largest payer

Astellas Pharma Global Development

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 — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to KRUPA PATEL, OD. To verify KRUPA PATEL, OD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

KRUPA PATEL, OD — brand share 35.0%
Specialty average (est.)

35% brand-name claims vs 65% generic, on 1,131 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.

1,131
Total Claims
$167K
Total Drug Cost
293
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,208
Total Day Supply
63,660
Brand vs Generic
35% brand / 65% generic
Brand Drug Cost
$154K
Generic Drug Cost
$14K

Patient Demographics

Average Patient Age
76.1 years
Avg HCC Risk Score
1.15
Gender Split
58% female / 42% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What KRUPA PATEL, OD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Latanoprost
457
Brimonidine Tartrate
112
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
109
Timolol Maleate
91
Prednisolone Acetate
52
Restasis
Cyclosporine
48
Dorzolamide Hcl
41
Erythromycin
Erythromycin Base
31
Moxifloxacin
Moxifloxacin Hcl
24
Xiidra
Lifitegrast
20

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

Optometrist Overview

How KRUPA PATEL, OD fits within the Optometrist landscape nationally.

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

KRUPA PATEL, OD's 1,131 claims are above the specialty average of 257.

Nearby Optometrist Providers in Illinois

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

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

Frequently Asked Questions

What is KRUPA PATEL, OD's specialty?
KRUPA PATEL, OD specializes in Optometrist and practices in LOVES PARK, Illinois. Credentials: OD.
How much does KRUPA PATEL, OD prescribe under Medicare Part D?
In 2023, KRUPA PATEL, OD wrote 1,131 Medicare Part D claims totaling $167K in drug costs for 293 beneficiaries.
What is KRUPA PATEL, OD's Medicare quality score?
KRUPA PATEL, OD has a CMS MIPS Final Score of 91.3909/100 (Quality: 100, Cost: 71.303). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KRUPA PATEL, OD located?
KRUPA PATEL, OD is located at 4301 N MULFORD RD, LOVES PARK, IL, 61111. Phone: (815) 227-0077.
What is KRUPA PATEL, OD's NPI number?
KRUPA PATEL, OD's National Provider Identifier (NPI) is 1861048936, issued on 08/14/2019.
Does KRUPA PATEL, OD prescribe more brand-name or generic drugs?
KRUPA PATEL, OD's prescribing is 35% brand-name and 65% generic drugs by claim count, with $154K 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 KRUPA PATEL, OD prescribe most often?
Based on 2023 Medicare Part D data, KRUPA PATEL, OD's most frequently prescribed drugs include Latanoprost, Brimonidine Tartrate, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KRUPA PATEL, OD accept Medicare?
KRUPA PATEL, OD appears in CMS Medicare data with 1,131 Part D claims and 293 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KRUPA PATEL, OD's credentials?
KRUPA PATEL, OD's NPI is 1861048936 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