2026 NPPES data Ophthalmology Physician NPI 1699768911 M.D.
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MAQBOOL AHMAD, M.D.

Ophthalmology Physician in MARION, 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
283
Medicare Part D claims · 73 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
57%
generic claims · 43% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.1212/100
▼ 2 pts below national avg 83.1 · [object Object]
What the federal data reveals: MAQBOOL AHMAD, M.D. is a Ophthalmology Physician ([object Object]) practicing in MARION, Illinois with a Medicare Part D prescribing footprint of 283 claims across 73 beneficiaries — 43% brand-name prescribing . Their CMS MIPS Final Score of 81.1212/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: MAQBOOL AHMAD, M.D. reported a CMS MIPS final score of 81.1212 out of 100, below the 83.1 national average, and filed 283 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MAQBOOL AHMAD, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MAQBOOL AHMAD, M.D. at a glance

Near national average

NPI registry status

Active

Issued 08/23/2005

NPI 1699768911

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

283 80% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

81.1212/100 1.9787999999999926% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Ophthalmology Physician compares to other specialties among Illinois providers

Illinois providers

Ophthalmology Physician share within Illinois

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

Medicare quality performance — MIPS

MAQBOOL AHMAD, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

Near national average
MIPS Final Score
81.1212/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 81.1212/100 vs national avg 83.1

0%100%National avg83%81.1%
MIPS final score (Ophthalmology Physician) — 81.1212/100 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).

MAQBOOL AHMAD, M.D. is a Ophthalmology Physician provider practicing in MARION, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1699768911. 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.

MAQBOOL AHMAD, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 1200 W DEYOUNG ST, MARION, IL, 62959, with a listed phone of (608) 993-5686. NPI 1699768911 was issued on 08/23/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AHMAD 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 283 prescription claims written by this provider, covering 73 Medicare beneficiaries and totaling roughly $18K in drug spend, split 43% brand-name and 57% 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 81.1212/100 for the 2023 performance year (Quality 100, Cost 20.404), 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

1200 W DEYOUNG ST
MARION, IL 62959

Provider Details

NPI 1699768911
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 08/23/2005

CMS Quality Score (MIPS)

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

81.1212
Final Score
Avg: 83.1
100
Quality
20.404
Cost

Reporting: Group practice

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 MAQBOOL AHMAD, M.D.. To verify MAQBOOL AHMAD, M.D.'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

MAQBOOL AHMAD, M.D. — brand share 43.0%
Specialty average (est.)

43% brand-name claims vs 57% generic, on 283 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.

283
Total Claims
$18K
Total Drug Cost
73
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
357
Total Day Supply
9,708
Brand vs Generic
43% brand / 57% generic
Brand Drug Cost
$14K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
1.82
Gender Split
48% female / 52% 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
Latanoprost
73
Prednisolone Acetate
44
Ketorolac Tromethamine
41
Ciprofloxacin Hcl
33
Combigan
Brimonidine Tartrate/Timolol
22
Timolol Maleate
17

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

Ophthalmology Physician Overview

How MAQBOOL AHMAD, M.D. 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

MAQBOOL AHMAD, M.D.'s 283 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Illinois

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

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

Frequently Asked Questions

What is MAQBOOL AHMAD, M.D.'s specialty?
MAQBOOL AHMAD, M.D. specializes in Ophthalmology Physician and practices in MARION, Illinois. Credentials: M.D..
How much does MAQBOOL AHMAD, M.D. prescribe under Medicare Part D?
In 2023, MAQBOOL AHMAD, M.D. wrote 283 Medicare Part D claims totaling $18K in drug costs for 73 beneficiaries.
What is MAQBOOL AHMAD, M.D.'s Medicare quality score?
MAQBOOL AHMAD, M.D. has a CMS MIPS Final Score of 81.1212/100 (Quality: 100, Cost: 20.404). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MAQBOOL AHMAD, M.D. located?
MAQBOOL AHMAD, M.D. is located at 1200 W DEYOUNG ST, MARION, IL, 62959. Phone: (608) 993-5686.
What is MAQBOOL AHMAD, M.D.'s NPI number?
MAQBOOL AHMAD, M.D.'s National Provider Identifier (NPI) is 1699768911, issued on 08/23/2005.
Does MAQBOOL AHMAD, M.D. prescribe more brand-name or generic drugs?
MAQBOOL AHMAD, M.D.'s prescribing is 43% brand-name and 57% generic drugs by claim count, with $14K 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 MAQBOOL AHMAD, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MAQBOOL AHMAD, M.D.'s most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Ketorolac Tromethamine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MAQBOOL AHMAD, M.D. accept Medicare?
MAQBOOL AHMAD, M.D. appears in CMS Medicare data with 283 Part D claims and 73 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MAQBOOL AHMAD, M.D.'s credentials?
MAQBOOL AHMAD, M.D.'s NPI is 1699768911 with credentials M.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.
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