2026 NPPES data Corneal and Contact Management Optometrist NPI 1477531317 O.D.
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MARGUERITE BALL-THOMAS, O.D.

Corneal and Contact Management Optometrist in WINTER PARK, Florida. 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
334
Medicare Part D claims · 97 beneficiaries · Corneal and Contact Management Optometrist avg: 235
Generic prescribing
54%
generic claims · 46% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$3.1K
27 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MARGUERITE BALL-THOMAS, O.D. is a Corneal and Contact Management Optometrist ([object Object]) practicing in WINTER PARK, Florida with a Medicare Part D prescribing footprint of 334 claims across 97 beneficiaries — 46% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $3.1K across 27 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MARGUERITE BALL-THOMAS, O.D. reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 334 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

MARGUERITE BALL-THOMAS, O.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 12/31/2005

NPI 1477531317

Primary specialty

Corneal and Contact Management Optometrist

Niche

1,549 US NPIs in this specialty

Medicare Part D claims

334 42% vs specialty avg

2023 prescription claims

Specialty avg: 235

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Corneal and Contact Management Optometrist compares to other specialties among Florida providers

Florida providers

Corneal and Contact Management Optometrist share within Florida

1. Corneal and Contact Management Optometrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Corneal and Contact Management Optometrist share within Florida

Medicare quality performance — MIPS

MARGUERITE BALL-THOMAS, O.D.'s 2023 MIPS final score plotted against the Corneal and Contact Management Optometrist national average

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

MIPS final score (Corneal and Contact Management Optometrist) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Corneal and Contact Management Optometrist) — 100/100 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).

MARGUERITE BALL-THOMAS, O.D. is a Corneal and Contact Management Optometrist provider practicing in WINTER PARK, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O.D.. NPI: 1477531317. 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.

MARGUERITE BALL-THOMAS, O.D. appears in the CMS NPPES registry as a Corneal and Contact Management Optometrist provider holding O.D. credentials at 1935 STATE ROAD 436, WINTER PARK, FL, 32792, with a listed phone of (407) 671-0960. NPI 1477531317 was issued on 12/31/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALL-THOMAS 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 334 prescription claims written by this provider, covering 97 Medicare beneficiaries and totaling roughly $88K in drug spend, split 46% brand-name and 54% 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 100/100 for the 2023 performance year (Quality 100), compared with the national average of 83.1.

Corneal and Contact Management Optometrist is a narrow specialty nationwide, with 1,549 enrolled providers across 52 states and an average of 235 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

1935 STATE ROAD 436
WINTER PARK, FL 32792

Provider Details

NPI 1477531317
Specialty Corneal and Contact Management Optometrist
Credentials O.D.
Gender Female
NPI Issued 12/31/2005

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARGUERITE BALL-THOMAS, 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.

JAMES A PODSCHUN OD PA
WINTER PARK, FL

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 MARGUERITE BALL-THOMAS, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$3.1K

Largest payer

Lumenis BE 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 — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to MARGUERITE BALL-THOMAS, O.D.. To verify MARGUERITE BALL-THOMAS, O.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

MARGUERITE BALL-THOMAS, O.D. — brand share 46.0%
Specialty average (est.)

46% brand-name claims vs 54% generic, on 334 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.

334
Total Claims
$88K
Total Drug Cost
97
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
558
Total Day Supply
15,426
Brand vs Generic
46% brand / 54% generic
Brand Drug Cost
$84K
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
74.6 years
Avg HCC Risk Score
1.01
Gender Split
66% female / 34% 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
116
Restasis
Cyclosporine
44
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
35
Rocklatan
Netarsudil Mesylat/Latanoprost
33
Brimonidine Tartrate
24
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
24
Timolol Maleate
18

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

Corneal and Contact Management Optometrist Overview

How MARGUERITE BALL-THOMAS, O.D. fits within the Corneal and Contact Management Optometrist landscape nationally.

1,549
Corneal and Contact Management Optometrist Providers in US
52
States with Corneal and Contact Management Optometrist
235
Avg Claims per Provider

MARGUERITE BALL-THOMAS, O.D.'s 334 claims are above the specialty average of 235.

Nearby Corneal and Contact Management Optometrist Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as BALL-THOMAS.

Compare Corneal and Contact Management Optometrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARGUERITE BALL-THOMAS, O.D.'s specialty?
MARGUERITE BALL-THOMAS, O.D. specializes in Corneal and Contact Management Optometrist and practices in WINTER PARK, Florida. Credentials: O.D..
How much does MARGUERITE BALL-THOMAS, O.D. prescribe under Medicare Part D?
In 2023, MARGUERITE BALL-THOMAS, O.D. wrote 334 Medicare Part D claims totaling $88K in drug costs for 97 beneficiaries.
What is MARGUERITE BALL-THOMAS, O.D.'s Medicare quality score?
MARGUERITE BALL-THOMAS, O.D. has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARGUERITE BALL-THOMAS, O.D. located?
MARGUERITE BALL-THOMAS, O.D. is located at 1935 STATE ROAD 436, WINTER PARK, FL, 32792. Phone: (407) 671-0960.
What is MARGUERITE BALL-THOMAS, O.D.'s NPI number?
MARGUERITE BALL-THOMAS, O.D.'s National Provider Identifier (NPI) is 1477531317, issued on 12/31/2005.
Does MARGUERITE BALL-THOMAS, O.D. prescribe more brand-name or generic drugs?
MARGUERITE BALL-THOMAS, O.D.'s prescribing is 46% brand-name and 54% generic drugs by claim count, with $84K in brand drug costs.
How many Corneal and Contact Management Optometrist providers are there in the US?
There are 1,549 Corneal and Contact Management Optometrist providers across 52 states in the US. The average Corneal and Contact Management Optometrist provider writes 235 Medicare Part D claims per year.
What drugs does MARGUERITE BALL-THOMAS, O.D. prescribe most often?
Based on 2023 Medicare Part D data, MARGUERITE BALL-THOMAS, O.D.'s most frequently prescribed drugs include Latanoprost, Restasis, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARGUERITE BALL-THOMAS, O.D. accept Medicare?
MARGUERITE BALL-THOMAS, O.D. appears in CMS Medicare data with 334 Part D claims and 97 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARGUERITE BALL-THOMAS, O.D.'s credentials?
MARGUERITE BALL-THOMAS, O.D.'s NPI is 1477531317 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.
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