2026 NPPES data Glaucoma Specialist (Ophthalmology) Physician NPI 1154398782 MD
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MARGUERITE BILLBROUGH, MD

Glaucoma Specialist (Ophthalmology) Physician in MEDIA, Pennsylvania. 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 · 376 beneficiaries · Glaucoma Specialist (Ophthalmology) Physician avg: 3K
Generic prescribing
36%
generic claims · 64% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.2255/100
▼ 10 pts below national avg 83.1 · [object Object]
Industry payments
$174.66
8 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MARGUERITE BILLBROUGH, MD reported a CMS MIPS final score of 73.2255/100 — below the 83.1 national average — and filed 1,266 Medicare Part D claims in 2023.

73.2255/100
MIPS score · -10 vs avg
1K
Part D claims, 2023
36%
generic prescribing
Likely
board-certified (heuristic)

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.

MARGUERITE BILLBROUGH, MD's MIPS score vs every scored U.S. clinician

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

73 11th percentile higher than 11% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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

Board certification likely (heuristic — not verified)

MARGUERITE BILLBROUGH, MD 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).

What does the federal data show about MARGUERITE BILLBROUGH, MD?

Below national average

NPI registry status

Active

Issued 03/02/2006

NPI 1154398782

Primary specialty

Glaucoma Specialist (Ophthalmology) Physician

Rare

354 US NPIs in this specialty

Medicare Part D claims

1,266 57% vs specialty avg

2023 prescription claims

Specialty avg: 2,962

MIPS final score

73.2255/100 9.874499999999998% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Glaucoma Specialist (Ophthalmology) Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Glaucoma Specialist (Ophthalmology) Physician share within Pennsylvania

1. Glaucoma Specialist (Ophthalmology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Glaucoma Specialist (Ophthalmology) Physician share within Pennsylvania

Medicare quality performance — MIPS

MARGUERITE BILLBROUGH, MD's 2023 MIPS final score plotted against the Glaucoma Specialist (Ophthalmology) Physician national average

Below national average
MIPS Final Score
73.2255/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Glaucoma Specialist (Ophthalmology) Physician) — 73.2255/100 vs national avg 83.1

0%100%National avg83%73.2%
MIPS final score (Glaucoma Specialist (Ophthalmology) Physician) — 73.2255/100 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 BILLBROUGH, MD is a Glaucoma Specialist (Ophthalmology) Physician provider practicing in MEDIA, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1154398782. 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 BILLBROUGH, MD appears in the CMS NPPES registry as a Glaucoma Specialist (Ophthalmology) Physician provider holding MD credentials at 1098 W BALTIMORE PIKE STE 3301, MEDIA, PA, 19063, with a listed phone of (610) 522-2822. NPI 1154398782 was issued on 03/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BILLBROUGH 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 1,266 prescription claims written by this provider, covering 376 Medicare beneficiaries and totaling roughly $748K in drug spend, split 64% brand-name and 36% 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 73.2255/100 for the 2023 performance year (Quality 96.369, Cost 32.716), compared with the national average of 83.1.

Glaucoma Specialist (Ophthalmology) Physician is a narrow specialty nationwide, with 354 enrolled providers across 42 states and an average of 2,962 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

1098 W BALTIMORE PIKE STE 3301
MEDIA, PA 19063

Provider Details

NPI 1154398782
Specialty Glaucoma Specialist (Ophthalmology) Physician
Credentials MD
Gender Female
NPI Issued 03/02/2006

CMS Quality Score (MIPS)

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

73.2255
Final Score
Avg: 83.1
96.369
Quality
32.716
Cost
78
Promoting Interoperability

Reporting: Individual

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 BILLBROUGH, MD. Source: openpaymentsdata.cms.gov.

Total received

$175

Largest payer

SUN PHARMACEUTICAL INDUSTRIES 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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to MARGUERITE BILLBROUGH, MD. To verify MARGUERITE BILLBROUGH, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

MARGUERITE BILLBROUGH, MD — brand share 64.0%
Specialty average (est.)

64% brand-name claims vs 36% generic, on 1,266 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.

1,266
Total Claims
$748K
Total Drug Cost
376
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,291
Total Day Supply
64,777
Brand vs Generic
64% brand / 36% generic
Brand Drug Cost
$721K
Generic Drug Cost
$26K

Patient Demographics

Average Patient Age
77.5 years
Avg HCC Risk Score
1.16
Gender Split
69% female / 31% 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
Restasis
Cyclosporine
311
Prednisolone Acetate
131
Latanoprost
127
Ofloxacin
89
Timolol Maleate
78
Xiidra
Lifitegrast
77
Cyclosporine
66
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
59
Flurbiprofen Sodium
27
Prolensa
Bromfenac Sodium
27

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

Glaucoma Specialist (Ophthalmology) Physician Overview

How MARGUERITE BILLBROUGH, MD fits within the Glaucoma Specialist (Ophthalmology) Physician landscape nationally.

354
Glaucoma Specialist (Ophthalmology) Physician Providers in US
42
States with Glaucoma Specialist (Ophthalmology) Physician
2,962
Avg Claims per Provider

MARGUERITE BILLBROUGH, MD's 1,266 claims are below the specialty average of 2,962.

Nearby Glaucoma Specialist (Ophthalmology) Physician Providers in Pennsylvania

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

Compare Glaucoma Specialist (Ophthalmology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARGUERITE BILLBROUGH, MD's specialty?
MARGUERITE BILLBROUGH, MD specializes in Glaucoma Specialist (Ophthalmology) Physician and practices in MEDIA, Pennsylvania. Credentials: MD.
How much does MARGUERITE BILLBROUGH, MD prescribe under Medicare Part D?
In 2023, MARGUERITE BILLBROUGH, MD wrote 1,266 Medicare Part D claims totaling $748K in drug costs for 376 beneficiaries.
What is MARGUERITE BILLBROUGH, MD's Medicare quality score?
MARGUERITE BILLBROUGH, MD has a CMS MIPS Final Score of 73.2255/100 (Quality: 96.369, Cost: 32.716). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARGUERITE BILLBROUGH, MD located?
MARGUERITE BILLBROUGH, MD is located at 1098 W BALTIMORE PIKE STE 3301, MEDIA, PA, 19063. Phone: (610) 522-2822.
What is MARGUERITE BILLBROUGH, MD's NPI number?
MARGUERITE BILLBROUGH, MD's National Provider Identifier (NPI) is 1154398782, issued on 03/02/2006.
Does MARGUERITE BILLBROUGH, MD prescribe more brand-name or generic drugs?
MARGUERITE BILLBROUGH, MD's prescribing is 64% brand-name and 36% generic drugs by claim count, with $721K in brand drug costs.
How many Glaucoma Specialist (Ophthalmology) Physician providers are there in the US?
There are 354 Glaucoma Specialist (Ophthalmology) Physician providers across 42 states in the US. The average Glaucoma Specialist (Ophthalmology) Physician provider writes 2,962 Medicare Part D claims per year.
What drugs does MARGUERITE BILLBROUGH, MD prescribe most often?
Based on 2023 Medicare Part D data, MARGUERITE BILLBROUGH, MD's most frequently prescribed drugs include Restasis, Prednisolone Acetate, Latanoprost. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARGUERITE BILLBROUGH, MD accept Medicare?
MARGUERITE BILLBROUGH, MD appears in CMS Medicare data with 1,266 Part D claims and 376 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARGUERITE BILLBROUGH, MD's credentials?
MARGUERITE BILLBROUGH, MD's NPI is 1154398782 with credentials MD. 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