2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1205952249 M.D.
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OMAR AHMAD, M.D.

Retina Specialist (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
1K
Medicare Part D claims · 403 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
Generic prescribing
60%
generic claims · 40% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
What the federal data reveals: OMAR AHMAD, M.D. is a Retina Specialist (Ophthalmology) Physician ([object Object]) practicing in MARION, Illinois with a Medicare Part D prescribing footprint of 1K claims across 403 beneficiaries — 40% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: OMAR AHMAD, M.D. reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 1,372 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)

OMAR AHMAD, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

OMAR AHMAD, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/21/2007

NPI 1205952249

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

1,372 146% vs specialty avg

2023 prescription claims

Specialty avg: 558

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Retina Specialist (Ophthalmology) Physician compares to other specialties among Illinois providers

Illinois providers

Retina Specialist (Ophthalmology) Physician share within Illinois

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

Medicare quality performance — MIPS

OMAR AHMAD, M.D.'s 2023 MIPS final score plotted against the Retina Specialist (Ophthalmology) Physician national average

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

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

0%100%National avg83%99%
MIPS final score (Retina Specialist (Ophthalmology) Physician) — 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).

OMAR AHMAD, M.D. is a Retina Specialist (Ophthalmology) Physician provider practicing in MARION, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1205952249. 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.

OMAR AHMAD, M.D. appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding M.D. credentials at 1200 W DEYOUNG, MARION, IL, 62959, with a listed phone of (618) 993-5686. NPI 1205952249 was issued on 03/21/2007. 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 1,372 prescription claims written by this provider, covering 403 Medicare beneficiaries and totaling roughly $75K in drug spend, split 40% brand-name and 60% generic by claim count, with an opioid prescribing rate of 3.7%. 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, compared with the national average of 83.1.

Retina Specialist (Ophthalmology) Physician is a narrow specialty nationwide, with 913 enrolled providers across 48 states and an average of 558 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
MARION, IL 62959

Provider Details

NPI 1205952249
Specialty Retina Specialist (Ophthalmology) Physician
Credentials M.D.
Gender Male
NPI Issued 03/21/2007

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where OMAR AHMAD, M.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.

MARION EYE CENTERS LTD
MARION, 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).

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 OMAR AHMAD, M.D.. To verify OMAR 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

OMAR AHMAD, M.D. — brand share 40.0%
Specialty average (est.)

40% brand-name claims vs 60% generic, on 1,372 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.

1,372
Total Claims
$75K
Total Drug Cost
403
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,852
Total Day Supply
46,437
Brand vs Generic
40% brand / 60% generic
Brand Drug Cost
$55K
Generic Drug Cost
$20K
Opioid Claims
51 (3.7% rate)
Antibiotic Claims
18

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
1.56
Gender Split
58% female / 42% male
Age Distribution
<65: 59, 65-74: 164, 75-84: 120, 85+: 60

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisolone Acetate
288
Latanoprost
284
Timolol Maleate
108
Ciprofloxacin Hcl
101
Ofloxacin
91
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
60
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
40
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
39
Brimonidine Tartrate
36
Dorzolamide Hcl
28

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

Retina Specialist (Ophthalmology) Physician Overview

How OMAR AHMAD, M.D. fits within the Retina Specialist (Ophthalmology) Physician landscape nationally.

913
Retina Specialist (Ophthalmology) Physician Providers in US
48
States with Retina Specialist (Ophthalmology) Physician
558
Avg Claims per Provider

OMAR AHMAD, M.D.'s 1,372 claims are above the specialty average of 558.

Nearby Retina Specialist (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 Retina Specialist (Ophthalmology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is OMAR AHMAD, M.D.'s specialty?
OMAR AHMAD, M.D. specializes in Retina Specialist (Ophthalmology) Physician and practices in MARION, Illinois. Credentials: M.D..
How much does OMAR AHMAD, M.D. prescribe under Medicare Part D?
In 2023, OMAR AHMAD, M.D. wrote 1,372 Medicare Part D claims totaling $75K in drug costs for 403 beneficiaries.
What is OMAR AHMAD, M.D.'s Medicare quality score?
OMAR AHMAD, M.D. has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is OMAR AHMAD, M.D. located?
OMAR AHMAD, M.D. is located at 1200 W DEYOUNG, MARION, IL, 62959. Phone: (618) 993-5686.
What is OMAR AHMAD, M.D.'s NPI number?
OMAR AHMAD, M.D.'s National Provider Identifier (NPI) is 1205952249, issued on 03/21/2007.
Does OMAR AHMAD, M.D. prescribe more brand-name or generic drugs?
OMAR AHMAD, M.D.'s prescribing is 40% brand-name and 60% generic drugs by claim count, with $55K in brand drug costs.
Does OMAR AHMAD, M.D. prescribe opioids?
Yes, OMAR AHMAD, M.D. had 51 opioid claims in 2023 with an opioid prescribing rate of 3.7%.
How many Retina Specialist (Ophthalmology) Physician providers are there in the US?
There are 913 Retina Specialist (Ophthalmology) Physician providers across 48 states in the US. The average Retina Specialist (Ophthalmology) Physician provider writes 558 Medicare Part D claims per year.
What drugs does OMAR AHMAD, M.D. prescribe most often?
Based on 2023 Medicare Part D data, OMAR AHMAD, M.D.'s most frequently prescribed drugs include Prednisolone Acetate, Latanoprost, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does OMAR AHMAD, M.D. accept Medicare?
OMAR AHMAD, M.D. appears in CMS Medicare data with 1,372 Part D claims and 403 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify OMAR AHMAD, M.D.'s credentials?
OMAR AHMAD, M.D.'s NPI is 1205952249 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