2026 NPPES data Optometrist NPI 1174560080 OD
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PAUL BALLIET, OD

Optometrist in BISMARCK, North Dakota. 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
55
Medicare Part D claims · 25 beneficiaries · Optometrist avg: 257
Generic prescribing
60%
generic claims · 40% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.2866/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$26.66
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PAUL BALLIET, OD is a Optometrist ([object Object]) practicing in BISMARCK, North Dakota with a Medicare Part D prescribing footprint of 55 claims across 25 beneficiaries — 40% brand-name prescribing . Their CMS MIPS Final Score of 75.2866/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $26.66 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PAUL BALLIET, OD reported a CMS MIPS final score of 75.2866 out of 100, below the 83.1 national average, and filed 55 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

PAUL BALLIET, OD at a glance

Below national average

NPI registry status

Active

Issued 05/31/2006

NPI 1174560080

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

55 79% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

75.2866/100 7.813399999999987% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in North Dakota

How Optometrist compares to other specialties among North Dakota providers

North Dakota providers

Optometrist share within North Dakota

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

Medicare quality performance — MIPS

PAUL BALLIET, OD's 2023 MIPS final score plotted against the Optometrist national average

Below national average
MIPS Final Score
75.2866/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 75.2866/100 vs national avg 83.1

0%100%National avg83%75.3%
MIPS final score (Optometrist) — 75.2866/100 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).

PAUL BALLIET, OD is a Optometrist provider practicing in BISMARCK, North Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: OD. NPI: 1174560080. 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.

PAUL BALLIET, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 200 S 5TH ST, BISMARCK, ND, 58504, with a listed phone of (701) 222-3937. NPI 1174560080 was issued on 05/31/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALLIET 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 55 prescription claims written by this provider, covering 25 Medicare beneficiaries and totaling roughly $8K in drug spend, split 40% brand-name and 60% 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 75.2866/100 for the 2023 performance year (Quality 100, Cost 17.622), 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

200 S 5TH ST
BISMARCK, ND 58504

Provider Details

NPI 1174560080
Specialty Optometrist
Credentials OD
Gender Male
NPI Issued 05/31/2006

CMS Quality Score (MIPS)

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

75.2866
Final Score
Avg: 83.1
100
Quality
17.622
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PAUL BALLIET, 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.

DAKOTA EYE INSTITUTE PC
BISMARCK, ND

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 PAUL BALLIET, OD. Source: openpaymentsdata.cms.gov.

Total received

$27

Largest payer

Glaukos Corporation

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.

Brand vs generic prescribing mix · Above average

PAUL BALLIET, OD — brand share 40.0%
Specialty average (est.)

40% brand-name claims vs 60% generic, on 55 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.

55
Total Claims
$8K
Total Drug Cost
25
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
81
Total Day Supply
2,175
Brand vs Generic
40% brand / 60% generic
Brand Drug Cost
$8K
Generic Drug Cost
$696

Patient Demographics

Average Patient Age
77.7 years
Avg HCC Risk Score
1.34
Gender Split
56% female / 44% male
Age Distribution
<65: 0, 65-74: N/A, 75-84: 11, 85+: N/A

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
16

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

Optometrist Overview

How PAUL BALLIET, OD fits within the Optometrist landscape nationally.

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

PAUL BALLIET, OD's 55 claims are below the specialty average of 257.

Nearby Optometrist Providers in North Dakota

Other clinicians with the same primary specialty enrolled in North Dakota, drawn from the same CMS NPPES roster as BALLIET.

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

Frequently Asked Questions

What is PAUL BALLIET, OD's specialty?
PAUL BALLIET, OD specializes in Optometrist and practices in BISMARCK, North Dakota. Credentials: OD.
How much does PAUL BALLIET, OD prescribe under Medicare Part D?
In 2023, PAUL BALLIET, OD wrote 55 Medicare Part D claims totaling $8K in drug costs for 25 beneficiaries.
What is PAUL BALLIET, OD's Medicare quality score?
PAUL BALLIET, OD has a CMS MIPS Final Score of 75.2866/100 (Quality: 100, Cost: 17.622). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAUL BALLIET, OD located?
PAUL BALLIET, OD is located at 200 S 5TH ST, BISMARCK, ND, 58504. Phone: (701) 222-3937.
What is PAUL BALLIET, OD's NPI number?
PAUL BALLIET, OD's National Provider Identifier (NPI) is 1174560080, issued on 05/31/2006.
Does PAUL BALLIET, OD prescribe more brand-name or generic drugs?
PAUL BALLIET, OD's prescribing is 40% brand-name and 60% generic drugs by claim count, with $8K 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 PAUL BALLIET, OD prescribe most often?
Based on 2023 Medicare Part D data, PAUL BALLIET, OD's most frequently prescribed drugs include Latanoprost. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL BALLIET, OD accept Medicare?
PAUL BALLIET, OD appears in CMS Medicare data with 55 Part D claims and 25 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL BALLIET, OD's credentials?
PAUL BALLIET, OD's NPI is 1174560080 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