2026 NPPES data Optometrist NPI 1952605743 O. D.
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PRACHI PATHAK, O. D.

Optometrist in DOVER, Delaware. 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
51
Medicare Part D claims · 21 beneficiaries · Optometrist avg: 257
Generic prescribing
41%
generic claims · 59% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.3818/100
▲ 6 pts above national avg 83.1 · [object Object]
What the federal data reveals: PRACHI PATHAK, O. D. is a Optometrist ([object Object]) practicing in DOVER, Delaware with a Medicare Part D prescribing footprint of 51 claims across 21 beneficiaries — 59% brand-name prescribing . Their CMS MIPS Final Score of 89.3818/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: PRACHI PATHAK, O. D. reported a CMS MIPS final score of 89.3818 out of 100, above the 83.1 national average, and filed 51 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

PRACHI PATHAK, O. D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 01/07/2011

NPI 1952605743

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

51 80% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

89.3818/100 6.281800000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Delaware

How Optometrist compares to other specialties among Delaware providers

Delaware providers

Optometrist share within Delaware

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

Medicare quality performance — MIPS

PRACHI PATHAK, O. D.'s 2023 MIPS final score plotted against the Optometrist national average

High performer (top quartile)
MIPS Final Score
89.3818/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 89.3818/100 vs national avg 83.1

0%100%National avg83%89.4%
MIPS final score (Optometrist) — 89.3818/100 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).

PRACHI PATHAK, O. D. is a Optometrist provider practicing in DOVER, Delaware, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O. D.. NPI: 1952605743. 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.

PRACHI PATHAK, O. D. appears in the CMS NPPES registry as a Optometrist provider holding O. D. credentials at 885 S GOVERNORS AVE, DOVER, DE, 19904, with a listed phone of (302) 734-5861. NPI 1952605743 was issued on 01/07/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PATHAK 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 51 prescription claims written by this provider, covering 21 Medicare beneficiaries and totaling roughly $11K in drug spend, split 59% brand-name and 41% 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 89.3818/100 for the 2023 performance year (Quality 100, Cost 64.606), 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

885 S GOVERNORS AVE
DOVER, DE 19904

Provider Details

NPI 1952605743
Specialty Optometrist
Credentials O. D.
Gender Female
NPI Issued 01/07/2011

CMS Quality Score (MIPS)

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

89.3818
Final Score
Avg: 83.1
100
Quality
64.606
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where PRACHI PATHAK, 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.

EYE PHYSICIANS AND SURGEONS, PA
WILMINGTON, DE

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Brand-heavy

PRACHI PATHAK, O. D. — brand share 59.0%
Specialty average (est.)

59% brand-name claims vs 41% generic, on 51 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.

51
Total Claims
$11K
Total Drug Cost
21
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
80
Total Day Supply
2,178
Brand vs Generic
59% brand / 41% generic
Brand Drug Cost
$10K
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
76.8 years
Avg HCC Risk Score
1.02
Age Distribution
<65: 0, 65-74: N/A, 75-84: N/A, 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
Xiidra
Lifitegrast
12

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

Optometrist Overview

How PRACHI PATHAK, O. D. fits within the Optometrist landscape nationally.

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

PRACHI PATHAK, O. D.'s 51 claims are below the specialty average of 257.

Nearby Optometrist Providers in Delaware

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

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

Frequently Asked Questions

What is PRACHI PATHAK, O. D.'s specialty?
PRACHI PATHAK, O. D. specializes in Optometrist and practices in DOVER, Delaware. Credentials: O. D..
How much does PRACHI PATHAK, O. D. prescribe under Medicare Part D?
In 2023, PRACHI PATHAK, O. D. wrote 51 Medicare Part D claims totaling $11K in drug costs for 21 beneficiaries.
What is PRACHI PATHAK, O. D.'s Medicare quality score?
PRACHI PATHAK, O. D. has a CMS MIPS Final Score of 89.3818/100 (Quality: 100, Cost: 64.606). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PRACHI PATHAK, O. D. located?
PRACHI PATHAK, O. D. is located at 885 S GOVERNORS AVE, DOVER, DE, 19904. Phone: (302) 734-5861.
What is PRACHI PATHAK, O. D.'s NPI number?
PRACHI PATHAK, O. D.'s National Provider Identifier (NPI) is 1952605743, issued on 01/07/2011.
Does PRACHI PATHAK, O. D. prescribe more brand-name or generic drugs?
PRACHI PATHAK, O. D.'s prescribing is 59% brand-name and 41% generic drugs by claim count, with $10K 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 PRACHI PATHAK, O. D. prescribe most often?
Based on 2023 Medicare Part D data, PRACHI PATHAK, O. D.'s most frequently prescribed drugs include Latanoprost, Xiidra. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRACHI PATHAK, O. D. accept Medicare?
PRACHI PATHAK, O. D. appears in CMS Medicare data with 51 Part D claims and 21 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRACHI PATHAK, O. D.'s credentials?
PRACHI PATHAK, O. D.'s NPI is 1952605743 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