2026 NPPES data Ophthalmology Physician NPI 1093134397 M.D.
Verify on CMS →

SEAN BATSON, M.D.

Ophthalmology Physician in KIRKLAND, Washington. 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 · 230 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
72%
generic claims · 28% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.3079/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$172.2
6 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SEAN BATSON, M.D. is a Ophthalmology Physician ([object Object]) practicing in KIRKLAND, Washington with a Medicare Part D prescribing footprint of 1K claims across 230 beneficiaries — 28% brand-name prescribing . Their CMS MIPS Final Score of 84.3079/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $172.2 across 6 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SEAN BATSON, M.D. reported a CMS MIPS final score of 84.3079 out of 100, above the 83.1 national average, and filed 1,054 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)

SEAN BATSON, 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).

SEAN BATSON, M.D. at a glance

Near national average

NPI registry status

Active

Issued 04/15/2014

NPI 1093134397

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

1,054 26% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

84.3079/100 1.2079000000000093% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Washington

How Ophthalmology Physician compares to other specialties among Washington providers

Washington providers

Ophthalmology Physician share within Washington

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Washington

Medicare quality performance — MIPS

SEAN BATSON, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

Near national average
MIPS Final Score
84.3079/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 84.3079/100 vs national avg 83.1

0%100%National avg83%84.3%
MIPS final score (Ophthalmology Physician) — 84.3079/100 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).

SEAN BATSON, M.D. is a Ophthalmology Physician provider practicing in KIRKLAND, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1093134397. 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.

SEAN BATSON, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 134 CENTRAL WAY, KIRKLAND, WA, 98033, with a listed phone of (425) 889-2020. NPI 1093134397 was issued on 04/15/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BATSON 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 1,054 prescription claims written by this provider, covering 230 Medicare beneficiaries and totaling roughly $88K in drug spend, split 28% brand-name and 72% 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 84.3079/100 for the 2023 performance year (Quality 100, Cost 47.693), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

134 CENTRAL WAY
KIRKLAND, WA 98033

Provider Details

NPI 1093134397
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 04/15/2014

CMS Quality Score (MIPS)

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

84.3079
Final Score
Avg: 83.1
100
Quality
47.693
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where SEAN BATSON, 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.

WASHINGTON PACIFIC EYE ASSOCIATES INC
KIRKLAND, WA

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 SEAN BATSON, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$172

Largest payer

CooperVision 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 — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to SEAN BATSON, M.D.. To verify SEAN BATSON, M.D.'s current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

SEAN BATSON, M.D. — brand share 28.0%
Specialty average (est.)

28% brand-name claims vs 72% generic, on 1,054 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.

1,054
Total Claims
$88K
Total Drug Cost
230
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,541
Total Day Supply
42,636
Brand vs Generic
28% brand / 72% generic
Brand Drug Cost
$61K
Generic Drug Cost
$27K

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
0.94
Gender Split
65% female / 35% 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
281
Timolol Maleate
154
Ofloxacin
103
Prednisolone Acetate
103
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
96
Ketorolac Tromethamine
91
Brimonidine Tartrate
47
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
27
Restasis
Cyclosporine
23
Travoprost
23

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

Ophthalmology Physician Overview

How SEAN BATSON, M.D. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

SEAN BATSON, M.D.'s 1,054 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Washington

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

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SEAN BATSON, M.D.'s specialty?
SEAN BATSON, M.D. specializes in Ophthalmology Physician and practices in KIRKLAND, Washington. Credentials: M.D..
How much does SEAN BATSON, M.D. prescribe under Medicare Part D?
In 2023, SEAN BATSON, M.D. wrote 1,054 Medicare Part D claims totaling $88K in drug costs for 230 beneficiaries.
What is SEAN BATSON, M.D.'s Medicare quality score?
SEAN BATSON, M.D. has a CMS MIPS Final Score of 84.3079/100 (Quality: 100, Cost: 47.693). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SEAN BATSON, M.D. located?
SEAN BATSON, M.D. is located at 134 CENTRAL WAY, KIRKLAND, WA, 98033. Phone: (425) 889-2020.
What is SEAN BATSON, M.D.'s NPI number?
SEAN BATSON, M.D.'s National Provider Identifier (NPI) is 1093134397, issued on 04/15/2014.
Does SEAN BATSON, M.D. prescribe more brand-name or generic drugs?
SEAN BATSON, M.D.'s prescribing is 28% brand-name and 72% generic drugs by claim count, with $61K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does SEAN BATSON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SEAN BATSON, M.D.'s most frequently prescribed drugs include Latanoprost, Timolol Maleate, Ofloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SEAN BATSON, M.D. accept Medicare?
SEAN BATSON, M.D. appears in CMS Medicare data with 1,054 Part D claims and 230 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SEAN BATSON, M.D.'s credentials?
SEAN BATSON, M.D.'s NPI is 1093134397 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