NPI registry status
Active
2026 NPPES data Ophthalmic Plastic and Reconstructive Surgery Physician NPI 1225037120 MD
Verify on CMS → Sherif Khalil, MD
Ophthalmic Plastic and Reconstructive Surgery Physician in Houston, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 290 in Ophthalmic Plastic and Reconstructive Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 544 beneficiaries · Ophthalmic Plastic and Reconstructive Surgery Physician avg: 624
Generic prescribing
51%
generic claims · 49% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.4/100
▲ 10 pts above national avg 83.1 · Exceptional
Industry payments
$340.74
14 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sherif Khalil, MD reported a CMS MIPS final score of 93.4/100 - above the 83.1 national average - and filed 2,297 Medicare Part D claims in 2023.
- 93.4/100
- MIPS score · +10 vs avg
- 2K
- Part D claims, 2023
- 51%
- 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.
Sherif Khalil, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
93 Top 29% higher than 71% of 477,587 scored providers
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
Where Sherif Khalil, MD sits
This provider among ophthalmic plastic and reconstructive surgery physician peers
Across the 141 ophthalmic plastic and reconstructive surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sherif Khalil, MD writes more Part D claims than 95% of them and scores higher on MIPS quality than 70% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one ophthalmic plastic and reconstructive surgery physician peer from a representative sample of 60; the gold marker is Sherif Khalil, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Sherif Khalil, MD 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).
What does the federal data show about Sherif Khalil, MD?
High performer (top quartile)Primary specialty
Ophthalmic Plastic and Reconstructive Surgery Physician
Medicare Part D claims
2,297 268% vs specialty avg
MIPS final score
93.4/100 10.3 pts vs avg
Specialty distribution in Texas
How Ophthalmic Plastic and Reconstructive Surgery Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Sherif Khalil, MD's 2023 MIPS final score plotted against the Ophthalmic Plastic and Reconstructive Surgery Physician national average
- MIPS Final Score
- 93.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Ophthalmic Plastic and Reconstructive Surgery Physician) - 93.4/100 vs national avg 83.1
How MIPS and board certification work
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).
Sherif Khalil, MD appears in the CMS NPPES registry as an Ophthalmic Plastic and Reconstructive Surgery Physician provider holding MD credentials at 915 GESSNER RD, Houston, TX, 77024, with a listed phone of (713) 467-6474. NPI 1225037120 was issued on 07/21/2005.
Medicare Part D records for calendar year 2023 show 2,297 prescription claims written by this provider, covering 544 Medicare beneficiaries and totaling roughly $338K in drug spend, split 49% brand-name and 51% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 93.4/100 for the 2023 performance year (Quality 98.1, Cost 81.5), compared with the national average of 83.1.
Ophthalmic Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 290 enrolled providers across 46 states and an average of 624 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
Provider Details
| NPI | 1225037120 |
|---|---|
| Specialty | Ophthalmic Plastic and Reconstructive Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/21/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
93.4221
Final Score
Avg: 83.1
98.1464
Quality
81.472
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Sherif Khalil, MD 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.
Hea Clinic PA
Houston, TX
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 Sherif Khalil, MD. Source: openpaymentsdata.cms.gov.
Total received
$341
Largest payer
Bausch & Lomb Americas 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 - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Sherif Khalil, MD. To verify Sherif Khalil, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Sherif Khalil, MD - brand share 49.0%
Ophthalmic Plastic and Reconstructive Surgery Physician average
49% brand-name claims vs 51% generic, on 2,297 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.
2,297
Total Claims
$338K
Total Drug Cost
544
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,564
- Total Day Supply
- 131,279
- Brand vs Generic
- 49% brand / 51% generic
- Brand Drug Cost
- $283K
- Generic Drug Cost
- $55K
Patient Demographics
- Average Patient Age
- 77.6 years
- Avg HCC Risk Score
- 1.18
- Gender Split
- 61% female / 39% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sherif Khalil, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Latanoprost
Latanoprost
1,152 claims
- Dorzolamide-Timolol 319
Dorzolamide-Timolol
319 claims
- Lumigan 166
Lumigan
166 claims
- Prednisolone Acetate 66
Prednisolone Acetate
66 claims
- Restasis 57
Restasis
57 claims
- Brimonidine Tartrate 52
Brimonidine Tartrate
52 claims
- Timolol Maleate 50
Timolol Maleate
50 claims
- Travoprost 50
Travoprost
50 claims
| Drug | Claims |
|---|---|
| Latanoprost | 1,152 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 319 |
| Lumigan Bimatoprost | 166 |
| Prednisolone Acetate | 66 |
| Restasis Cyclosporine | 57 |
| Brimonidine Tartrate | 52 |
| Timolol Maleate | 50 |
| Travoprost | 50 |
| Erythromycin Erythromycin Base | 47 |
| Vyzulta Latanoprostene Bunod | 32 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Ophthalmic Plastic and Reconstructive Surgery Physician in TX →
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Ophthalmic Plastic and Reconstructive Surgery Physician Overview
How Sherif Khalil, MD fits within the Ophthalmic Plastic and Reconstructive Surgery Physician landscape nationally.
290
Ophthalmic Plastic and Reconstructive Surgery Physician Providers in US
46
States with Ophthalmic Plastic and Reconstructive Surgery Physician
624
Avg Claims per Provider
Sherif Khalil, MD's 2,297 claims are above the specialty average of 624.
Nearby Ophthalmic Plastic and Reconstructive Surgery Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Khalil.
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Ophthalmic Plastic and Reconstructive Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Sherif Khalil, MD's specialty? ▼
Sherif Khalil, MD specializes in Ophthalmic Plastic and Reconstructive Surgery Physician and practices in Houston, Texas. Credentials: MD.
How much does Sherif Khalil, MD prescribe under Medicare Part D? ▼
In 2023, Sherif Khalil, MD wrote 2,297 Medicare Part D claims totaling $338K in drug costs for 544 beneficiaries.
What is Sherif Khalil, MD's Medicare quality score? ▼
Sherif Khalil, MD has a CMS MIPS Final Score of 93.4/100 (Quality: 98.1, Cost: 81.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sherif Khalil, MD located? ▼
Sherif Khalil, MD is located at 915 GESSNER RD, Houston, TX, 77024. Phone: (713) 467-6474.
What is Sherif Khalil, MD's NPI number? ▼
Sherif Khalil, MD's National Provider Identifier (NPI) is 1225037120, issued on 07/21/2005.
Does Sherif Khalil, MD prescribe more brand-name or generic drugs? ▼
Sherif Khalil, MD's prescribing is 49% brand-name and 51% generic drugs by claim count, with $283K in brand drug costs.
How many Ophthalmic Plastic and Reconstructive Surgery Physician providers are there in the US? ▼
There are 290 Ophthalmic Plastic and Reconstructive Surgery Physician providers across 46 states in the US. The average Ophthalmic Plastic and Reconstructive Surgery Physician provider writes 624 Medicare Part D claims per year.
What drugs does Sherif Khalil, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Sherif Khalil, MD's most frequently prescribed drugs include Latanoprost, Dorzolamide-Timolol, Lumigan. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sherif Khalil, MD accept Medicare? ▼
Sherif Khalil, MD appears in CMS Medicare data with 2,297 Part D claims and 544 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sherif Khalil, MD's credentials? ▼
Sherif Khalil, MD's NPI is 1225037120 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.