2026 NPPES data Glaucoma Specialist (Ophthalmology) Physician NPI 1720017643 MD
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SOPHIA SARKOS, MD

Glaucoma Specialist (Ophthalmology) Physician in DOWNERS GROVE, 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
2K
Medicare Part D claims · 402 beneficiaries · Glaucoma Specialist (Ophthalmology) Physician avg: 3K
Generic prescribing
46%
generic claims · 54% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
99.2652/100
▲ 16 pts above national avg 83.1 · [object Object]
Industry payments
$218.62
7 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SOPHIA SARKOS, MD is a Glaucoma Specialist (Ophthalmology) Physician ([object Object]) practicing in DOWNERS GROVE, Illinois with a Medicare Part D prescribing footprint of 2K claims across 402 beneficiaries — 54% brand-name prescribing . Their CMS MIPS Final Score of 99.2652/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $218.62 across 7 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SOPHIA SARKOS, MD reported a CMS MIPS final score of 99.2652 out of 100, above the 83.1 national average, and filed 1,945 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)

SOPHIA SARKOS, 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).

SOPHIA SARKOS, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/02/2006

NPI 1720017643

Primary specialty

Glaucoma Specialist (Ophthalmology) Physician

Rare

354 US NPIs in this specialty

Medicare Part D claims

1,945 34% vs specialty avg

2023 prescription claims

Specialty avg: 2,962

MIPS final score

99.2652/100 16.1652% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

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

Illinois providers

Glaucoma Specialist (Ophthalmology) Physician share within Illinois

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

Medicare quality performance — MIPS

SOPHIA SARKOS, MD's 2023 MIPS final score plotted against the Glaucoma Specialist (Ophthalmology) Physician national average

High performer (top quartile)
MIPS Final Score
99.2652/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Glaucoma Specialist (Ophthalmology) Physician) — 99.2652/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Glaucoma Specialist (Ophthalmology) Physician) — 99.2652/100 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).

SOPHIA SARKOS, MD is a Glaucoma Specialist (Ophthalmology) Physician provider practicing in DOWNERS GROVE, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1720017643. 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.

SOPHIA SARKOS, MD appears in the CMS NPPES registry as a Glaucoma Specialist (Ophthalmology) Physician provider holding MD credentials at 4958 FOREST AVE, DOWNERS GROVE, IL, 60515, with a listed phone of (630) 737-1001. NPI 1720017643 was issued on 07/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SARKOS 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 1,945 prescription claims written by this provider, covering 402 Medicare beneficiaries and totaling roughly $203K in drug spend, split 54% brand-name and 46% 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 99.2652/100 for the 2023 performance year (Quality 100, Cost 97.5508), compared with the national average of 83.1.

Glaucoma Specialist (Ophthalmology) Physician is a narrow specialty nationwide, with 354 enrolled providers across 42 states and an average of 2,962 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

4958 FOREST AVE
DOWNERS GROVE, IL 60515

Provider Details

NPI 1720017643
Specialty Glaucoma Specialist (Ophthalmology) Physician
Credentials MD
Gender Female
NPI Issued 07/02/2006

CMS Quality Score (MIPS)

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

99.2652
Final Score
Avg: 83.1
100
Quality
97.5508
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where SOPHIA SARKOS, 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.

DOWNERS GROVE EYE CENTER PC
DOWNERS GROVE, 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).

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 SOPHIA SARKOS, MD. Source: openpaymentsdata.cms.gov.

Total received

$219

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 — 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 SOPHIA SARKOS, MD. To verify SOPHIA SARKOS, MD'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 · Brand-heavy

SOPHIA SARKOS, MD — brand share 54.0%
Specialty average (est.)

54% brand-name claims vs 46% generic, on 1,945 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.

1,945
Total Claims
$203K
Total Drug Cost
402
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,392
Total Day Supply
92,720
Brand vs Generic
54% brand / 46% generic
Brand Drug Cost
$166K
Generic Drug Cost
$37K

Patient Demographics

Average Patient Age
78.7 years
Avg HCC Risk Score
1.16
Gender Split
67% female / 33% 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
806
Prednisolone Acetate
185
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
159
Dorzolamide Hcl
143
Moxifloxacin
Moxifloxacin Hcl
100
Ketorolac Tromethamine
96
Brimonidine Tartrate
68
Alphagan P
Brimonidine Tartrate
49
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
39
Erythromycin
Erythromycin Base
37

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

Glaucoma Specialist (Ophthalmology) Physician Overview

How SOPHIA SARKOS, MD fits within the Glaucoma Specialist (Ophthalmology) Physician landscape nationally.

354
Glaucoma Specialist (Ophthalmology) Physician Providers in US
42
States with Glaucoma Specialist (Ophthalmology) Physician
2,962
Avg Claims per Provider

SOPHIA SARKOS, MD's 1,945 claims are below the specialty average of 2,962.

Nearby Glaucoma Specialist (Ophthalmology) Physician Providers in Illinois

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

Compare Glaucoma Specialist (Ophthalmology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SOPHIA SARKOS, MD's specialty?
SOPHIA SARKOS, MD specializes in Glaucoma Specialist (Ophthalmology) Physician and practices in DOWNERS GROVE, Illinois. Credentials: MD.
How much does SOPHIA SARKOS, MD prescribe under Medicare Part D?
In 2023, SOPHIA SARKOS, MD wrote 1,945 Medicare Part D claims totaling $203K in drug costs for 402 beneficiaries.
What is SOPHIA SARKOS, MD's Medicare quality score?
SOPHIA SARKOS, MD has a CMS MIPS Final Score of 99.2652/100 (Quality: 100, Cost: 97.5508). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SOPHIA SARKOS, MD located?
SOPHIA SARKOS, MD is located at 4958 FOREST AVE, DOWNERS GROVE, IL, 60515. Phone: (630) 737-1001.
What is SOPHIA SARKOS, MD's NPI number?
SOPHIA SARKOS, MD's National Provider Identifier (NPI) is 1720017643, issued on 07/02/2006.
Does SOPHIA SARKOS, MD prescribe more brand-name or generic drugs?
SOPHIA SARKOS, MD's prescribing is 54% brand-name and 46% generic drugs by claim count, with $166K in brand drug costs.
How many Glaucoma Specialist (Ophthalmology) Physician providers are there in the US?
There are 354 Glaucoma Specialist (Ophthalmology) Physician providers across 42 states in the US. The average Glaucoma Specialist (Ophthalmology) Physician provider writes 2,962 Medicare Part D claims per year.
What drugs does SOPHIA SARKOS, MD prescribe most often?
Based on 2023 Medicare Part D data, SOPHIA SARKOS, MD's most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SOPHIA SARKOS, MD accept Medicare?
SOPHIA SARKOS, MD appears in CMS Medicare data with 1,945 Part D claims and 402 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SOPHIA SARKOS, MD's credentials?
SOPHIA SARKOS, MD's NPI is 1720017643 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

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