2026 NPPES data Optometrist NPI 1962855437 OD
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TANIA PATEL, OD

Optometrist in LEXINGTON, Kentucky. 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 · 799 beneficiaries · Optometrist avg: 257
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
99.0387/100
▲ 16 pts above national avg 83.1 · [object Object]
Industry payments
$106.56
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

TANIA PATEL, OD reported a CMS MIPS final score of 99.0387/100 — above the 83.1 national average — and filed 1,323 Medicare Part D claims in 2023.

99.0387/100
MIPS score · +16 vs avg
1K
Part D claims, 2023
86%
generic prescribing
$106.56
industry payments (Sunshine Act)

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.

TANIA PATEL, OD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

99 Top 9% higher than 91% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

What does the federal data show about TANIA PATEL, OD?

High performer (top quartile)

NPI registry status

Active

Issued 07/19/2016

NPI 1962855437

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

1,323 415% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

99.0387/100 15.938700000000011% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Optometrist compares to other specialties among Kentucky providers

Kentucky providers

Optometrist share within Kentucky

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

Medicare quality performance — MIPS

TANIA PATEL, OD's 2023 MIPS final score plotted against the Optometrist national average

High performer (top quartile)
MIPS Final Score
99.0387/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 99.0387/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Optometrist) — 99.0387/100 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).

TANIA PATEL, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 2353 ALEXANDRIA DR, LEXINGTON, KY, 40504, with a listed phone of (859) 224-2655. NPI 1962855437 was issued on 07/19/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PATEL 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 1,323 prescription claims written by this provider, covering 799 Medicare beneficiaries and totaling roughly $82K in drug spend, split 14% brand-name and 86% 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 99.0387/100 for the 2023 performance year (Quality 100, Cost 96.7957), 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

2353 ALEXANDRIA DR
LEXINGTON, KY 40504

Provider Details

NPI 1962855437
Specialty Optometrist
Credentials OD
Gender Female
NPI Issued 07/19/2016

CMS Quality Score (MIPS)

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

99.0387
Final Score
Avg: 83.1
100
Quality
96.7957
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where TANIA PATEL, 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.

LANCE S FERGUSON MD PSC
LEXINGTON, KY

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 TANIA PATEL, OD. Source: openpaymentsdata.cms.gov.

Total received

$107

Largest payer

Alcon Vision LLC

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 · Typical

TANIA PATEL, OD — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 1,323 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.

1,323
Total Claims
$82K
Total Drug Cost
799
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,650
Total Day Supply
35,591
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$66K
Generic Drug Cost
$15K

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
1.04
Gender Split
64% female / 36% male
Age Distribution
<65: 53, 65-74: 488, 75-84: 226, 85+: 32

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What TANIA PATEL, OD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Erythromycin
Erythromycin Base
747
Latanoprost
143
Atropine Sulfate
97
Lumigan
Bimatoprost
83
Tobramycin
59
Prednisolone Acetate
36
Timolol Maleate
25
Cyclopentolate Hcl
22
Bacitracin-Polymyxin
Bacitracin/Polymyxin B Sulfate
18
Combigan
Brimonidine Tartrate/Timolol
11

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

Optometrist Overview

How TANIA PATEL, OD fits within the Optometrist landscape nationally.

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

TANIA PATEL, OD's 1,323 claims are above the specialty average of 257.

Nearby Optometrist Providers in Kentucky

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

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

Frequently Asked Questions

What is TANIA PATEL, OD's specialty?
TANIA PATEL, OD specializes in Optometrist and practices in LEXINGTON, Kentucky. Credentials: OD.
How much does TANIA PATEL, OD prescribe under Medicare Part D?
In 2023, TANIA PATEL, OD wrote 1,323 Medicare Part D claims totaling $82K in drug costs for 799 beneficiaries.
What is TANIA PATEL, OD's Medicare quality score?
TANIA PATEL, OD has a CMS MIPS Final Score of 99.0387/100 (Quality: 100, Cost: 96.7957). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TANIA PATEL, OD located?
TANIA PATEL, OD is located at 2353 ALEXANDRIA DR, LEXINGTON, KY, 40504. Phone: (859) 224-2655.
What is TANIA PATEL, OD's NPI number?
TANIA PATEL, OD's National Provider Identifier (NPI) is 1962855437, issued on 07/19/2016.
Does TANIA PATEL, OD prescribe more brand-name or generic drugs?
TANIA PATEL, OD's prescribing is 14% brand-name and 86% generic drugs by claim count, with $66K 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 TANIA PATEL, OD prescribe most often?
Based on 2023 Medicare Part D data, TANIA PATEL, OD's most frequently prescribed drugs include Erythromycin, Latanoprost, Atropine Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TANIA PATEL, OD accept Medicare?
TANIA PATEL, OD appears in CMS Medicare data with 1,323 Part D claims and 799 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TANIA PATEL, OD's credentials?
TANIA PATEL, OD's NPI is 1962855437 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