2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1003348905 MD
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TEDI BEGAJ, MD

Retina Specialist (Ophthalmology) Physician in ROYAL OAK, Michigan. 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
244
Medicare Part D claims · 120 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
Generic prescribing
63%
generic claims · 37% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.9905/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$4.4K
33 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TEDI BEGAJ, MD is a Retina Specialist (Ophthalmology) Physician ([object Object]) practicing in ROYAL OAK, Michigan with a Medicare Part D prescribing footprint of 244 claims across 120 beneficiaries — 37% brand-name prescribing . Their CMS MIPS Final Score of 80.9905/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $4.4K across 33 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TEDI BEGAJ, MD reported a CMS MIPS final score of 80.9905 out of 100, below the 83.1 national average, and filed 244 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)

TEDI BEGAJ, 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).

TEDI BEGAJ, MD at a glance

Near national average

NPI registry status

Active

Issued 03/30/2017

NPI 1003348905

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

244 56% vs specialty avg

2023 prescription claims

Specialty avg: 558

MIPS final score

80.9905/100 2.109499999999997% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Retina Specialist (Ophthalmology) Physician compares to other specialties among Michigan providers

Michigan providers

Retina Specialist (Ophthalmology) Physician share within Michigan

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

Medicare quality performance — MIPS

TEDI BEGAJ, MD's 2023 MIPS final score plotted against the Retina Specialist (Ophthalmology) Physician national average

Near national average
MIPS Final Score
80.9905/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Retina Specialist (Ophthalmology) Physician) — 80.9905/100 vs national avg 83.1

0%100%National avg83%81%
MIPS final score (Retina Specialist (Ophthalmology) Physician) — 80.9905/100 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).

TEDI BEGAJ, MD is a Retina Specialist (Ophthalmology) Physician provider practicing in ROYAL OAK, Michigan, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1003348905. 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.

TEDI BEGAJ, MD appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding MD credentials at 3555 W 13 MILE RD STE LL-20, ROYAL OAK, MI, 48073, with a listed phone of (248) 288-2280. NPI 1003348905 was issued on 03/30/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BEGAJ 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 244 prescription claims written by this provider, covering 120 Medicare beneficiaries and totaling roughly $10K in drug spend, split 37% brand-name and 63% 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 80.9905/100 for the 2023 performance year (Quality 67.2503, Cost 59.7327), compared with the national average of 83.1.

Retina Specialist (Ophthalmology) Physician is a narrow specialty nationwide, with 913 enrolled providers across 48 states and an average of 558 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

3555 W 13 MILE RD STE LL-20
ROYAL OAK, MI 48073

Provider Details

NPI 1003348905
Specialty Retina Specialist (Ophthalmology) Physician
Credentials MD
Gender Male
NPI Issued 03/30/2017

CMS Quality Score (MIPS)

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

80.9905
Final Score
Avg: 83.1
67.2503
Quality
59.7327
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where TEDI BEGAJ, 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.

ASSOCIATED RETINAL CONSULTANTS PC
ROYAL OAK, MI

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 TEDI BEGAJ, MD. Source: openpaymentsdata.cms.gov.

Total received

$4.4K

Largest payer

Alimera Sciences, 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 — Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 — they are NOT specific to TEDI BEGAJ, MD. To verify TEDI BEGAJ, MD's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM 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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

TEDI BEGAJ, MD — brand share 37.0%
Specialty average (est.)

37% brand-name claims vs 63% generic, on 244 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.

244
Total Claims
$10K
Total Drug Cost
120
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
334
Total Day Supply
8,689
Brand vs Generic
37% brand / 63% generic
Brand Drug Cost
$7K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
73.6 years
Avg HCC Risk Score
1.68
Gender Split
56% female / 44% male
Age Distribution
<65: 13, 65-74: 43, 75-84: 46, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisolone Acetate
79
Gentamicin Sulfate
53
Ketorolac Tromethamine
25
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
16
Latanoprost
16
Erythromycin
Erythromycin Base
15

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

Retina Specialist (Ophthalmology) Physician Overview

How TEDI BEGAJ, MD fits within the Retina Specialist (Ophthalmology) Physician landscape nationally.

913
Retina Specialist (Ophthalmology) Physician Providers in US
48
States with Retina Specialist (Ophthalmology) Physician
558
Avg Claims per Provider

TEDI BEGAJ, MD's 244 claims are below the specialty average of 558.

Nearby Retina Specialist (Ophthalmology) Physician Providers in Michigan

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

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

Frequently Asked Questions

What is TEDI BEGAJ, MD's specialty?
TEDI BEGAJ, MD specializes in Retina Specialist (Ophthalmology) Physician and practices in ROYAL OAK, Michigan. Credentials: MD.
How much does TEDI BEGAJ, MD prescribe under Medicare Part D?
In 2023, TEDI BEGAJ, MD wrote 244 Medicare Part D claims totaling $10K in drug costs for 120 beneficiaries.
What is TEDI BEGAJ, MD's Medicare quality score?
TEDI BEGAJ, MD has a CMS MIPS Final Score of 80.9905/100 (Quality: 67.2503, Cost: 59.7327). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TEDI BEGAJ, MD located?
TEDI BEGAJ, MD is located at 3555 W 13 MILE RD STE LL-20, ROYAL OAK, MI, 48073. Phone: (248) 288-2280.
What is TEDI BEGAJ, MD's NPI number?
TEDI BEGAJ, MD's National Provider Identifier (NPI) is 1003348905, issued on 03/30/2017.
Does TEDI BEGAJ, MD prescribe more brand-name or generic drugs?
TEDI BEGAJ, MD's prescribing is 37% brand-name and 63% generic drugs by claim count, with $7K in brand drug costs.
How many Retina Specialist (Ophthalmology) Physician providers are there in the US?
There are 913 Retina Specialist (Ophthalmology) Physician providers across 48 states in the US. The average Retina Specialist (Ophthalmology) Physician provider writes 558 Medicare Part D claims per year.
What drugs does TEDI BEGAJ, MD prescribe most often?
Based on 2023 Medicare Part D data, TEDI BEGAJ, MD's most frequently prescribed drugs include Prednisolone Acetate, Gentamicin Sulfate, Ketorolac Tromethamine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TEDI BEGAJ, MD accept Medicare?
TEDI BEGAJ, MD appears in CMS Medicare data with 244 Part D claims and 120 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TEDI BEGAJ, MD's credentials?
TEDI BEGAJ, MD's NPI is 1003348905 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