2026 NPPES data Optometrist NPI 1972564185 OD
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THERESA BEALS, OD

Optometrist in SANDUSKY, Ohio. 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
46
Medicare Part D claims · 19 beneficiaries · Optometrist avg: 257
Generic prescribing
35%
generic claims · 65% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.8479/100
▼ 2 pts below national avg 83.1 · [object Object]
What the federal data reveals: THERESA BEALS, OD is a Optometrist ([object Object]) practicing in SANDUSKY, Ohio with a Medicare Part D prescribing footprint of 46 claims across 19 beneficiaries — 65% brand-name prescribing . Their CMS MIPS Final Score of 80.8479/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: THERESA BEALS, OD reported a CMS MIPS final score of 80.8479 out of 100, below the 83.1 national average, and filed 46 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

THERESA BEALS, OD at a glance

Near national average

NPI registry status

Active

Issued 03/29/2006

NPI 1972564185

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

46 82% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

80.8479/100 2.2520999999999987% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Ohio

How Optometrist compares to other specialties among Ohio providers

Ohio providers

Optometrist share within Ohio

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

Medicare quality performance — MIPS

THERESA BEALS, OD's 2023 MIPS final score plotted against the Optometrist national average

Near national average
MIPS Final Score
80.8479/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 80.8479/100 vs national avg 83.1

0%100%National avg83%80.8%
MIPS final score (Optometrist) — 80.8479/100 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).

THERESA BEALS, OD is a Optometrist provider practicing in SANDUSKY, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: OD. NPI: 1972564185. 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.

THERESA BEALS, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 2600 HAYES AVENUE, SANDUSKY, OH, 44870, with a listed phone of (419) 625-6181. NPI 1972564185 was issued on 03/29/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BEALS 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 46 prescription claims written by this provider, covering 19 Medicare beneficiaries and totaling roughly $23K in drug spend, split 65% brand-name and 35% 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 80.8479/100 for the 2023 performance year (Quality 100, Cost 36.1596), 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

2600 HAYES AVENUE
SANDUSKY, OH 44870

Provider Details

NPI 1972564185
Specialty Optometrist
Credentials OD
Gender Female
NPI Issued 03/29/2006

CMS Quality Score (MIPS)

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

80.8479
Final Score
Avg: 83.1
100
Quality
36.1596
Cost

Reporting: Group practice

License & disciplinary context — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to THERESA BEALS, OD. To verify THERESA BEALS, OD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

THERESA BEALS, OD — brand share 65.0%
Specialty average (est.)

65% brand-name claims vs 35% generic, on 46 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.

46
Total Claims
$23K
Total Drug Cost
19
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
99
Total Day Supply
2,957
Brand vs Generic
65% brand / 35% generic
Brand Drug Cost
$21K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
76.6 years
Avg HCC Risk Score
0.99
Age Distribution
<65: 0, 65-74: N/A, 75-84: 11, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Cyclosporine
15

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

Optometrist Overview

How THERESA BEALS, OD fits within the Optometrist landscape nationally.

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

THERESA BEALS, OD's 46 claims are below the specialty average of 257.

Nearby Optometrist Providers in Ohio

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

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

Frequently Asked Questions

What is THERESA BEALS, OD's specialty?
THERESA BEALS, OD specializes in Optometrist and practices in SANDUSKY, Ohio. Credentials: OD.
How much does THERESA BEALS, OD prescribe under Medicare Part D?
In 2023, THERESA BEALS, OD wrote 46 Medicare Part D claims totaling $23K in drug costs for 19 beneficiaries.
What is THERESA BEALS, OD's Medicare quality score?
THERESA BEALS, OD has a CMS MIPS Final Score of 80.8479/100 (Quality: 100, Cost: 36.1596). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THERESA BEALS, OD located?
THERESA BEALS, OD is located at 2600 HAYES AVENUE, SANDUSKY, OH, 44870. Phone: (419) 625-6181.
What is THERESA BEALS, OD's NPI number?
THERESA BEALS, OD's National Provider Identifier (NPI) is 1972564185, issued on 03/29/2006.
Does THERESA BEALS, OD prescribe more brand-name or generic drugs?
THERESA BEALS, OD's prescribing is 65% brand-name and 35% generic drugs by claim count, with $21K 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 THERESA BEALS, OD prescribe most often?
Based on 2023 Medicare Part D data, THERESA BEALS, OD's most frequently prescribed drugs include Cyclosporine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THERESA BEALS, OD accept Medicare?
THERESA BEALS, OD appears in CMS Medicare data with 46 Part D claims and 19 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THERESA BEALS, OD's credentials?
THERESA BEALS, OD's NPI is 1972564185 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