2026 NPPES data Optometrist NPI 1043230584 OD
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THOMAS BILLARS, OD

Optometrist in SIOUX FALLS, South Dakota. 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
203
Medicare Part D claims · 34 beneficiaries · Optometrist avg: 257
Generic prescribing
59%
generic claims · 41% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.9088/100
▼ 0 pts below national avg 83.1 · [object Object]
What the federal data reveals: THOMAS BILLARS, OD is a Optometrist ([object Object]) practicing in SIOUX FALLS, South Dakota with a Medicare Part D prescribing footprint of 203 claims across 34 beneficiaries — 41% brand-name prescribing . Their CMS MIPS Final Score of 82.9088/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: THOMAS BILLARS, OD reported a CMS MIPS final score of 82.9088 out of 100, below the 83.1 national average, and filed 203 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

THOMAS BILLARS, OD at a glance

Near national average

NPI registry status

Active

Issued 07/20/2006

NPI 1043230584

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

203 21% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

82.9088/100 0.19119999999999493% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in South Dakota

How Optometrist compares to other specialties among South Dakota providers

South Dakota providers

Optometrist share within South Dakota

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

Medicare quality performance — MIPS

THOMAS BILLARS, OD's 2023 MIPS final score plotted against the Optometrist national average

Near national average
MIPS Final Score
82.9088/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 82.9088/100 vs national avg 83.1

0%100%National avg83%82.9%
MIPS final score (Optometrist) — 82.9088/100 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).

THOMAS BILLARS, OD is a Optometrist provider practicing in SIOUX FALLS, South Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: OD. NPI: 1043230584. 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.

THOMAS BILLARS, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 200 W 37TH ST, SIOUX FALLS, SD, 57105, with a listed phone of (605) 336-2020. NPI 1043230584 was issued on 07/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BILLARS 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 203 prescription claims written by this provider, covering 34 Medicare beneficiaries and totaling roughly $12K in drug spend, split 41% brand-name and 59% 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 82.9088/100 for the 2023 performance year (Quality 80.3797), 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

200 W 37TH ST
SIOUX FALLS, SD 57105

Provider Details

NPI 1043230584
Specialty Optometrist
Credentials OD
Gender Male
NPI Issued 07/20/2006

CMS Quality Score (MIPS)

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

82.9088
Final Score
Avg: 83.1
80.3797
Quality
79
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Above average

THOMAS BILLARS, OD — brand share 41.0%
Specialty average (est.)

41% brand-name claims vs 59% generic, on 203 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.

203
Total Claims
$12K
Total Drug Cost
34
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
291
Total Day Supply
8,095
Brand vs Generic
41% brand / 59% generic
Brand Drug Cost
$11K
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
1.12
Gender Split
65% female / 35% 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
125
Lumigan
Bimatoprost
38
Timolol Maleate
31

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

Optometrist Overview

How THOMAS BILLARS, OD fits within the Optometrist landscape nationally.

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

THOMAS BILLARS, OD's 203 claims are below the specialty average of 257.

Nearby Optometrist Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as BILLARS.

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

Frequently Asked Questions

What is THOMAS BILLARS, OD's specialty?
THOMAS BILLARS, OD specializes in Optometrist and practices in SIOUX FALLS, South Dakota. Credentials: OD.
How much does THOMAS BILLARS, OD prescribe under Medicare Part D?
In 2023, THOMAS BILLARS, OD wrote 203 Medicare Part D claims totaling $12K in drug costs for 34 beneficiaries.
What is THOMAS BILLARS, OD's Medicare quality score?
THOMAS BILLARS, OD has a CMS MIPS Final Score of 82.9088/100 (Quality: 80.3797). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS BILLARS, OD located?
THOMAS BILLARS, OD is located at 200 W 37TH ST, SIOUX FALLS, SD, 57105. Phone: (605) 336-2020.
What is THOMAS BILLARS, OD's NPI number?
THOMAS BILLARS, OD's National Provider Identifier (NPI) is 1043230584, issued on 07/20/2006.
Does THOMAS BILLARS, OD prescribe more brand-name or generic drugs?
THOMAS BILLARS, OD's prescribing is 41% brand-name and 59% generic drugs by claim count, with $11K 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 THOMAS BILLARS, OD prescribe most often?
Based on 2023 Medicare Part D data, THOMAS BILLARS, OD's most frequently prescribed drugs include Latanoprost, Lumigan, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS BILLARS, OD accept Medicare?
THOMAS BILLARS, OD appears in CMS Medicare data with 203 Part D claims and 34 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS BILLARS, OD's credentials?
THOMAS BILLARS, OD's NPI is 1043230584 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