2026 NPPES data Optometrist NPI 1891989919 O.D.
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TIM BENGTSON, O.D.

Optometrist in MACOMB, 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
578
Medicare Part D claims · 138 beneficiaries · Optometrist avg: 257
Generic prescribing
56%
generic claims · 44% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.7863/100
▲ 5 pts above national avg 83.1 · [object Object]
Industry payments
$105.99
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TIM BENGTSON, O.D. is a Optometrist ([object Object]) practicing in MACOMB, Illinois with a Medicare Part D prescribing footprint of 578 claims across 138 beneficiaries — 44% brand-name prescribing . Their CMS MIPS Final Score of 87.7863/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $105.99 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TIM BENGTSON, O.D. reported a CMS MIPS final score of 87.7863 out of 100, above the 83.1 national average, and filed 578 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

TIM BENGTSON, O.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/31/2007

NPI 1891989919

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

578 125% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

87.7863/100 4.686300000000003% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Optometrist compares to other specialties among Illinois providers

Illinois providers

Optometrist share within Illinois

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

Medicare quality performance — MIPS

TIM BENGTSON, O.D.'s 2023 MIPS final score plotted against the Optometrist national average

High performer (top quartile)
MIPS Final Score
87.7863/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 87.7863/100 vs national avg 83.1

0%100%National avg83%87.8%
MIPS final score (Optometrist) — 87.7863/100 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).

TIM BENGTSON, O.D. is a Optometrist provider practicing in MACOMB, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O.D.. NPI: 1891989919. 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.

TIM BENGTSON, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 820 E JACKSON ST, MACOMB, IL, 61455, with a listed phone of (309) 833-4242. NPI 1891989919 was issued on 08/31/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BENGTSON 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 578 prescription claims written by this provider, covering 138 Medicare beneficiaries and totaling roughly $142K in drug spend, split 44% brand-name and 56% 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 87.7863/100 for the 2023 performance year (Quality 72.339), 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

820 E JACKSON ST
MACOMB, IL 61455

Provider Details

NPI 1891989919
Specialty Optometrist
Credentials O.D.
Gender Male
NPI Issued 08/31/2007

CMS Quality Score (MIPS)

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

87.7863
Final Score
Avg: 83.1
72.339
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where TIM BENGTSON, O.D. 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.

TIM A BENGTSON O.D., P.C.
MACOMB, 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 TIM BENGTSON, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$106

Largest payer

ABBVIE 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 TIM BENGTSON, O.D.. To verify TIM BENGTSON, O.D.'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 · Above average

TIM BENGTSON, O.D. — brand share 44.0%
Specialty average (est.)

44% brand-name claims vs 56% generic, on 578 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.

578
Total Claims
$142K
Total Drug Cost
138
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,060
Total Day Supply
30,554
Brand vs Generic
44% brand / 56% generic
Brand Drug Cost
$124K
Generic Drug Cost
$19K

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.15
Gender Split
70% female / 30% male
Age Distribution
<65: 13, 65-74: 54, 75-84: 50, 85+: 21

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
129
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
78
Lumigan
Bimatoprost
57
Azelastine Hcl
51
Brimonidine Tartrate
34
Travoprost
30
Restasis
Cyclosporine
22
Timolol Maleate
22
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
20
Combigan
Brimonidine Tartrate/Timolol
19

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

Optometrist Overview

How TIM BENGTSON, O.D. fits within the Optometrist landscape nationally.

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

TIM BENGTSON, O.D.'s 578 claims are above the specialty average of 257.

Nearby Optometrist Providers in Illinois

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

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

Frequently Asked Questions

What is TIM BENGTSON, O.D.'s specialty?
TIM BENGTSON, O.D. specializes in Optometrist and practices in MACOMB, Illinois. Credentials: O.D..
How much does TIM BENGTSON, O.D. prescribe under Medicare Part D?
In 2023, TIM BENGTSON, O.D. wrote 578 Medicare Part D claims totaling $142K in drug costs for 138 beneficiaries.
What is TIM BENGTSON, O.D.'s Medicare quality score?
TIM BENGTSON, O.D. has a CMS MIPS Final Score of 87.7863/100 (Quality: 72.339). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TIM BENGTSON, O.D. located?
TIM BENGTSON, O.D. is located at 820 E JACKSON ST, MACOMB, IL, 61455. Phone: (309) 833-4242.
What is TIM BENGTSON, O.D.'s NPI number?
TIM BENGTSON, O.D.'s National Provider Identifier (NPI) is 1891989919, issued on 08/31/2007.
Does TIM BENGTSON, O.D. prescribe more brand-name or generic drugs?
TIM BENGTSON, O.D.'s prescribing is 44% brand-name and 56% generic drugs by claim count, with $124K 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 TIM BENGTSON, O.D. prescribe most often?
Based on 2023 Medicare Part D data, TIM BENGTSON, O.D.'s most frequently prescribed drugs include Latanoprost, Dorzolamide-Timolol, Lumigan. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TIM BENGTSON, O.D. accept Medicare?
TIM BENGTSON, O.D. appears in CMS Medicare data with 578 Part D claims and 138 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TIM BENGTSON, O.D.'s credentials?
TIM BENGTSON, O.D.'s NPI is 1891989919 with credentials O.D.. 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