2026 NPPES data Cornea and External Diseases Specialist Physician NPI 1982719316 MD
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TODD MARGOLIS, MD

Cornea and External Diseases Specialist Physician in SAINT LOUIS, Missouri. 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
448
Medicare Part D claims · 107 beneficiaries · Cornea and External Diseases Specialist Physician avg: 1K
Generic prescribing
67%
generic claims · 33% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.292/100
▼ 4 pts below national avg 83.1 · [object Object]
What the federal data reveals: TODD MARGOLIS, MD is a Cornea and External Diseases Specialist Physician ([object Object]) practicing in SAINT LOUIS, Missouri with a Medicare Part D prescribing footprint of 448 claims across 107 beneficiaries — 33% brand-name prescribing . Their CMS MIPS Final Score of 79.292/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: TODD MARGOLIS, MD reported a CMS MIPS final score of 79.292 out of 100, below the 83.1 national average, and filed 448 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)

TODD MARGOLIS, 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).

TODD MARGOLIS, MD at a glance

Near national average

NPI registry status

Active

Issued 08/19/2006

NPI 1982719316

Primary specialty

Cornea and External Diseases Specialist Physician

Rare

294 US NPIs in this specialty

Medicare Part D claims

448 64% vs specialty avg

2023 prescription claims

Specialty avg: 1,232

MIPS final score

79.292/100 3.8079999999999927% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Cornea and External Diseases Specialist Physician compares to other specialties among Missouri providers

Missouri providers

Cornea and External Diseases Specialist Physician share within Missouri

1. Cornea and External Diseases Specialist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cornea and External Diseases Specialist Physician share within Missouri

Medicare quality performance — MIPS

TODD MARGOLIS, MD's 2023 MIPS final score plotted against the Cornea and External Diseases Specialist Physician national average

Near national average
MIPS Final Score
79.292/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cornea and External Diseases Specialist Physician) — 79.292/100 vs national avg 83.1

0%100%National avg83%79.3%
MIPS final score (Cornea and External Diseases Specialist Physician) — 79.292/100 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).

TODD MARGOLIS, MD is a Cornea and External Diseases Specialist Physician provider practicing in SAINT LOUIS, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1982719316. 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.

TODD MARGOLIS, MD appears in the CMS NPPES registry as a Cornea and External Diseases Specialist Physician provider holding MD credentials at 4901 FOREST PARK AVE, SAINT LOUIS, MO, 63108, with a listed phone of (314) 362-3937. NPI 1982719316 was issued on 08/19/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MARGOLIS 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 448 prescription claims written by this provider, covering 107 Medicare beneficiaries and totaling roughly $33K in drug spend, split 33% brand-name and 67% 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 79.292/100 for the 2023 performance year (Quality 71.46, Cost 59.5132), compared with the national average of 83.1.

Cornea and External Diseases Specialist Physician is a narrow specialty nationwide, with 294 enrolled providers across 43 states and an average of 1,232 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

4901 FOREST PARK AVE
SAINT LOUIS, MO 63108

Provider Details

NPI 1982719316
Specialty Cornea and External Diseases Specialist Physician
Credentials MD
Gender Male
NPI Issued 08/19/2006

CMS Quality Score (MIPS)

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

79.292
Final Score
Avg: 83.1
71.46
Quality
59.5132
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where TODD MARGOLIS, 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.

WASHINGTON UNIVERSITY
SAINT LOUIS, MO

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

TODD MARGOLIS, MD — brand share 33.0%
Specialty average (est.)

33% brand-name claims vs 67% generic, on 448 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.

448
Total Claims
$33K
Total Drug Cost
107
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
712
Total Day Supply
19,976
Brand vs Generic
33% brand / 67% generic
Brand Drug Cost
$17K
Generic Drug Cost
$16K
Antibiotic Claims
20

Patient Demographics

Average Patient Age
70.3 years
Avg HCC Risk Score
1.82
Gender Split
72% female / 28% 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
Prednisolone Acetate
87
Valacyclovir
Valacyclovir Hcl
74
Moxifloxacin
Moxifloxacin Hcl
59
Acyclovir
27
Fluorometholone
24
Latanoprost
15
Pregabalin
14
Dexamethasone Sodium Phosphate
Dexamethasone Sodium Phosp/Pf
11
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
11
Duloxetine Hcl
11

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

Cornea and External Diseases Specialist Physician Overview

How TODD MARGOLIS, MD fits within the Cornea and External Diseases Specialist Physician landscape nationally.

294
Cornea and External Diseases Specialist Physician Providers in US
43
States with Cornea and External Diseases Specialist Physician
1,232
Avg Claims per Provider

TODD MARGOLIS, MD's 448 claims are below the specialty average of 1,232.

Nearby Cornea and External Diseases Specialist Physician Providers in Missouri

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

Compare Cornea and External Diseases Specialist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TODD MARGOLIS, MD's specialty?
TODD MARGOLIS, MD specializes in Cornea and External Diseases Specialist Physician and practices in SAINT LOUIS, Missouri. Credentials: MD.
How much does TODD MARGOLIS, MD prescribe under Medicare Part D?
In 2023, TODD MARGOLIS, MD wrote 448 Medicare Part D claims totaling $33K in drug costs for 107 beneficiaries.
What is TODD MARGOLIS, MD's Medicare quality score?
TODD MARGOLIS, MD has a CMS MIPS Final Score of 79.292/100 (Quality: 71.46, Cost: 59.5132). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TODD MARGOLIS, MD located?
TODD MARGOLIS, MD is located at 4901 FOREST PARK AVE, SAINT LOUIS, MO, 63108. Phone: (314) 362-3937.
What is TODD MARGOLIS, MD's NPI number?
TODD MARGOLIS, MD's National Provider Identifier (NPI) is 1982719316, issued on 08/19/2006.
Does TODD MARGOLIS, MD prescribe more brand-name or generic drugs?
TODD MARGOLIS, MD's prescribing is 33% brand-name and 67% generic drugs by claim count, with $17K in brand drug costs.
How many Cornea and External Diseases Specialist Physician providers are there in the US?
There are 294 Cornea and External Diseases Specialist Physician providers across 43 states in the US. The average Cornea and External Diseases Specialist Physician provider writes 1,232 Medicare Part D claims per year.
What drugs does TODD MARGOLIS, MD prescribe most often?
Based on 2023 Medicare Part D data, TODD MARGOLIS, MD's most frequently prescribed drugs include Prednisolone Acetate, Valacyclovir, Moxifloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TODD MARGOLIS, MD accept Medicare?
TODD MARGOLIS, MD appears in CMS Medicare data with 448 Part D claims and 107 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TODD MARGOLIS, MD's credentials?
TODD MARGOLIS, MD's NPI is 1982719316 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