2026 NPPES data Optometrist NPI 1093802746 OD
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TONY SANKARI, OD

Optometrist in ALLENTOWN, Pennsylvania. 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
127
Medicare Part D claims · 48 beneficiaries · Optometrist avg: 257
Generic prescribing
39%
generic claims · 61% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$25.71
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

TONY SANKARI, OD reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 127 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
127
Part D claims, 2023
39%
generic prescribing
$25.71
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

TONY SANKARI, OD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

100 Top 7% higher than 93% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about TONY SANKARI, OD?

High performer (top quartile)

NPI registry status

Active

Issued 10/06/2006

NPI 1093802746

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

127 51% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Optometrist compares to other specialties among Pennsylvania providers

Pennsylvania providers

Optometrist share within Pennsylvania

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

Medicare quality performance — MIPS

TONY SANKARI, OD's 2023 MIPS final score plotted against the Optometrist national average

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

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

0%100%National avg83%99%
MIPS final score (Optometrist) — 100/100 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).

TONY SANKARI, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 2030 W TILGHMAN ST, ALLENTOWN, PA, 18104, with a listed phone of (610) 432-3258. NPI 1093802746 was issued on 10/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SANKARI 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 127 prescription claims written by this provider, covering 48 Medicare beneficiaries and totaling roughly $58K in drug spend, split 61% brand-name and 39% 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 100/100 for the 2023 performance year (Quality 100), 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

2030 W TILGHMAN ST
ALLENTOWN, PA 18104

Provider Details

NPI 1093802746
Specialty Optometrist
Credentials OD
Gender Male
NPI Issued 10/06/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Quality

Reporting: Individual

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 TONY SANKARI, OD. Source: openpaymentsdata.cms.gov.

Total received

$26

Largest payer

CooperVision 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 — Pennsylvania PA-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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to TONY SANKARI, OD. To verify TONY SANKARI, OD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

TONY SANKARI, OD — brand share 61.0%
Specialty average (est.)

61% brand-name claims vs 39% generic, on 127 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.

127
Total Claims
$58K
Total Drug Cost
48
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
252
Total Day Supply
7,091
Brand vs Generic
61% brand / 39% generic
Brand Drug Cost
$57K
Generic Drug Cost
$851

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
1.00
Gender Split
73% female / 27% male

Top Prescribed Drugs (Medicare Part D)

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

What TONY SANKARI, OD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Lumigan
Bimatoprost
34
Latanoprost
29
Restasis
Cyclosporine
19
Cyclosporine
11

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

Optometrist Overview

How TONY SANKARI, OD fits within the Optometrist landscape nationally.

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

TONY SANKARI, OD's 127 claims are below the specialty average of 257.

Nearby Optometrist Providers in Pennsylvania

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

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

Frequently Asked Questions

What is TONY SANKARI, OD's specialty?
TONY SANKARI, OD specializes in Optometrist and practices in ALLENTOWN, Pennsylvania. Credentials: OD.
How much does TONY SANKARI, OD prescribe under Medicare Part D?
In 2023, TONY SANKARI, OD wrote 127 Medicare Part D claims totaling $58K in drug costs for 48 beneficiaries.
What is TONY SANKARI, OD's Medicare quality score?
TONY SANKARI, OD has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TONY SANKARI, OD located?
TONY SANKARI, OD is located at 2030 W TILGHMAN ST, ALLENTOWN, PA, 18104. Phone: (610) 432-3258.
What is TONY SANKARI, OD's NPI number?
TONY SANKARI, OD's National Provider Identifier (NPI) is 1093802746, issued on 10/06/2006.
Does TONY SANKARI, OD prescribe more brand-name or generic drugs?
TONY SANKARI, OD's prescribing is 61% brand-name and 39% generic drugs by claim count, with $57K 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 TONY SANKARI, OD prescribe most often?
Based on 2023 Medicare Part D data, TONY SANKARI, OD's most frequently prescribed drugs include Lumigan, Latanoprost, Restasis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TONY SANKARI, OD accept Medicare?
TONY SANKARI, OD appears in CMS Medicare data with 127 Part D claims and 48 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TONY SANKARI, OD's credentials?
TONY SANKARI, OD's NPI is 1093802746 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