2026 NPPES data Optometrist NPI 1952463648 O.D.
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Urvi Patel, O.D.

Optometrist in San Luis Obispo, California. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 60,463 in Optometrist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration — see our methodology.

Federal data — no proprietary rating. We show these CMS records as-is — no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
426
Medicare Part D claims · 128 beneficiaries · Optometrist avg: 257
Generic prescribing
59%
generic claims · 41% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.7/100
▼ 1 pts below national avg 83.1 · Above neutral
Industry payments
$168.07
3 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Urvi Patel, O.D. reported a CMS MIPS final score of 81.7/100 — below the 83.1 national average — and filed 426 Medicare Part D claims in 2023.

81.7/100
MIPS score · -1 vs avg
426
Part D claims, 2023
59%
generic prescribing
$168.07
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.

Urvi Patel, O.D.'s MIPS score vs every scored U.S. clinician

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

82 36th percentile higher than 36% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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

Where Urvi Patel, O.D. sits

This provider among optometrist peers

Across the 6,527 optometrist providers who report both Medicare Part D prescribing and a MIPS quality score, Urvi Patel, O.D. writes more Part D claims than 56% of them and scores higher on MIPS quality than 40% — placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 47Urvi Patel, O.D. — Part D claim volume — percentile in specialty: 56 · MIPS quality — percentile: 40
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one optometrist peer from a representative sample of 60; the gold marker is Urvi Patel, O.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Urvi Patel, O.D.?

Near national average

NPI registry status

Active

Issued 12/15/2006

NPI 1952463648

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

426 66% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

81.7/100 1.4 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Optometrist compares to other specialties among California providers

California providers

Largest specialties in California (% of in-state providers)

Behavior Technician — 17.3%Behavior Technician17.3%Marriage & Family Therapist — 5.5%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program — 5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor — 3.9%Mental Health Counselor3.9%Pharmacist — 3.5%Pharmacist3.5%Clinical Social Worker — 3.1%Clinical Social Worker3.1%Optometrist — 0.9%Optometrist0.9%
Largest specialties in California (% of in-state providers)

Medicare quality performance — MIPS

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

Near national average
MIPS Final Score
81.7/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 81.7/100 vs national avg 83.1

0%100%National avg83%81.7%
MIPS final score (Optometrist) — 81.7/100 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).

Urvi Patel, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 1540 FROOM RANCH WAY, San Luis Obispo, CA, 93405, with a listed phone of (805) 544-0450. NPI 1952463648 was issued on 12/15/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Patel 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 426 prescription claims written by this provider, covering 128 Medicare beneficiaries and totaling roughly $37K 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 81.7/100 for the 2023 performance year (Quality 63.3), 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

1540 FROOM RANCH WAY
San Luis Obispo, CA 93405

Provider Details

NPI 1952463648
Specialty Optometrist
Credentials O.D.
Gender Female
NPI Issued 12/15/2006

CMS Quality Score (MIPS)

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

81.6667
Final Score
Avg: 83.1
63.3333
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where Urvi Patel, 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.

Ali OD And Patel OD Professional Optometric Corporation
Santa Maria, CA

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 Urvi Patel, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$168

Largest payer

Johnson & Johnson Vision Care, 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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to Urvi Patel, O.D.. To verify Urvi Patel, O.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

Urvi Patel, O.D. — brand share 41.0%
Optometrist average

41% brand-name claims vs 59% generic, on 426 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.

426
Total Claims
$37K
Total Drug Cost
128
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
683
Total Day Supply
19,175
Brand vs Generic
41% brand / 59% generic
Brand Drug Cost
$31K
Generic Drug Cost
$6K
Antibiotic Claims
16

Patient Demographics

Average Patient Age
74.7 years
Avg HCC Risk Score
0.71
Gender Split
63% female / 38% male

Top Prescribed Drugs (Medicare Part D)

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

What Urvi Patel, O.D. 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
Latanoprost
240
Brimonidine Tartrate
35
Timolol Maleate
26
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
18
Restasis
Cyclosporine
16
Prednisolone Acetate
15
Alphagan P
Brimonidine Tartrate
14
Doxycycline Hyclate
11

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

Optometrist Overview

How Urvi Patel, O.D. fits within the Optometrist landscape nationally.

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

Urvi Patel, O.D.'s 426 claims are above the specialty average of 257.

Nearby Optometrist Providers in California

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

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the California medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Optometrist peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Urvi Patel, O.D.'s specialty?
Urvi Patel, O.D. specializes in Optometrist and practices in San Luis Obispo, California. Credentials: O.D..
How much does Urvi Patel, O.D. prescribe under Medicare Part D?
In 2023, Urvi Patel, O.D. wrote 426 Medicare Part D claims totaling $37K in drug costs for 128 beneficiaries.
What is Urvi Patel, O.D.'s Medicare quality score?
Urvi Patel, O.D. has a CMS MIPS Final Score of 81.7/100 (Quality: 63.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Urvi Patel, O.D. located?
Urvi Patel, O.D. is located at 1540 FROOM RANCH WAY, San Luis Obispo, CA, 93405. Phone: (805) 544-0450.
What is Urvi Patel, O.D.'s NPI number?
Urvi Patel, O.D.'s National Provider Identifier (NPI) is 1952463648, issued on 12/15/2006.
Does Urvi Patel, O.D. prescribe more brand-name or generic drugs?
Urvi Patel, O.D.'s prescribing is 41% brand-name and 59% generic drugs by claim count, with $31K 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 Urvi Patel, O.D. prescribe most often?
Based on 2023 Medicare Part D data, Urvi Patel, O.D.'s most frequently prescribed drugs include Latanoprost, Brimonidine Tartrate, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Urvi Patel, O.D. accept Medicare?
Urvi Patel, O.D. appears in CMS Medicare data with 426 Part D claims and 128 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Urvi Patel, O.D.'s credentials?
Urvi Patel, O.D.'s NPI is 1952463648 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

Compiled from official public sources by the PlainDoctor editorial team.