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2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1538369194 M.D.
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Vijay Khetpal, M.D.

Retina Specialist (Ophthalmology) Physician in Sherman, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 913 in Retina Specialist (Ophthalmology) Physician, 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
3K
Medicare Part D claims · 848 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
Generic prescribing
63%
generic claims · 37% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
88/100
▲ 5 pts above national avg 83.1 · Above neutral
Industry payments
$444.69
9 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Vijay Khetpal, M.D. reported a CMS MIPS final score of 88/100 - above the 83.1 national average - and filed 3,159 Medicare Part D claims in 2023.

88/100
MIPS score · +5 vs avg
3K
Part D claims, 2023
63%
generic prescribing
Likely
board-certified (heuristic)

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.

Vijay Khetpal, M.D.'s MIPS score vs every scored U.S. clinician

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

88 Top 44% higher than 56% 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+: 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 Vijay Khetpal, M.D. sits

This provider among retina specialist (ophthalmology) physician peers

Across the 583 retina specialist (ophthalmology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Vijay Khetpal, M.D. writes more Part D claims than 99% of them and scores higher on MIPS quality than 31% - 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 quality0255075100017.935.753.671.4Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 47Vijay Khetpal, M.D.-Part D claim volume, percentile in specialty: 99 · MIPS quality, percentile: 31
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one retina specialist (ophthalmology) physician peer from a representative sample of 60; the gold marker is Vijay Khetpal, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Vijay Khetpal, M.D. 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).

What does the federal data show about Vijay Khetpal, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/23/2007

NPI 1538369194

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

3,159 6× vs specialty avg

2023 prescription claims

Specialty avg: 558

MIPS final score

88/100 4.9 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Retina Specialist (Ophthalmology) Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician - 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program - 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Professional Counselor - 4.4%Professional Counselor4.4%Pharmacist - 4.4%Pharmacist4.4%Speech-Language Pathologist - 3.9%Speech-Language Pathologist3.9%Retina Specialist (Ophthalmology) Physician - 0%Retina Specialist (Ophthalmology) Physician0%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Vijay Khetpal, M.D.'s 2023 MIPS final score plotted against the Retina Specialist (Ophthalmology) Physician national average

High performer (top quartile)
MIPS Final Score
88/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Retina Specialist (Ophthalmology) Physician) - 88/100 vs national avg 83.1

0%100%National avg83%88%
MIPS final score (Retina Specialist (Ophthalmology) Physician) - 88/100 vs national avg 83.1
How MIPS and board certification work

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).

Vijay Khetpal, M.D. appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding M.D. credentials at 1303 N SAM RAYBURN FWY # 100, Sherman, TX, 75090, with a listed phone of (903) 337-0055. NPI 1538369194 was issued on 07/23/2007.

Medicare Part D records for calendar year 2023 show 3,159 prescription claims written by this provider, covering 848 Medicare beneficiaries and totaling roughly $185K in drug spend, split 37% brand-name and 63% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 88/100 for the 2023 performance year (Quality 70, Cost 100), compared with the national average of 83.1.

Retina Specialist (Ophthalmology) Physician is a narrow specialty nationwide, with 913 enrolled providers across 48 states and an average of 558 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

1303 N SAM RAYBURN FWY # 100
Sherman, TX 75090
(903) 337-0055

Provider Details

NPI 1538369194
Specialty Retina Specialist (Ophthalmology) Physician
Credentials M.D.
Gender Male
NPI Issued 07/23/2007

CMS Quality Score (MIPS)

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

88.0125
Final Score
Avg: 83.1
70.0314
Quality
100
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where Vijay Khetpal, M.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.

Texoma Retina Center PA
Paris, TX

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 Vijay Khetpal, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$445

Largest payer

Alimera Sciences, 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 - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Vijay Khetpal, M.D.. To verify Vijay Khetpal, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

Vijay Khetpal, M.D. - brand share 37.0%
Retina Specialist (Ophthalmology) Physician average

37% brand-name claims vs 63% generic, on 3,159 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.

3,159
Total Claims
$185K
Total Drug Cost
848
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,293
Total Day Supply
108,427
Brand vs Generic
37% brand / 63% generic
Brand Drug Cost
$146K
Generic Drug Cost
$39K

Patient Demographics

Average Patient Age
74.3 years
Avg HCC Risk Score
1.71
Gender Split
58% female / 42% male
Age Distribution
<65: 77, 65-74: 351, 75-84: 310, 85+: 110

Top Prescribed Drugs (Medicare Part D)

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

What Vijay Khetpal, M.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
 623
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
535
Prednisolone Acetate
 353
Brimonidine Tartrate
 288
Fluorometholone
 275
Erythromycin
Erythromycin Base
251
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
237
Tobramycin
 168
Timolol Maleate
 80
Restasis
Cyclosporine
51

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

More Retina Specialist (Ophthalmology) Physician in TX → All providers in Texas → Compare specialties →

Retina Specialist (Ophthalmology) Physician Overview

How Vijay Khetpal, M.D. fits within the Retina Specialist (Ophthalmology) Physician landscape nationally.

913
Retina Specialist (Ophthalmology) Physician Providers in US
48
States with Retina Specialist (Ophthalmology) Physician
558
Avg Claims per Provider

Vijay Khetpal, M.D.'s 3,159 claims are above the specialty average of 558.

Nearby Retina Specialist (Ophthalmology) Physician Providers in Texas

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

Dr. Matthew Adams
MD
Plano, TX
Dr. Hasenin Al-Khersan
MD
Bellaire, TX
Dr. Rolake Alabi
MD PHD
Austin, TX
Dr. Harshivinderjit Bains
MD
Tyler, TX
Dr. Touka Banaee
MD
Galveston, TX

Compare Retina Specialist (Ophthalmology) Physician 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 Texas medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Retina Specialist (Ophthalmology) Physician 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.

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Frequently Asked Questions

What is Vijay Khetpal, M.D.'s specialty? ▼
Vijay Khetpal, M.D. specializes in Retina Specialist (Ophthalmology) Physician and practices in Sherman, Texas. Credentials: M.D..
How much does Vijay Khetpal, M.D. prescribe under Medicare Part D? ▼
In 2023, Vijay Khetpal, M.D. wrote 3,159 Medicare Part D claims totaling $185K in drug costs for 848 beneficiaries.
What is Vijay Khetpal, M.D.'s Medicare quality score? ▼
Vijay Khetpal, M.D. has a CMS MIPS Final Score of 88/100 (Quality: 70, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Vijay Khetpal, M.D. located? ▼
Vijay Khetpal, M.D. is located at 1303 N SAM RAYBURN FWY # 100, Sherman, TX, 75090. Phone: (903) 337-0055.
What is Vijay Khetpal, M.D.'s NPI number? ▼
Vijay Khetpal, M.D.'s National Provider Identifier (NPI) is 1538369194, issued on 07/23/2007.
Does Vijay Khetpal, M.D. prescribe more brand-name or generic drugs? ▼
Vijay Khetpal, M.D.'s prescribing is 37% brand-name and 63% generic drugs by claim count, with $146K in brand drug costs.
How many Retina Specialist (Ophthalmology) Physician providers are there in the US? ▼
There are 913 Retina Specialist (Ophthalmology) Physician providers across 48 states in the US. The average Retina Specialist (Ophthalmology) Physician provider writes 558 Medicare Part D claims per year.
What drugs does Vijay Khetpal, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Vijay Khetpal, M.D.'s most frequently prescribed drugs include Latanoprost, Dorzolamide-Timolol, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Vijay Khetpal, M.D. accept Medicare? ▼
Vijay Khetpal, M.D. appears in CMS Medicare data with 3,159 Part D claims and 848 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Vijay Khetpal, M.D.'s credentials? ▼
Vijay Khetpal, M.D.'s NPI is 1538369194 with credentials M.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

View source datasets and methodology notes
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.