2026 NPPES data Optometrist NPI 1437771326 OD
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VISHAL PATEL, OD

Optometrist in BUFORD, Georgia. 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
723
Medicare Part D claims · 236 beneficiaries · Optometrist avg: 257
Generic prescribing
64%
generic claims · 36% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.5781/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$1.3K
24 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

VISHAL PATEL, OD reported a CMS MIPS final score of 77.5781/100 — below the 83.1 national average — and filed 723 Medicare Part D claims in 2023.

77.5781/100
MIPS score · -6 vs avg
723
Part D claims, 2023
64%
generic prescribing
$1.3K
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.

VISHAL PATEL, OD's MIPS score vs every scored U.S. clinician

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

78 24th percentile higher than 24% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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

What does the federal data show about VISHAL PATEL, OD?

Below national average

NPI registry status

Active

Issued 05/13/2020

NPI 1437771326

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

723 181% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

77.5781/100 5.521899999999988% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Optometrist compares to other specialties among Georgia providers

Georgia providers

Optometrist share within Georgia

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

Medicare quality performance — MIPS

VISHAL PATEL, OD's 2023 MIPS final score plotted against the Optometrist national average

Below national average
MIPS Final Score
77.5781/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 77.5781/100 vs national avg 83.1

0%100%National avg83%77.6%
MIPS final score (Optometrist) — 77.5781/100 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).

VISHAL PATEL, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 1995 MALL OF GEORGIA BLVD, BUFORD, GA, 30519, with a listed phone of (678) 381-2020. NPI 1437771326 was issued on 05/13/2020. 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 723 prescription claims written by this provider, covering 236 Medicare beneficiaries and totaling roughly $177K in drug spend, split 36% brand-name and 64% 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 77.5781/100 for the 2023 performance year (Quality 100, Cost 29.427), 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

1995 MALL OF GEORGIA BLVD
BUFORD, GA 30519

Provider Details

NPI 1437771326
Specialty Optometrist
Credentials OD
Gender Male
NPI Issued 05/13/2020

CMS Quality Score (MIPS)

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

77.5781
Final Score
Avg: 83.1
100
Quality
29.427
Cost
95
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where VISHAL PATEL, OD 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.

MILAN EYE LLC
BUFORD, GA

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 VISHAL PATEL, OD. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

Largest payer

Harrow Eye, LLC

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.

Brand vs generic prescribing mix · Above average

VISHAL PATEL, OD — brand share 36.0%
Specialty average (est.)

36% brand-name claims vs 64% generic, on 723 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.

723
Total Claims
$177K
Total Drug Cost
236
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,200
Total Day Supply
33,260
Brand vs Generic
36% brand / 64% generic
Brand Drug Cost
$160K
Generic Drug Cost
$17K
Antibiotic Claims
36

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.08
Gender Split
65% female / 35% male
Age Distribution
<65: 15, 65-74: 123, 75-84: 85, 85+: 13

Top Prescribed Drugs (Medicare Part D)

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

What VISHAL PATEL, 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
Latanoprost
229
Timolol Maleate
52
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
40
Erythromycin
Erythromycin Base
37
Xiidra
Lifitegrast
37
Tyrvaya
Varenicline Tartrate
29
Prednisolone Acetate
27
Restasis
Cyclosporine
26
Combigan
Brimonidine Tartrate/Timolol
25
Brimonidine Tartrate
24

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

Optometrist Overview

How VISHAL PATEL, OD fits within the Optometrist landscape nationally.

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

VISHAL PATEL, OD's 723 claims are above the specialty average of 257.

Nearby Optometrist Providers in Georgia

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

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

Frequently Asked Questions

What is VISHAL PATEL, OD's specialty?
VISHAL PATEL, OD specializes in Optometrist and practices in BUFORD, Georgia. Credentials: OD.
How much does VISHAL PATEL, OD prescribe under Medicare Part D?
In 2023, VISHAL PATEL, OD wrote 723 Medicare Part D claims totaling $177K in drug costs for 236 beneficiaries.
What is VISHAL PATEL, OD's Medicare quality score?
VISHAL PATEL, OD has a CMS MIPS Final Score of 77.5781/100 (Quality: 100, Cost: 29.427). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is VISHAL PATEL, OD located?
VISHAL PATEL, OD is located at 1995 MALL OF GEORGIA BLVD, BUFORD, GA, 30519. Phone: (678) 381-2020.
What is VISHAL PATEL, OD's NPI number?
VISHAL PATEL, OD's National Provider Identifier (NPI) is 1437771326, issued on 05/13/2020.
Does VISHAL PATEL, OD prescribe more brand-name or generic drugs?
VISHAL PATEL, OD's prescribing is 36% brand-name and 64% generic drugs by claim count, with $160K 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 VISHAL PATEL, OD prescribe most often?
Based on 2023 Medicare Part D data, VISHAL PATEL, OD's most frequently prescribed drugs include Latanoprost, Timolol Maleate, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does VISHAL PATEL, OD accept Medicare?
VISHAL PATEL, OD appears in CMS Medicare data with 723 Part D claims and 236 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify VISHAL PATEL, OD's credentials?
VISHAL PATEL, OD's NPI is 1437771326 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