2026 NPPES data Optometrist NPI 1639428154 OD
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ANDREW APPLE, OD

Optometrist in SOUTHERN PINES, North Carolina. 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
3K
Medicare Part D claims · 850 beneficiaries · Optometrist avg: 257
Generic prescribing
50%
generic claims · 50% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.6281/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$292.45
10 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ANDREW APPLE, OD is a Optometrist ([object Object]) practicing in SOUTHERN PINES, North Carolina with a Medicare Part D prescribing footprint of 3K claims across 850 beneficiaries — 50% brand-name prescribing . Their CMS MIPS Final Score of 77.6281/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $292.45 across 10 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ANDREW APPLE, OD reported a CMS MIPS final score of 77.6281 out of 100, below the 83.1 national average, and filed 2,990 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ANDREW APPLE, OD at a glance

Below national average

NPI registry status

Active

Issued 08/29/2012

NPI 1639428154

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

2,990 1063% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

77.6281/100 5.471899999999991% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in North Carolina

How Optometrist compares to other specialties among North Carolina providers

North Carolina providers

Optometrist share within North Carolina

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

Medicare quality performance — MIPS

ANDREW APPLE, OD's 2023 MIPS final score plotted against the Optometrist national average

Below national average
MIPS Final Score
77.6281/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 77.6281/100 vs national avg 83.1

0%100%National avg83%77.6%
MIPS final score (Optometrist) — 77.6281/100 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).

ANDREW APPLE, OD is a Optometrist provider practicing in SOUTHERN PINES, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: OD. NPI: 1639428154. 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.

ANDREW APPLE, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 2170 MIDLAND RD, SOUTHERN PINES, NC, 28387, with a listed phone of (910) 295-2100. NPI 1639428154 was issued on 08/29/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what APPLE 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 2,990 prescription claims written by this provider, covering 850 Medicare beneficiaries and totaling roughly $1.0 million in drug spend, split 50% brand-name and 50% 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 77.6281/100 for the 2023 performance year (Quality 100, Cost 25.427), 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

2170 MIDLAND RD
SOUTHERN PINES, NC 28387

Provider Details

NPI 1639428154
Specialty Optometrist
Credentials OD
Gender Male
NPI Issued 08/29/2012

CMS Quality Score (MIPS)

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

77.6281
Final Score
Avg: 83.1
100
Quality
25.427
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ANDREW APPLE, 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.

CAROLINA EYE ASSOCIATES INC
SANFORD, NC

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 ANDREW APPLE, OD. Source: openpaymentsdata.cms.gov.

Total received

$292

Largest payer

Alcon Vision 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 · Brand-heavy

ANDREW APPLE, OD — brand share 50.0%
Specialty average (est.)

50% brand-name claims vs 50% generic, on 2,990 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.

2,990
Total Claims
$1.0M
Total Drug Cost
850
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,008
Total Day Supply
141,181
Brand vs Generic
50% brand / 50% generic
Brand Drug Cost
$950K
Generic Drug Cost
$61K
Antibiotic Claims
69

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
1.45
Gender Split
69% female / 31% male
Age Distribution
<65: 81, 65-74: 348, 75-84: 309, 85+: 112

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Latanoprost
784
Restasis
Cyclosporine
388
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
193
Prednisolone Acetate
174
Rocklatan
Netarsudil Mesylat/Latanoprost
153
Brimonidine Tartrate
150
Timolol Maleate
143
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
114
Lumigan
Bimatoprost
113
Xiidra
Lifitegrast
90

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

Optometrist Overview

How ANDREW APPLE, OD fits within the Optometrist landscape nationally.

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

ANDREW APPLE, OD's 2,990 claims are above the specialty average of 257.

Nearby Optometrist Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as APPLE.

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

Frequently Asked Questions

What is ANDREW APPLE, OD's specialty?
ANDREW APPLE, OD specializes in Optometrist and practices in SOUTHERN PINES, North Carolina. Credentials: OD.
How much does ANDREW APPLE, OD prescribe under Medicare Part D?
In 2023, ANDREW APPLE, OD wrote 2,990 Medicare Part D claims totaling $1.0M in drug costs for 850 beneficiaries.
What is ANDREW APPLE, OD's Medicare quality score?
ANDREW APPLE, OD has a CMS MIPS Final Score of 77.6281/100 (Quality: 100, Cost: 25.427). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDREW APPLE, OD located?
ANDREW APPLE, OD is located at 2170 MIDLAND RD, SOUTHERN PINES, NC, 28387. Phone: (910) 295-2100.
What is ANDREW APPLE, OD's NPI number?
ANDREW APPLE, OD's National Provider Identifier (NPI) is 1639428154, issued on 08/29/2012.
Does ANDREW APPLE, OD prescribe more brand-name or generic drugs?
ANDREW APPLE, OD's prescribing is 50% brand-name and 50% generic drugs by claim count, with $950K 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 ANDREW APPLE, OD prescribe most often?
Based on 2023 Medicare Part D data, ANDREW APPLE, OD's most frequently prescribed drugs include Latanoprost, Restasis, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREW APPLE, OD accept Medicare?
ANDREW APPLE, OD appears in CMS Medicare data with 2,990 Part D claims and 850 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW APPLE, OD's credentials?
ANDREW APPLE, OD's NPI is 1639428154 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