2026 NPPES data Optometrist NPI 1831236751 OD
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BARRY KOWALIK, OD

Optometrist in DANVILLE, Kentucky. 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
397
Medicare Part D claims · 105 beneficiaries · Optometrist avg: 257
Generic prescribing
58%
generic claims · 42% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.1194/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$39.55
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

BARRY KOWALIK, OD reported a CMS MIPS final score of 79.1194/100 — below the 83.1 national average — and filed 397 Medicare Part D claims in 2023.

79.1194/100
MIPS score · -4 vs avg
397
Part D claims, 2023
58%
generic prescribing
$39.55
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.

BARRY KOWALIK, OD's MIPS score vs every scored U.S. clinician

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

79 30th percentile higher than 30% 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 BARRY KOWALIK, OD?

Near national average

NPI registry status

Active

Issued 01/31/2007

NPI 1831236751

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

397 54% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

79.1194/100 3.9805999999999955% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Optometrist compares to other specialties among Kentucky providers

Kentucky providers

Optometrist share within Kentucky

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

Medicare quality performance — MIPS

BARRY KOWALIK, OD's 2023 MIPS final score plotted against the Optometrist national average

Near national average
MIPS Final Score
79.1194/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 79.1194/100 vs national avg 83.1

0%100%National avg83%79.1%
MIPS final score (Optometrist) — 79.1194/100 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).

BARRY KOWALIK, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 100 WALTON AVE, DANVILLE, KY, 40422, with a listed phone of (859) 236-8093. NPI 1831236751 was issued on 01/31/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KOWALIK 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 397 prescription claims written by this provider, covering 105 Medicare beneficiaries and totaling roughly $59K in drug spend, split 42% brand-name and 58% 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 79.1194/100 for the 2023 performance year (Quality 79.524, Cost 44.2327), 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

100 WALTON AVE
DANVILLE, KY 40422

Provider Details

NPI 1831236751
Specialty Optometrist
Credentials OD
Gender Male
NPI Issued 01/31/2007

CMS Quality Score (MIPS)

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

79.1194
Final Score
Avg: 83.1
79.524
Quality
44.2327
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where BARRY KOWALIK, 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.

EPHRAIM MCDOWELL HEALTH RESOURCE INC
DANVILLE, KY

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 BARRY KOWALIK, OD. Source: openpaymentsdata.cms.gov.

Total received

$40

Largest payer

Carl Zeiss Meditec USA, 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.

Brand vs generic prescribing mix · Above average

BARRY KOWALIK, OD — brand share 42.0%
Specialty average (est.)

42% brand-name claims vs 58% generic, on 397 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.

397
Total Claims
$59K
Total Drug Cost
105
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
656
Total Day Supply
18,509
Brand vs Generic
42% brand / 58% generic
Brand Drug Cost
$55K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
74.8 years
Avg HCC Risk Score
1.14
Gender Split
50% female / 50% male

Top Prescribed Drugs (Medicare Part D)

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

What BARRY KOWALIK, 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
151
Brimonidine Tartrate
44
Lumigan
Bimatoprost
34
Combigan
Brimonidine Tartrate/Timolol
28
Timolol Maleate
25
Alphagan P
Brimonidine Tartrate
13
Erythromycin
Erythromycin Base
12
Rhopressa
Netarsudil Mesylate
12

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

Optometrist Overview

How BARRY KOWALIK, OD fits within the Optometrist landscape nationally.

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

BARRY KOWALIK, OD's 397 claims are above the specialty average of 257.

Nearby Optometrist Providers in Kentucky

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

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

Frequently Asked Questions

What is BARRY KOWALIK, OD's specialty?
BARRY KOWALIK, OD specializes in Optometrist and practices in DANVILLE, Kentucky. Credentials: OD.
How much does BARRY KOWALIK, OD prescribe under Medicare Part D?
In 2023, BARRY KOWALIK, OD wrote 397 Medicare Part D claims totaling $59K in drug costs for 105 beneficiaries.
What is BARRY KOWALIK, OD's Medicare quality score?
BARRY KOWALIK, OD has a CMS MIPS Final Score of 79.1194/100 (Quality: 79.524, Cost: 44.2327). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BARRY KOWALIK, OD located?
BARRY KOWALIK, OD is located at 100 WALTON AVE, DANVILLE, KY, 40422. Phone: (859) 236-8093.
What is BARRY KOWALIK, OD's NPI number?
BARRY KOWALIK, OD's National Provider Identifier (NPI) is 1831236751, issued on 01/31/2007.
Does BARRY KOWALIK, OD prescribe more brand-name or generic drugs?
BARRY KOWALIK, OD's prescribing is 42% brand-name and 58% generic drugs by claim count, with $55K 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 BARRY KOWALIK, OD prescribe most often?
Based on 2023 Medicare Part D data, BARRY KOWALIK, OD's most frequently prescribed drugs include Latanoprost, Brimonidine Tartrate, Lumigan. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BARRY KOWALIK, OD accept Medicare?
BARRY KOWALIK, OD appears in CMS Medicare data with 397 Part D claims and 105 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BARRY KOWALIK, OD's credentials?
BARRY KOWALIK, OD's NPI is 1831236751 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