2026 NPPES data Optometrist NPI 1114206034
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DAVID EDMUNDS

Optometrist in PROVO, Utah. 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
183
Medicare Part D claims · 98 beneficiaries · Optometrist avg: 257
Generic prescribing
48%
generic claims · 52% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.7858/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$160.15
9 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: DAVID EDMUNDS is a Optometrist ([object Object]) practicing in PROVO, Utah with a Medicare Part D prescribing footprint of 183 claims across 98 beneficiaries — 52% brand-name prescribing . Their CMS MIPS Final Score of 89.7858/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $160.15 across 9 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: DAVID EDMUNDS reported a CMS MIPS final score of 89.7858 out of 100, above the 83.1 national average, and filed 183 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

DAVID EDMUNDS at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/09/2011

NPI 1114206034

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

183 29% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

89.7858/100 6.6858% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Utah

How Optometrist compares to other specialties among Utah providers

Utah providers

Optometrist share within Utah

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

Medicare quality performance — MIPS

DAVID EDMUNDS's 2023 MIPS final score plotted against the Optometrist national average

High performer (top quartile)
MIPS Final Score
89.7858/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 89.7858/100 vs national avg 83.1

0%100%National avg83%89.8%
MIPS final score (Optometrist) — 89.7858/100 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).

DAVID EDMUNDS is a Optometrist provider practicing in PROVO, Utah, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1114206034. 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.

DAVID EDMUNDS appears in the CMS NPPES registry as a Optometrist provider at 1055 N 300 W STE 204, PROVO, UT, 84604, with a listed phone of (801) 357-7373. NPI 1114206034 was issued on 08/09/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what EDMUNDS 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 183 prescription claims written by this provider, covering 98 Medicare beneficiaries and totaling roughly $29K in drug spend, split 52% brand-name and 48% 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 89.7858/100 for the 2023 performance year (Quality 95.2486, Cost 70.7042), 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

1055 N 300 W STE 204
PROVO, UT 84604

Provider Details

NPI 1114206034
Specialty Optometrist
Gender Male
NPI Issued 08/09/2011

CMS Quality Score (MIPS)

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

89.7858
Final Score
Avg: 83.1
95.2486
Quality
70.7042
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where DAVID EDMUNDS 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.

UTAH VALLEY EYE CENTER INC
PROVO, UT

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 DAVID EDMUNDS. Source: openpaymentsdata.cms.gov.

Total received

$160

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

DAVID EDMUNDS — brand share 52.0%
Specialty average (est.)

52% brand-name claims vs 48% generic, on 183 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.

183
Total Claims
$29K
Total Drug Cost
98
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
225
Total Day Supply
4,956
Brand vs Generic
52% brand / 48% generic
Brand Drug Cost
$25K
Generic Drug Cost
$3K
Antibiotic Claims
15

Patient Demographics

Average Patient Age
73.6 years
Avg HCC Risk Score
1.13
Gender Split
62% 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.

Drug Claims
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
48
Prednisolone Acetate
32
Loteprednol Etabonate
24
Cephalexin
14
Latanoprost
11

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

Optometrist Overview

How DAVID EDMUNDS fits within the Optometrist landscape nationally.

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

DAVID EDMUNDS's 183 claims are below the specialty average of 257.

Nearby Optometrist Providers in Utah

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

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

Frequently Asked Questions

What is DAVID EDMUNDS's specialty?
DAVID EDMUNDS specializes in Optometrist and practices in PROVO, Utah.
How much does DAVID EDMUNDS prescribe under Medicare Part D?
In 2023, DAVID EDMUNDS wrote 183 Medicare Part D claims totaling $29K in drug costs for 98 beneficiaries.
What is DAVID EDMUNDS's Medicare quality score?
DAVID EDMUNDS has a CMS MIPS Final Score of 89.7858/100 (Quality: 95.2486, Cost: 70.7042). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DAVID EDMUNDS located?
DAVID EDMUNDS is located at 1055 N 300 W STE 204, PROVO, UT, 84604. Phone: (801) 357-7373.
What is DAVID EDMUNDS's NPI number?
DAVID EDMUNDS's National Provider Identifier (NPI) is 1114206034, issued on 08/09/2011.
Does DAVID EDMUNDS prescribe more brand-name or generic drugs?
DAVID EDMUNDS's prescribing is 52% brand-name and 48% generic drugs by claim count, with $25K 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 DAVID EDMUNDS prescribe most often?
Based on 2023 Medicare Part D data, DAVID EDMUNDS's most frequently prescribed drugs include Tobramycin-Dexamethasone, Prednisolone Acetate, Loteprednol Etabonate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DAVID EDMUNDS accept Medicare?
DAVID EDMUNDS appears in CMS Medicare data with 183 Part D claims and 98 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DAVID EDMUNDS's credentials?
DAVID EDMUNDS's NPI is 1114206034. 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