2026 NPPES data Optometrist NPI 1255392122 OD PC
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DAVID SYBESMA, OD PC

Optometrist in MAQUOKETA, Iowa. 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
525
Medicare Part D claims · 124 beneficiaries · Optometrist avg: 257
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]

What the federal data shows

DAVID SYBESMA, OD PC reported a CMS MIPS final score of 0/100 — below the 83.1 national average — and filed 525 Medicare Part D claims in 2023.

0/100
MIPS score · -83 vs avg
525
Part D claims, 2023
80%
generic prescribing

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.

DAVID SYBESMA, OD PC's MIPS score vs every scored U.S. clinician

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

0 0th percentile higher than 0% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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 DAVID SYBESMA, OD PC?

Below national average

NPI registry status

Active

Issued 03/30/2006

NPI 1255392122

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

525 104% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Iowa

How Optometrist compares to other specialties among Iowa providers

Iowa providers

Optometrist share within Iowa

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

Medicare quality performance — MIPS

DAVID SYBESMA, OD PC's 2023 MIPS final score plotted against the Optometrist national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Optometrist) — 0/100 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 SYBESMA, OD PC appears in the CMS NPPES registry as a Optometrist provider holding OD PC credentials at 1408 43RD STREET, MAQUOKETA, IA, 52060, with a listed phone of (563) 652-2795. NPI 1255392122 was issued on 03/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SYBESMA 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 525 prescription claims written by this provider, covering 124 Medicare beneficiaries and totaling roughly $23K in drug spend, split 20% brand-name and 80% 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 0/100 for the 2023 performance year (Quality 0), 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

1408 43RD STREET
MAQUOKETA, IA 52060

Provider Details

NPI 1255392122
Specialty Optometrist
Credentials OD PC
Gender Male
NPI Issued 03/30/2006

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Brand vs generic prescribing mix · Typical

DAVID SYBESMA, OD PC — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 525 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.

525
Total Claims
$23K
Total Drug Cost
124
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
782
Total Day Supply
21,249
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$14K
Generic Drug Cost
$9K

Patient Demographics

Average Patient Age
77.2 years
Avg HCC Risk Score
1.31
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

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

What DAVID SYBESMA, OD PC 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
293
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
54
Prednisolone Acetate
35
Timolol Maleate
33
Erythromycin
Erythromycin Base
17
Brimonidine Tartrate
13
Ciprofloxacin Hcl
12

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

Optometrist Overview

How DAVID SYBESMA, OD PC fits within the Optometrist landscape nationally.

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

DAVID SYBESMA, OD PC's 525 claims are above the specialty average of 257.

Nearby Optometrist Providers in Iowa

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

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

Frequently Asked Questions

What is DAVID SYBESMA, OD PC's specialty?
DAVID SYBESMA, OD PC specializes in Optometrist and practices in MAQUOKETA, Iowa. Credentials: OD PC.
How much does DAVID SYBESMA, OD PC prescribe under Medicare Part D?
In 2023, DAVID SYBESMA, OD PC wrote 525 Medicare Part D claims totaling $23K in drug costs for 124 beneficiaries.
What is DAVID SYBESMA, OD PC's Medicare quality score?
DAVID SYBESMA, OD PC has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DAVID SYBESMA, OD PC located?
DAVID SYBESMA, OD PC is located at 1408 43RD STREET, MAQUOKETA, IA, 52060. Phone: (563) 652-2795.
What is DAVID SYBESMA, OD PC's NPI number?
DAVID SYBESMA, OD PC's National Provider Identifier (NPI) is 1255392122, issued on 03/30/2006.
Does DAVID SYBESMA, OD PC prescribe more brand-name or generic drugs?
DAVID SYBESMA, OD PC's prescribing is 20% brand-name and 80% generic drugs by claim count, with $14K 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 SYBESMA, OD PC prescribe most often?
Based on 2023 Medicare Part D data, DAVID SYBESMA, OD PC'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 DAVID SYBESMA, OD PC accept Medicare?
DAVID SYBESMA, OD PC appears in CMS Medicare data with 525 Part D claims and 124 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DAVID SYBESMA, OD PC's credentials?
DAVID SYBESMA, OD PC's NPI is 1255392122 with credentials OD PC. 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