DEREK HEIMLICH
Optometrist in BLUE ASH, Ohio. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
DEREK HEIMLICH reported a CMS MIPS final score of 90.3837/100 — above the 83.1 national average — and filed 2,320 Medicare Part D claims in 2023.
- 90.3837/100
- MIPS score · +7 vs avg
- 2K
- Part D claims, 2023
- 77%
- generic prescribing
- $1.1K
- 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.
DEREK HEIMLICH's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
90 Top 40% higher than 60% of 477,587 scored providers
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 DEREK HEIMLICH?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Ohio
How Optometrist compares to other specialties among Ohio providers
Optometrist share within Ohio
Optometrist is one of the more visible NUCC categories in Ohio
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
DEREK HEIMLICH's 2023 MIPS final score plotted against the Optometrist national average
- MIPS Final Score
- 90.3837/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Optometrist) — 90.3837/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Optometrist US NPIs
90.3837/100 MIPS final score — 7.3 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Optometrist. Quality dim: 80.7674.
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).
DEREK HEIMLICH appears in the CMS NPPES registry as a Optometrist provider at 1945 CEI DR, BLUE ASH, OH, 45242, with a listed phone of (513) 984-5133. NPI 1699393090 was issued on 07/12/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HEIMLICH 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 2,320 prescription claims written by this provider, covering 533 Medicare beneficiaries and totaling roughly $200K in drug spend, split 23% brand-name and 77% 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 90.3837/100 for the 2023 performance year (Quality 80.7674), 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
Provider Details
| NPI | 1699393090 |
|---|---|
| Specialty | Optometrist |
| Gender | Male |
| NPI Issued | 07/12/2020 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm DEREK HEIMLICH's current license status, disciplinary history, and board certifications with the State Medical Board of Ohio in Ohio before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where DEREK HEIMLICH 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.
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 DEREK HEIMLICH. Source: openpaymentsdata.cms.gov.
Total received
$1.1K
Largest payer
Bausch & Lomb Americas 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.
License & disciplinary context — Ohio OMB 2023 annual report
Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 — they are NOT specific to DEREK HEIMLICH. To verify DEREK HEIMLICH's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
23% brand-name claims vs 77% generic, on 2,320 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.
Prescribing Breakdown
- 30-Day Fills
- 3,981
- Total Day Supply
- 113,520
- Brand vs Generic
- 23% brand / 77% generic
- Brand Drug Cost
- $153K
- Generic Drug Cost
- $47K
- Antibiotic Claims
- 57
Patient Demographics
- Average Patient Age
- 76.1 years
- Avg HCC Risk Score
- 1.42
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 46, 65-74: 193, 75-84: 188, 85+: 106
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What DEREK HEIMLICH prescribes most
Top Medicare Part D drugs by claim count, 2023
- Latanoprost
Latanoprost
680 claims
- Brimonidine Tartrate
Brimonidine Tartrate
410 claims
- Dorzolamide-Timolol
Dorzolamide-Timolol
343 claims
- Dorzolamide Hcl 179
Dorzolamide Hcl
179 claims
- Timolol Maleate 145
Timolol Maleate
145 claims
- Prednisolone Acetate 66
Prednisolone Acetate
66 claims
- Erythromycin 58
Erythromycin
58 claims
- Doxycycline Hyclate 47
Doxycycline Hyclate
47 claims
| Drug | Claims |
|---|---|
| Latanoprost | 680 |
| Brimonidine Tartrate | 410 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 343 |
| Dorzolamide Hcl | 179 |
| Timolol Maleate | 145 |
| Prednisolone Acetate | 66 |
| Erythromycin Erythromycin Base | 58 |
| Doxycycline Hyclate | 47 |
| Lumigan Bimatoprost | 45 |
| Rocklatan Netarsudil Mesylat/Latanoprost | 39 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Optometrist Overview
How DEREK HEIMLICH fits within the Optometrist landscape nationally.
DEREK HEIMLICH's 2,320 claims are above the specialty average of 257.
Nearby Optometrist Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as HEIMLICH.
Compare Optometrist nationally: see state-by-state distribution →
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Frequently Asked Questions
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What is DEREK HEIMLICH's NPI number? ▼
Does DEREK HEIMLICH prescribe more brand-name or generic drugs? ▼
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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