Douglas Shumaker, O.D.
Corneal and Contact Management Optometrist in Rockford, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,548 in Corneal and Contact Management Optometrist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Douglas Shumaker, O.D. reported a CMS MIPS final score of 92.4/100 - above the 83.5 national average - and filed 739 Medicare Part D claims in 2023.
- 92.4/100
- MIPS score · +9 vs avg
- 739
- Part D claims, 2023
- 55%
- generic prescribing
- ≥66th
- pct among measured MIPS (lower-bound band)
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.
Douglas Shumaker, O.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
92 ≥ 66th percentile 66% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Douglas Shumaker, O.D. sits
This provider among corneal and contact management optometrist peers
Across the 144 corneal and contact management optometrist providers who report both Medicare Part D prescribing and a MIPS quality score, Douglas Shumaker, O.D. writes more Part D claims than 72% of them and scores higher on MIPS quality than 75% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one corneal and contact management optometrist peer from a representative sample of 60; the gold marker is Douglas Shumaker, O.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Douglas Shumaker, O.D.?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Illinois
How Corneal and Contact Management Optometrist compares to other specialties among Illinois providers
Corneal and Contact Management Optometrist ranks #199 among Illinois's specialties (0% of in-state providers)
Each bar is a specialty's share of the Illinois provider total, by primary NUCC taxonomy. The highlighted bar is Corneal and Contact Management Optometrist; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Douglas Shumaker, O.D.'s 2023 MIPS final score plotted against the Corneal and Contact Management Optometrist national average
- MIPS Final Score
- 92.4/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Corneal and Contact Management Optometrist) - 92.4/100 vs national avg 83.5
Quality benchmarks
- National MIPS avg 2023 measured reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Corneal and Contact Management Optometrist US NPIs
92.4/100 MIPS final score - 8.9 pts above the 83.5 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Corneal and Contact Management Optometrist. Quality dim: 97.2. Cost dim: 80.8.
How MIPS and board certification work
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).
Douglas Shumaker, O.D. appears in the CMS NPPES registry as a Corneal and Contact Management Optometrist provider holding O.D. credentials at 2929 MCFARLAND RD, Rockford, IL, 61107, with a listed phone of (815) 654-2020. NPI 1497870778 was issued on 03/19/2007.
Medicare Part D records for calendar year 2023 show 739 prescription claims written by this provider, covering 208 Medicare beneficiaries and totaling roughly $81K in drug spend, split 45% brand-name and 55% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 92.4/100 for the 2023 performance year (Quality 97.2, Cost 80.8), compared with the 83.5 average among clinicians with a measured score.
Corneal and Contact Management Optometrist is a narrow specialty nationwide, with 1,548 enrolled providers across 52 states and an average of 235 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 | 1497870778 |
|---|---|
| Specialty | Corneal and Contact Management Optometrist |
| Credentials | O.D. |
| Gender | Male |
| NPI Issued | 03/19/2007 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Douglas Shumaker, O.D.'s current license status, disciplinary history, and board certifications with the Illinois Department of Financial and Professional Regulation in Illinois before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1497870778 is the unique 10-digit identifier CMS uses to link Shumaker across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where Douglas Shumaker, O.D. 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).
License & disciplinary context - Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 - they are NOT specific to Douglas Shumaker, O.D.. To verify Douglas Shumaker, O.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
45% brand-name claims vs 55% generic, on 739 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
- 1,345
- Total Day Supply
- 37,409
- Brand vs Generic
- 45% brand / 55% generic
- Brand Drug Cost
- $74K
- Generic Drug Cost
- $7K
- Antibiotic Claims
- 21
Patient Demographics
- Average Patient Age
- 75.9 years
- Avg HCC Risk Score
- 0.98
- Gender Split
- 59% female / 41% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Douglas Shumaker, O.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Latanoprost
Latanoprost
308 claims
- Timolol Maleate
Timolol Maleate
130 claims
- Lumigan 52
Lumigan
52 claims
- Prednisolone Acetate 39
Prednisolone Acetate
39 claims
- Restasis 19
Restasis
19 claims
- Acyclovir 18
Acyclovir
18 claims
- Brimonidine Tartrate 18
Brimonidine Tartrate
18 claims
- Dorzolamide Hcl 16
Dorzolamide Hcl
16 claims
| Drug | Claims |
|---|---|
| Latanoprost | 308 |
| Timolol Maleate | 130 |
| Lumigan Bimatoprost | 52 |
| Prednisolone Acetate | 39 |
| Restasis Cyclosporine | 19 |
| Acyclovir | 18 |
| Brimonidine Tartrate | 18 |
| Dorzolamide Hcl | 16 |
| Cephalexin | 15 |
| Combigan Brimonidine Tartrate/Timolol | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Corneal and Contact Management Optometrist Overview
How Douglas Shumaker, O.D. fits within the Corneal and Contact Management Optometrist landscape nationally.
Douglas Shumaker, O.D.'s 739 claims are above the specialty average of 235.
Nearby Corneal and Contact Management Optometrist Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Shumaker.
Compare Corneal and Contact Management Optometrist nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Illinois medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Corneal and Contact Management Optometrist peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
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Data Sources
View source datasets and methodology notes
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.
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