2026 NPPES data Optometrist NPI 1639483936 O.D.
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EFREN GOMEZ, O.D.

Optometrist in WHITING, Indiana. 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
303
Medicare Part D claims · 103 beneficiaries · Optometrist avg: 257
Generic prescribing
55%
generic claims · 45% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.0215/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$105.08
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

EFREN GOMEZ, O.D. reported a CMS MIPS final score of 97.0215/100 — above the 83.1 national average — and filed 303 Medicare Part D claims in 2023.

97.0215/100
MIPS score · +14 vs avg
303
Part D claims, 2023
55%
generic prescribing
$105.08
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.

EFREN GOMEZ, O.D.'s MIPS score vs every scored U.S. clinician

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

97 Top 15% higher than 85% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 EFREN GOMEZ, O.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/29/2010

NPI 1639483936

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

303 18% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

97.0215/100 13.921500000000009% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Indiana

How Optometrist compares to other specialties among Indiana providers

Indiana providers

Optometrist share within Indiana

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

Medicare quality performance — MIPS

EFREN GOMEZ, O.D.'s 2023 MIPS final score plotted against the Optometrist national average

High performer (top quartile)
MIPS Final Score
97.0215/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 97.0215/100 vs national avg 83.1

0%100%National avg83%97%
MIPS final score (Optometrist) — 97.0215/100 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).

EFREN GOMEZ, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 1703 CALUMET AVE, WHITING, IN, 46394, with a listed phone of (219) 659-1105. NPI 1639483936 was issued on 07/29/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GOMEZ 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 303 prescription claims written by this provider, covering 103 Medicare beneficiaries and totaling roughly $26K in drug spend, split 45% brand-name and 55% 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 97.0215/100 for the 2023 performance year (Quality 98.5185, Cost 92.047), 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

1703 CALUMET AVE
WHITING, IN 46394

Provider Details

NPI 1639483936
Specialty Optometrist
Credentials O.D.
Gender Male
NPI Issued 07/29/2010

CMS Quality Score (MIPS)

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

97.0215
Final Score
Avg: 83.1
98.5185
Quality
92.047
Cost

Reporting: Group practice

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 EFREN GOMEZ, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$105

Largest payer

Tarsus Pharmaceuticals, 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

EFREN GOMEZ, O.D. — brand share 45.0%
Specialty average (est.)

45% brand-name claims vs 55% generic, on 303 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.

303
Total Claims
$26K
Total Drug Cost
103
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
531
Total Day Supply
15,151
Brand vs Generic
45% brand / 55% generic
Brand Drug Cost
$22K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
1.55
Gender Split
67% female / 33% male

Top Prescribed Drugs (Medicare Part D)

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

What EFREN GOMEZ, O.D. 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
130
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
44
Timolol Maleate
37
Prednisolone Acetate
17
Combigan
Brimonidine Tartrate/Timolol
15

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

Optometrist Overview

How EFREN GOMEZ, O.D. fits within the Optometrist landscape nationally.

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

EFREN GOMEZ, O.D.'s 303 claims are above the specialty average of 257.

Nearby Optometrist Providers in Indiana

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

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

Frequently Asked Questions

What is EFREN GOMEZ, O.D.'s specialty?
EFREN GOMEZ, O.D. specializes in Optometrist and practices in WHITING, Indiana. Credentials: O.D..
How much does EFREN GOMEZ, O.D. prescribe under Medicare Part D?
In 2023, EFREN GOMEZ, O.D. wrote 303 Medicare Part D claims totaling $26K in drug costs for 103 beneficiaries.
What is EFREN GOMEZ, O.D.'s Medicare quality score?
EFREN GOMEZ, O.D. has a CMS MIPS Final Score of 97.0215/100 (Quality: 98.5185, Cost: 92.047). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EFREN GOMEZ, O.D. located?
EFREN GOMEZ, O.D. is located at 1703 CALUMET AVE, WHITING, IN, 46394. Phone: (219) 659-1105.
What is EFREN GOMEZ, O.D.'s NPI number?
EFREN GOMEZ, O.D.'s National Provider Identifier (NPI) is 1639483936, issued on 07/29/2010.
Does EFREN GOMEZ, O.D. prescribe more brand-name or generic drugs?
EFREN GOMEZ, O.D.'s prescribing is 45% brand-name and 55% generic drugs by claim count, with $22K 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 EFREN GOMEZ, O.D. prescribe most often?
Based on 2023 Medicare Part D data, EFREN GOMEZ, O.D.'s most frequently prescribed drugs include Latanoprost, Neomycin-Polymyxin-Dexameth, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EFREN GOMEZ, O.D. accept Medicare?
EFREN GOMEZ, O.D. appears in CMS Medicare data with 303 Part D claims and 103 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EFREN GOMEZ, O.D.'s credentials?
EFREN GOMEZ, O.D.'s NPI is 1639483936 with credentials O.D.. 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