2026 NPPES data Optometrist NPI 1518962059 OD
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ERICA BURTON, OD

Optometrist in LAMAR, Missouri. 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
871
Medicare Part D claims · 251 beneficiaries · Optometrist avg: 257
Generic prescribing
34%
generic claims · 66% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.4973/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$550.16
11 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ERICA BURTON, OD is a Optometrist ([object Object]) practicing in LAMAR, Missouri with a Medicare Part D prescribing footprint of 871 claims across 251 beneficiaries — 66% brand-name prescribing . Their CMS MIPS Final Score of 97.4973/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $550.16 across 11 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ERICA BURTON, OD reported a CMS MIPS final score of 97.4973 out of 100, above the 83.1 national average, and filed 871 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ERICA BURTON, OD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/20/2005

NPI 1518962059

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

871 239% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

97.4973/100 14.397300000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Missouri

How Optometrist compares to other specialties among Missouri providers

Missouri providers

Optometrist share within Missouri

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

Medicare quality performance — MIPS

ERICA BURTON, OD's 2023 MIPS final score plotted against the Optometrist national average

High performer (top quartile)
MIPS Final Score
97.4973/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 97.4973/100 vs national avg 83.1

0%100%National avg83%97.5%
MIPS final score (Optometrist) — 97.4973/100 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).

ERICA BURTON, OD is a Optometrist provider practicing in LAMAR, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: OD. NPI: 1518962059. 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.

ERICA BURTON, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 808 GULF ST, LAMAR, MO, 64759, with a listed phone of (417) 682-3301. NPI 1518962059 was issued on 06/20/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BURTON 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 871 prescription claims written by this provider, covering 251 Medicare beneficiaries and totaling roughly $884K in drug spend, split 66% brand-name and 34% 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 97.4973/100 for the 2023 performance year (Quality 94.9947), 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

808 GULF ST
LAMAR, MO 64759

Provider Details

NPI 1518962059
Specialty Optometrist
Credentials OD
Gender Female
NPI Issued 06/20/2005

CMS Quality Score (MIPS)

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

97.4973
Final Score
Avg: 83.1
94.9947
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where ERICA BURTON, OD 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.

SWEARINGEN AND BURTON LLC
LAMAR, MO

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 ERICA BURTON, OD. Source: openpaymentsdata.cms.gov.

Total received

$550

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.

Brand vs generic prescribing mix · Brand-heavy

ERICA BURTON, OD — brand share 66.0%
Specialty average (est.)

66% brand-name claims vs 34% generic, on 871 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.

871
Total Claims
$884K
Total Drug Cost
251
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,550
Total Day Supply
43,826
Brand vs Generic
66% brand / 34% generic
Brand Drug Cost
$865K
Generic Drug Cost
$18K
Antibiotic Claims
33

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.38
Gender Split
67% female / 33% male
Age Distribution
<65: 37, 65-74: 103, 75-84: 81, 85+: 30

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Lumigan
Bimatoprost
193
Restasis
Cyclosporine
147
Latanoprost
68
Timolol Maleate
41
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
35
Doxycycline Hyclate
34
Brimonidine Tartrate
27
Xiidra
Lifitegrast
27
Loteprednol Etabonate
25
Simbrinza
Brinzolamide/Brimonidine Tart
17

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

Optometrist Overview

How ERICA BURTON, OD fits within the Optometrist landscape nationally.

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

ERICA BURTON, OD's 871 claims are above the specialty average of 257.

Nearby Optometrist Providers in Missouri

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

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

Frequently Asked Questions

What is ERICA BURTON, OD's specialty?
ERICA BURTON, OD specializes in Optometrist and practices in LAMAR, Missouri. Credentials: OD.
How much does ERICA BURTON, OD prescribe under Medicare Part D?
In 2023, ERICA BURTON, OD wrote 871 Medicare Part D claims totaling $884K in drug costs for 251 beneficiaries.
What is ERICA BURTON, OD's Medicare quality score?
ERICA BURTON, OD has a CMS MIPS Final Score of 97.4973/100 (Quality: 94.9947). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ERICA BURTON, OD located?
ERICA BURTON, OD is located at 808 GULF ST, LAMAR, MO, 64759. Phone: (417) 682-3301.
What is ERICA BURTON, OD's NPI number?
ERICA BURTON, OD's National Provider Identifier (NPI) is 1518962059, issued on 06/20/2005.
Does ERICA BURTON, OD prescribe more brand-name or generic drugs?
ERICA BURTON, OD's prescribing is 66% brand-name and 34% generic drugs by claim count, with $865K 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 ERICA BURTON, OD prescribe most often?
Based on 2023 Medicare Part D data, ERICA BURTON, OD's most frequently prescribed drugs include Lumigan, Restasis, Latanoprost. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ERICA BURTON, OD accept Medicare?
ERICA BURTON, OD appears in CMS Medicare data with 871 Part D claims and 251 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ERICA BURTON, OD's credentials?
ERICA BURTON, OD's NPI is 1518962059 with credentials OD. 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