2026 NPPES data Pediatric Ophthalmology and Strabismus Specialist Physician NPI 1609971126 MD
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FORREST ELLIS, MD

Pediatric Ophthalmology and Strabismus Specialist Physician in FALLS CHURCH, Virginia. 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
29
Medicare Part D claims · 20 beneficiaries · Pediatric Ophthalmology and Strabismus Specialist Physician avg: 266
MIPS score
95.5731/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$382.17
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

FORREST ELLIS, MD reported a CMS MIPS final score of 95.5731/100 — above the 83.1 national average — and filed 29 Medicare Part D claims in 2023.

95.5731/100
MIPS score · +12 vs avg
29
Part D claims, 2023
Likely
board-certified (heuristic)

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.

FORREST ELLIS, MD's MIPS score vs every scored U.S. clinician

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

96 Top 21% higher than 79% 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

Board certification likely (heuristic — not verified)

FORREST ELLIS, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about FORREST ELLIS, MD?

High performer (top quartile)

NPI registry status

Active

Issued 09/13/2006

NPI 1609971126

Primary specialty

Pediatric Ophthalmology and Strabismus Specialist Physician

Rare

242 US NPIs in this specialty

Medicare Part D claims

29 89% vs specialty avg

2023 prescription claims

Specialty avg: 266

MIPS final score

95.5731/100 12.473100000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Pediatric Ophthalmology and Strabismus Specialist Physician compares to other specialties among Virginia providers

Virginia providers

Pediatric Ophthalmology and Strabismus Specialist Physician share within Virginia

1. Pediatric Ophthalmology and Strabismus Specialist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Ophthalmology and Strabismus Specialist Physician share within Virginia

Medicare quality performance — MIPS

FORREST ELLIS, MD's 2023 MIPS final score plotted against the Pediatric Ophthalmology and Strabismus Specialist Physician national average

High performer (top quartile)
MIPS Final Score
95.5731/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Ophthalmology and Strabismus Specialist Physician) — 95.5731/100 vs national avg 83.1

0%100%National avg83%95.6%
MIPS final score (Pediatric Ophthalmology and Strabismus Specialist Physician) — 95.5731/100 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).

FORREST ELLIS, MD appears in the CMS NPPES registry as a Pediatric Ophthalmology and Strabismus Specialist Physician provider holding MD credentials at 6231 LEESBURG PIKE, FALLS CHURCH, VA, 22044, with a listed phone of (703) 534-3900. NPI 1609971126 was issued on 09/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ELLIS 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 29 prescription claims written by this provider, covering 20 Medicare beneficiaries and totaling roughly $636 in drug spend. 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 95.5731/100 for the 2023 performance year (Quality 93.0448, Cost 92.1988), compared with the national average of 83.1.

Pediatric Ophthalmology and Strabismus Specialist Physician is a narrow specialty nationwide, with 242 enrolled providers across 40 states and an average of 266 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

6231 LEESBURG PIKE
FALLS CHURCH, VA 22044

Provider Details

NPI 1609971126
Specialty Pediatric Ophthalmology and Strabismus Specialist Physician
Credentials MD
Gender Male
NPI Issued 09/13/2006

CMS Quality Score (MIPS)

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

95.5731
Final Score
Avg: 83.1
93.0448
Quality
92.1988
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where FORREST ELLIS, MD 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.

NORTHERN VIRGINIA OPHTHALMOLOGY ASSOC PC
FAIRFAX, VA

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 FORREST ELLIS, MD. Source: openpaymentsdata.cms.gov.

Total received

$382

Largest payer

RxSight 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

29
Total Claims
$636
Total Drug Cost
20
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
34
Total Day Supply
609
Generic Drug Cost
$528

Patient Demographics

Average Patient Age
77.8 years
Avg HCC Risk Score
0.98
Age Distribution
<65: 0, 65-74: N/A, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Erythromycin
Erythromycin Base
19

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

Pediatric Ophthalmology and Strabismus Specialist Physician Overview

How FORREST ELLIS, MD fits within the Pediatric Ophthalmology and Strabismus Specialist Physician landscape nationally.

242
Pediatric Ophthalmology and Strabismus Specialist Physician Providers in US
40
States with Pediatric Ophthalmology and Strabismus Specialist Physician
266
Avg Claims per Provider

FORREST ELLIS, MD's 29 claims are below the specialty average of 266.

Nearby Pediatric Ophthalmology and Strabismus Specialist Physician Providers in Virginia

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

Compare Pediatric Ophthalmology and Strabismus Specialist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is FORREST ELLIS, MD's specialty?
FORREST ELLIS, MD specializes in Pediatric Ophthalmology and Strabismus Specialist Physician and practices in FALLS CHURCH, Virginia. Credentials: MD.
How much does FORREST ELLIS, MD prescribe under Medicare Part D?
In 2023, FORREST ELLIS, MD wrote 29 Medicare Part D claims totaling $636 in drug costs for 20 beneficiaries.
What is FORREST ELLIS, MD's Medicare quality score?
FORREST ELLIS, MD has a CMS MIPS Final Score of 95.5731/100 (Quality: 93.0448, Cost: 92.1988). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is FORREST ELLIS, MD located?
FORREST ELLIS, MD is located at 6231 LEESBURG PIKE, FALLS CHURCH, VA, 22044. Phone: (703) 534-3900.
What is FORREST ELLIS, MD's NPI number?
FORREST ELLIS, MD's National Provider Identifier (NPI) is 1609971126, issued on 09/13/2006.
How many Pediatric Ophthalmology and Strabismus Specialist Physician providers are there in the US?
There are 242 Pediatric Ophthalmology and Strabismus Specialist Physician providers across 40 states in the US. The average Pediatric Ophthalmology and Strabismus Specialist Physician provider writes 266 Medicare Part D claims per year.
What drugs does FORREST ELLIS, MD prescribe most often?
Based on 2023 Medicare Part D data, FORREST ELLIS, MD's most frequently prescribed drugs include Erythromycin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does FORREST ELLIS, MD accept Medicare?
FORREST ELLIS, MD appears in CMS Medicare data with 29 Part D claims and 20 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify FORREST ELLIS, MD's credentials?
FORREST ELLIS, MD's NPI is 1609971126 with credentials MD. 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