2026 NPPES data Optometrist NPI 1578560165 O.D.
Verify on CMS →

FRANK EDMUNDS, O.D.

Optometrist in PROVO, Utah. 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
84
Medicare Part D claims · 35 beneficiaries · Optometrist avg: 257
Generic prescribing
55%
generic claims · 45% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.7858/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$124.66
6 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: FRANK EDMUNDS, O.D. is a Optometrist ([object Object]) practicing in PROVO, Utah with a Medicare Part D prescribing footprint of 84 claims across 35 beneficiaries — 45% brand-name prescribing . Their CMS MIPS Final Score of 89.7858/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $124.66 across 6 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: FRANK EDMUNDS, O.D. reported a CMS MIPS final score of 89.7858 out of 100, above the 83.1 national average, and filed 84 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

FRANK EDMUNDS, O.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/28/2005

NPI 1578560165

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

84 67% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

89.7858/100 6.6858% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Utah

How Optometrist compares to other specialties among Utah providers

Utah providers

Optometrist share within Utah

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

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
89.7858/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 89.7858/100 vs national avg 83.1

0%100%National avg83%89.8%
MIPS final score (Optometrist) — 89.7858/100 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).

FRANK EDMUNDS, O.D. is a Optometrist provider practicing in PROVO, Utah, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O.D.. NPI: 1578560165. 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.

FRANK EDMUNDS, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 1055 N 300 W, PROVO, UT, 84604, with a listed phone of (801) 357-7373. NPI 1578560165 was issued on 06/28/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what EDMUNDS 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 84 prescription claims written by this provider, covering 35 Medicare beneficiaries and totaling roughly $20K 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 89.7858/100 for the 2023 performance year (Quality 95.2486, Cost 70.7042), 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

1055 N 300 W
PROVO, UT 84604

Provider Details

NPI 1578560165
Specialty Optometrist
Credentials O.D.
Gender Male
NPI Issued 06/28/2005

CMS Quality Score (MIPS)

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

89.7858
Final Score
Avg: 83.1
95.2486
Quality
70.7042
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where FRANK EDMUNDS, 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.

UTAH VALLEY EYE CENTER INC
PROVO, UT

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 FRANK EDMUNDS, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$125

Largest payer

CooperVision 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

FRANK EDMUNDS, O.D. — brand share 45.0%
Specialty average (est.)

45% brand-name claims vs 55% generic, on 84 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.

84
Total Claims
$20K
Total Drug Cost
35
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
134
Total Day Supply
3,525
Brand vs Generic
45% brand / 55% generic
Brand Drug Cost
$16K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
74.6 years
Avg HCC Risk Score
1.02
Gender Split
57% female / 43% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
23
Timolol Maleate
13

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

Optometrist Overview

How FRANK EDMUNDS, O.D. fits within the Optometrist landscape nationally.

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

FRANK EDMUNDS, O.D.'s 84 claims are below the specialty average of 257.

Nearby Optometrist Providers in Utah

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

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

Frequently Asked Questions

What is FRANK EDMUNDS, O.D.'s specialty?
FRANK EDMUNDS, O.D. specializes in Optometrist and practices in PROVO, Utah. Credentials: O.D..
How much does FRANK EDMUNDS, O.D. prescribe under Medicare Part D?
In 2023, FRANK EDMUNDS, O.D. wrote 84 Medicare Part D claims totaling $20K in drug costs for 35 beneficiaries.
What is FRANK EDMUNDS, O.D.'s Medicare quality score?
FRANK EDMUNDS, O.D. has a CMS MIPS Final Score of 89.7858/100 (Quality: 95.2486, Cost: 70.7042). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is FRANK EDMUNDS, O.D. located?
FRANK EDMUNDS, O.D. is located at 1055 N 300 W, PROVO, UT, 84604. Phone: (801) 357-7373.
What is FRANK EDMUNDS, O.D.'s NPI number?
FRANK EDMUNDS, O.D.'s National Provider Identifier (NPI) is 1578560165, issued on 06/28/2005.
Does FRANK EDMUNDS, O.D. prescribe more brand-name or generic drugs?
FRANK EDMUNDS, O.D.'s prescribing is 45% brand-name and 55% generic drugs by claim count, with $16K 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 FRANK EDMUNDS, O.D. prescribe most often?
Based on 2023 Medicare Part D data, FRANK EDMUNDS, O.D.'s most frequently prescribed drugs include Tobramycin-Dexamethasone, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does FRANK EDMUNDS, O.D. accept Medicare?
FRANK EDMUNDS, O.D. appears in CMS Medicare data with 84 Part D claims and 35 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify FRANK EDMUNDS, O.D.'s credentials?
FRANK EDMUNDS, O.D.'s NPI is 1578560165 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