2026 NPPES data Optometrist NPI 1730155987 O.D.
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GARY EDELSTEIN, O.D.

Optometrist in MAPLE SHADE, New Jersey. 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
80
Medicare Part D claims · 18 beneficiaries · Optometrist avg: 257
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$429.34
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: GARY EDELSTEIN, O.D. is a Optometrist ([object Object]) practicing in MAPLE SHADE, New Jersey with a Medicare Part D prescribing footprint of 80 claims across 18 beneficiaries — 19% brand-name prescribing . Industry payments of $429.34 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: GARY EDELSTEIN, O.D. filed 80 Medicare Part D claims in 2023 across MAPLE SHADE, New Jersey. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

GARY EDELSTEIN, O.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 02/27/2006

NPI 1730155987

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

80 69% vs specialty avg

2023 prescription claims

Specialty avg: 257

Specialty distribution in New Jersey

How Optometrist compares to other specialties among New Jersey providers

New Jersey providers

Optometrist share within New Jersey

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

Specialty board-certification context

Estimated specialty board-certified rate — Optometrist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Optometrist ABMS/AOA estimate

Est. board-certified rate (Optometrist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Optometrist) — ABMS / AOA estimate

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).

GARY EDELSTEIN, O.D. is a Optometrist provider practicing in MAPLE SHADE, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O.D.. NPI: 1730155987. 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.

GARY EDELSTEIN, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 38 W MAIN ST, MAPLE SHADE, NJ, 08052, with a listed phone of (856) 779-7595. NPI 1730155987 was issued on 02/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what EDELSTEIN 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 80 prescription claims written by this provider, covering 18 Medicare beneficiaries and totaling roughly $6K in drug spend, split 19% brand-name and 81% 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.

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

38 W MAIN ST
MAPLE SHADE, NJ 08052

Provider Details

NPI 1730155987
Specialty Optometrist
Credentials O.D.
Gender Male
NPI Issued 02/27/2006

Hospital and facility affiliations

Facilities where GARY EDELSTEIN, 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.

DANIEL H ISAAC OD PA
CHERRY HILL, NJ
PERSONALEYES VISION GROUP, LLC
RUNNEMEDE, NJ

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 GARY EDELSTEIN, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$429

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 · Typical

GARY EDELSTEIN, O.D. — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 80 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.

80
Total Claims
$6K
Total Drug Cost
18
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
135
Total Day Supply
3,767
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$3K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
1.58
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
Latanoprost
43
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 GARY EDELSTEIN, O.D. fits within the Optometrist landscape nationally.

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

GARY EDELSTEIN, O.D.'s 80 claims are below the specialty average of 257.

Nearby Optometrist Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as EDELSTEIN.

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

Frequently Asked Questions

What is GARY EDELSTEIN, O.D.'s specialty?
GARY EDELSTEIN, O.D. specializes in Optometrist and practices in MAPLE SHADE, New Jersey. Credentials: O.D..
How much does GARY EDELSTEIN, O.D. prescribe under Medicare Part D?
In 2023, GARY EDELSTEIN, O.D. wrote 80 Medicare Part D claims totaling $6K in drug costs for 18 beneficiaries.
Where is GARY EDELSTEIN, O.D. located?
GARY EDELSTEIN, O.D. is located at 38 W MAIN ST, MAPLE SHADE, NJ, 08052. Phone: (856) 779-7595.
What is GARY EDELSTEIN, O.D.'s NPI number?
GARY EDELSTEIN, O.D.'s National Provider Identifier (NPI) is 1730155987, issued on 02/27/2006.
Does GARY EDELSTEIN, O.D. prescribe more brand-name or generic drugs?
GARY EDELSTEIN, O.D.'s prescribing is 19% brand-name and 81% generic drugs by claim count, with $3K 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 GARY EDELSTEIN, O.D. prescribe most often?
Based on 2023 Medicare Part D data, GARY EDELSTEIN, O.D.'s most frequently prescribed drugs include Latanoprost, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GARY EDELSTEIN, O.D. accept Medicare?
GARY EDELSTEIN, O.D. appears in CMS Medicare data with 80 Part D claims and 18 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GARY EDELSTEIN, O.D.'s credentials?
GARY EDELSTEIN, O.D.'s NPI is 1730155987 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.
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