2026 NPPES data Optometrist NPI 1437131364 OD PC
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GARY FISHER, OD PC

Optometrist in MONTICELLO, Iowa. 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
652
Medicare Part D claims · 146 beneficiaries · Optometrist avg: 257
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.4981/100
▼ 3 pts below national avg 83.1 · [object Object]

What the federal data shows

GARY FISHER, OD PC reported a CMS MIPS final score of 80.4981/100 — below the 83.1 national average — and filed 652 Medicare Part D claims in 2023.

80.4981/100
MIPS score · -3 vs avg
652
Part D claims, 2023
82%
generic prescribing

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.

GARY FISHER, OD PC's MIPS score vs every scored U.S. clinician

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

80 33rd percentile higher than 33% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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 GARY FISHER, OD PC?

Near national average

NPI registry status

Active

Issued 11/16/2005

NPI 1437131364

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

652 154% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

80.4981/100 2.6019000000000005% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Iowa

How Optometrist compares to other specialties among Iowa providers

Iowa providers

Optometrist share within Iowa

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

Medicare quality performance — MIPS

GARY FISHER, OD PC's 2023 MIPS final score plotted against the Optometrist national average

Near national average
MIPS Final Score
80.4981/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 80.4981/100 vs national avg 83.1

0%100%National avg83%80.5%
MIPS final score (Optometrist) — 80.4981/100 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).

GARY FISHER, OD PC appears in the CMS NPPES registry as a Optometrist provider holding OD PC credentials at 108 W 1ST ST, MONTICELLO, IA, 52310, with a listed phone of (319) 465-5114. NPI 1437131364 was issued on 11/16/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FISHER 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 652 prescription claims written by this provider, covering 146 Medicare beneficiaries and totaling roughly $17K in drug spend, split 18% brand-name and 82% 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 80.4981/100 for the 2023 performance year (Quality 60.9962), 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

108 W 1ST ST
MONTICELLO, IA 52310

Provider Details

NPI 1437131364
Specialty Optometrist
Credentials OD PC
Gender Male
NPI Issued 11/16/2005

CMS Quality Score (MIPS)

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

80.4981
Final Score
Avg: 83.1
60.9962
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where GARY FISHER, OD PC 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.

SIGMA EYE, P.C.
MONTICELLO, IA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

GARY FISHER, OD PC — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 652 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.

652
Total Claims
$17K
Total Drug Cost
146
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
989
Total Day Supply
27,468
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$9K
Generic Drug Cost
$8K

Patient Demographics

Average Patient Age
74.3 years
Avg HCC Risk Score
1.16
Gender Split
54% female / 46% male
Age Distribution
<65: 13, 65-74: 58, 75-84: 52, 85+: 23

Top Prescribed Drugs (Medicare Part D)

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

What GARY FISHER, OD PC 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
413
Timolol Maleate
46
Pilocarpine Hcl
41
Prednisolone Acetate
38
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
31
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
26
Brimonidine Tartrate
22

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

Optometrist Overview

How GARY FISHER, OD PC fits within the Optometrist landscape nationally.

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

GARY FISHER, OD PC's 652 claims are above the specialty average of 257.

Nearby Optometrist Providers in Iowa

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

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

Frequently Asked Questions

What is GARY FISHER, OD PC's specialty?
GARY FISHER, OD PC specializes in Optometrist and practices in MONTICELLO, Iowa. Credentials: OD PC.
How much does GARY FISHER, OD PC prescribe under Medicare Part D?
In 2023, GARY FISHER, OD PC wrote 652 Medicare Part D claims totaling $17K in drug costs for 146 beneficiaries.
What is GARY FISHER, OD PC's Medicare quality score?
GARY FISHER, OD PC has a CMS MIPS Final Score of 80.4981/100 (Quality: 60.9962). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GARY FISHER, OD PC located?
GARY FISHER, OD PC is located at 108 W 1ST ST, MONTICELLO, IA, 52310. Phone: (319) 465-5114.
What is GARY FISHER, OD PC's NPI number?
GARY FISHER, OD PC's National Provider Identifier (NPI) is 1437131364, issued on 11/16/2005.
Does GARY FISHER, OD PC prescribe more brand-name or generic drugs?
GARY FISHER, OD PC's prescribing is 18% brand-name and 82% generic drugs by claim count, with $9K 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 FISHER, OD PC prescribe most often?
Based on 2023 Medicare Part D data, GARY FISHER, OD PC's most frequently prescribed drugs include Latanoprost, Timolol Maleate, Pilocarpine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GARY FISHER, OD PC accept Medicare?
GARY FISHER, OD PC appears in CMS Medicare data with 652 Part D claims and 146 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GARY FISHER, OD PC's credentials?
GARY FISHER, OD PC's NPI is 1437131364 with credentials OD PC. 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