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.
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
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 averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Iowa
How Optometrist compares to other specialties among Iowa providers
Optometrist share within Iowa
Optometrist is one of the more visible NUCC categories in Iowa
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
GARY FISHER, OD PC's 2023 MIPS final score plotted against the Optometrist 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
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Optometrist US NPIs
80.4981/100 MIPS final score — 2.6 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Optometrist. Quality dim: 60.9962.
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
Provider Details
| NPI | 1437131364 |
|---|---|
| Specialty | Optometrist |
| Credentials | OD PC |
| Gender | Male |
| NPI Issued | 11/16/2005 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm GARY FISHER, OD PC's current license status, disciplinary history, and board certifications with the Iowa Board of Medicine in Iowa before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
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.
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
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.
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
- Latanoprost
Latanoprost
413 claims
- Timolol Maleate 46
Timolol Maleate
46 claims
- Pilocarpine Hcl 41
Pilocarpine Hcl
41 claims
- Prednisolone Acetate 38
Prednisolone Acetate
38 claims
- Dorzolamide-Timolol 31
Dorzolamide-Timolol
31 claims
- Neomycin-Polymyxin… 26
Neomycin-Polymyxin-Dexameth
26 claims
- Brimonidine Tartrate 22
Brimonidine Tartrate
22 claims
| 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.
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 →
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Frequently Asked Questions
What is GARY FISHER, OD PC's specialty? ▼
How much does GARY FISHER, OD PC prescribe under Medicare Part D? ▼
What is GARY FISHER, OD PC's Medicare quality score? ▼
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What is GARY FISHER, OD PC's NPI number? ▼
Does GARY FISHER, OD PC prescribe more brand-name or generic drugs? ▼
How many Optometrist providers are there in the US? ▼
What drugs does GARY FISHER, OD PC prescribe most often? ▼
Does GARY FISHER, OD PC accept Medicare? ▼
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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