2026 NPPES data Ophthalmology Physician NPI 1144335290 M.D.
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GARY WALLACE, M.D.

Ophthalmology Physician in IDAHO FALLS, Idaho. 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
2K
Medicare Part D claims · 380 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.3964/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$30.9
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GARY WALLACE, M.D. reported a CMS MIPS final score of 96.3964/100 — above the 83.1 national average — and filed 1,741 Medicare Part D claims in 2023.

96.3964/100
MIPS score · +13 vs avg
2K
Part D claims, 2023
70%
generic prescribing
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.

GARY WALLACE, M.D.'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 17% higher than 83% 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)

GARY WALLACE, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 GARY WALLACE, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 08/20/2006

NPI 1144335290

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

1,741 23% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

96.3964/100 13.296400000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Idaho

How Ophthalmology Physician compares to other specialties among Idaho providers

Idaho providers

Ophthalmology Physician share within Idaho

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Idaho

Medicare quality performance — MIPS

GARY WALLACE, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
96.3964/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 96.3964/100 vs national avg 83.1

0%100%National avg83%96.4%
MIPS final score (Ophthalmology Physician) — 96.3964/100 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 WALLACE, M.D. is a Ophthalmology Physician provider practicing in IDAHO FALLS, Idaho, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1144335290. 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 WALLACE, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 2295 CORONADO STREET, IDAHO FALLS, ID, 83404, with a listed phone of (208) 524-8600. NPI 1144335290 was issued on 08/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WALLACE 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 1,741 prescription claims written by this provider, covering 380 Medicare beneficiaries and totaling roughly $70K in drug spend, split 30% brand-name and 70% 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 96.3964/100 for the 2023 performance year (Quality 100, Cost 87.988), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

2295 CORONADO STREET
IDAHO FALLS, ID 83404

Provider Details

NPI 1144335290
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 08/20/2006

CMS Quality Score (MIPS)

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

96.3964
Final Score
Avg: 83.1
100
Quality
87.988
Cost

Reporting: Individual

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 WALLACE, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$31

Largest payer

Alcon Vision LLC

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

GARY WALLACE, M.D. — brand share 30.0%
Specialty average (est.)

30% brand-name claims vs 70% generic, on 1,741 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.

1,741
Total Claims
$70K
Total Drug Cost
380
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,373
Total Day Supply
61,465
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$43K
Generic Drug Cost
$26K

Patient Demographics

Average Patient Age
76.0 years
Avg HCC Risk Score
1.06
Gender Split
62% female / 38% male
Age Distribution
<65: 17, 65-74: 150, 75-84: 158, 85+: 55

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
431
Prednisolone Acetate
337
Ketorolac Tromethamine
225
Ofloxacin
165
Brimonidine Tartrate
156
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
82
Timolol Maleate
74
Lumigan
Bimatoprost
36
Travoprost
34
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
29

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

Ophthalmology Physician Overview

How GARY WALLACE, M.D. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

GARY WALLACE, M.D.'s 1,741 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Idaho

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

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GARY WALLACE, M.D.'s specialty?
GARY WALLACE, M.D. specializes in Ophthalmology Physician and practices in IDAHO FALLS, Idaho. Credentials: M.D..
How much does GARY WALLACE, M.D. prescribe under Medicare Part D?
In 2023, GARY WALLACE, M.D. wrote 1,741 Medicare Part D claims totaling $70K in drug costs for 380 beneficiaries.
What is GARY WALLACE, M.D.'s Medicare quality score?
GARY WALLACE, M.D. has a CMS MIPS Final Score of 96.3964/100 (Quality: 100, Cost: 87.988). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GARY WALLACE, M.D. located?
GARY WALLACE, M.D. is located at 2295 CORONADO STREET, IDAHO FALLS, ID, 83404. Phone: (208) 524-8600.
What is GARY WALLACE, M.D.'s NPI number?
GARY WALLACE, M.D.'s National Provider Identifier (NPI) is 1144335290, issued on 08/20/2006.
Does GARY WALLACE, M.D. prescribe more brand-name or generic drugs?
GARY WALLACE, M.D.'s prescribing is 30% brand-name and 70% generic drugs by claim count, with $43K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does GARY WALLACE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, GARY WALLACE, M.D.'s most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Ketorolac Tromethamine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GARY WALLACE, M.D. accept Medicare?
GARY WALLACE, M.D. appears in CMS Medicare data with 1,741 Part D claims and 380 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GARY WALLACE, M.D.'s credentials?
GARY WALLACE, M.D.'s NPI is 1144335290 with credentials M.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