2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1639119167 M.D.
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GISELA VELEZ, M.D.

Retina Specialist (Ophthalmology) Physician in AYER, Massachusetts. 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
4K
Medicare Part D claims · 632 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
Generic prescribing
67%
generic claims · 33% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.6932/100
▲ 4 pts above national avg 83.1 · [object Object]
Industry payments
$1.3K
50 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: GISELA VELEZ, M.D. is a Retina Specialist (Ophthalmology) Physician ([object Object]) practicing in AYER, Massachusetts with a Medicare Part D prescribing footprint of 4K claims across 632 beneficiaries — 33% brand-name prescribing . Their CMS MIPS Final Score of 86.6932/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.3K across 50 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: GISELA VELEZ, M.D. reported a CMS MIPS final score of 86.6932 out of 100, above the 83.1 national average, and filed 3,606 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

GISELA VELEZ, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

GISELA VELEZ, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/06/2006

NPI 1639119167

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

3,606 546% vs specialty avg

2023 prescription claims

Specialty avg: 558

MIPS final score

86.6932/100 3.59320000000001% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Retina Specialist (Ophthalmology) Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Retina Specialist (Ophthalmology) Physician share within Massachusetts

1. Retina Specialist (Ophthalmology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Retina Specialist (Ophthalmology) Physician share within Massachusetts

Medicare quality performance — MIPS

GISELA VELEZ, M.D.'s 2023 MIPS final score plotted against the Retina Specialist (Ophthalmology) Physician national average

High performer (top quartile)
MIPS Final Score
86.6932/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Retina Specialist (Ophthalmology) Physician) — 86.6932/100 vs national avg 83.1

0%100%National avg83%86.7%
MIPS final score (Retina Specialist (Ophthalmology) Physician) — 86.6932/100 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).

GISELA VELEZ, M.D. is a Retina Specialist (Ophthalmology) Physician provider practicing in AYER, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1639119167. 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.

GISELA VELEZ, M.D. appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding M.D. credentials at 190 GROTON RD, AYER, MA, 01432, with a listed phone of (978) 772-4000. NPI 1639119167 was issued on 06/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what VELEZ 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 3,606 prescription claims written by this provider, covering 632 Medicare beneficiaries and totaling roughly $954K in drug spend, split 33% brand-name and 67% 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 86.6932/100 for the 2023 performance year (Quality 100, Cost 55.644), compared with the national average of 83.1.

Retina Specialist (Ophthalmology) Physician is a narrow specialty nationwide, with 913 enrolled providers across 48 states and an average of 558 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

190 GROTON RD
AYER, MA 01432

Provider Details

NPI 1639119167
Specialty Retina Specialist (Ophthalmology) Physician
Credentials M.D.
Gender Female
NPI Issued 06/06/2006

CMS Quality Score (MIPS)

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

86.6932
Final Score
Avg: 83.1
100
Quality
55.644
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where GISELA VELEZ, M.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.

VALLEY EYE PHYSICIANS AND SURGEONS, P.C.
AYER, MA

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 GISELA VELEZ, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

Largest payer

ABBVIE 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.

License & disciplinary context — Massachusetts BORIM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~38K Massachusetts medical licensees in 2023 — they are NOT specific to GISELA VELEZ, M.D.. To verify GISELA VELEZ, M.D.'s current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

GISELA VELEZ, M.D. — brand share 33.0%
Specialty average (est.)

33% brand-name claims vs 67% generic, on 3,606 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.

3,606
Total Claims
$954K
Total Drug Cost
632
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,690
Total Day Supply
193,882
Brand vs Generic
33% brand / 67% generic
Brand Drug Cost
$850K
Generic Drug Cost
$104K
Antibiotic Claims
41

Patient Demographics

Average Patient Age
77.0 years
Avg HCC Risk Score
1.38
Gender Split
58% female / 42% male
Age Distribution
<65: 42, 65-74: 194, 75-84: 267, 85+: 129

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
1,090
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
500
Brimonidine Tartrate
207
Timolol Maleate
182
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
175
Rhopressa
Netarsudil Mesylate
142
Prednisolone Acetate
140
Ketorolac Tromethamine
136
Dorzolamide Hcl
135
Rocklatan
Netarsudil Mesylat/Latanoprost
116

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

Retina Specialist (Ophthalmology) Physician Overview

How GISELA VELEZ, M.D. fits within the Retina Specialist (Ophthalmology) Physician landscape nationally.

913
Retina Specialist (Ophthalmology) Physician Providers in US
48
States with Retina Specialist (Ophthalmology) Physician
558
Avg Claims per Provider

GISELA VELEZ, M.D.'s 3,606 claims are above the specialty average of 558.

Nearby Retina Specialist (Ophthalmology) Physician Providers in Massachusetts

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

Compare Retina Specialist (Ophthalmology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GISELA VELEZ, M.D.'s specialty?
GISELA VELEZ, M.D. specializes in Retina Specialist (Ophthalmology) Physician and practices in AYER, Massachusetts. Credentials: M.D..
How much does GISELA VELEZ, M.D. prescribe under Medicare Part D?
In 2023, GISELA VELEZ, M.D. wrote 3,606 Medicare Part D claims totaling $954K in drug costs for 632 beneficiaries.
What is GISELA VELEZ, M.D.'s Medicare quality score?
GISELA VELEZ, M.D. has a CMS MIPS Final Score of 86.6932/100 (Quality: 100, Cost: 55.644). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GISELA VELEZ, M.D. located?
GISELA VELEZ, M.D. is located at 190 GROTON RD, AYER, MA, 01432. Phone: (978) 772-4000.
What is GISELA VELEZ, M.D.'s NPI number?
GISELA VELEZ, M.D.'s National Provider Identifier (NPI) is 1639119167, issued on 06/06/2006.
Does GISELA VELEZ, M.D. prescribe more brand-name or generic drugs?
GISELA VELEZ, M.D.'s prescribing is 33% brand-name and 67% generic drugs by claim count, with $850K in brand drug costs.
How many Retina Specialist (Ophthalmology) Physician providers are there in the US?
There are 913 Retina Specialist (Ophthalmology) Physician providers across 48 states in the US. The average Retina Specialist (Ophthalmology) Physician provider writes 558 Medicare Part D claims per year.
What drugs does GISELA VELEZ, M.D. prescribe most often?
Based on 2023 Medicare Part D data, GISELA VELEZ, M.D.'s most frequently prescribed drugs include Latanoprost, Dorzolamide-Timolol, Brimonidine Tartrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GISELA VELEZ, M.D. accept Medicare?
GISELA VELEZ, M.D. appears in CMS Medicare data with 3,606 Part D claims and 632 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GISELA VELEZ, M.D.'s credentials?
GISELA VELEZ, M.D.'s NPI is 1639119167 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