2026 NPPES data Optometrist NPI 1821048877 OD
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GRACE BURKE, OD

Optometrist in WATERTOWN, New York. 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
723
Medicare Part D claims · 171 beneficiaries · Optometrist avg: 257
Generic prescribing
37%
generic claims · 63% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
63.3685/100
▼ 20 pts below national avg 83.1 · [object Object]
Industry payments
$342.39
17 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GRACE BURKE, OD reported a CMS MIPS final score of 63.3685/100 — below the 83.1 national average — and filed 723 Medicare Part D claims in 2023.

63.3685/100
MIPS score · -20 vs avg
723
Part D claims, 2023
37%
generic prescribing
$342.39
industry payments (Sunshine Act)

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.

GRACE BURKE, OD's MIPS score vs every scored U.S. clinician

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

63 6th percentile higher than 6% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 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 GRACE BURKE, OD?

Below national average

NPI registry status

Active

Issued 05/11/2006

NPI 1821048877

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

723 181% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

63.3685/100 19.731499999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in New York

How Optometrist compares to other specialties among New York providers

New York providers

Optometrist share within New York

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

Medicare quality performance — MIPS

GRACE BURKE, OD's 2023 MIPS final score plotted against the Optometrist national average

Below national average
MIPS Final Score
63.3685/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 63.3685/100 vs national avg 83.1

0%100%National avg83%63.4%
MIPS final score (Optometrist) — 63.3685/100 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).

GRACE BURKE, OD is a Optometrist provider practicing in WATERTOWN, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: OD. NPI: 1821048877. 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.

GRACE BURKE, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 1815 STATE ST, WATERTOWN, NY, 13601, with a listed phone of (315) 788-6070. NPI 1821048877 was issued on 05/11/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BURKE 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 723 prescription claims written by this provider, covering 171 Medicare beneficiaries and totaling roughly $173K in drug spend, split 63% brand-name and 37% 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 63.3685/100 for the 2023 performance year (Quality 100, Cost 57.1925), 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

1815 STATE ST
WATERTOWN, NY 13601

Provider Details

NPI 1821048877
Specialty Optometrist
Credentials OD
Gender Female
NPI Issued 05/11/2006

CMS Quality Score (MIPS)

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

63.3685
Final Score
Avg: 83.1
100
Quality
57.1925
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where GRACE BURKE, OD 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.

M B KAYANI PHYSICIAN PC
WATERTOWN, NY

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 GRACE BURKE, OD. Source: openpaymentsdata.cms.gov.

Total received

$342

Largest payer

Tarsus Pharmaceuticals, 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 — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to GRACE BURKE, OD. To verify GRACE BURKE, OD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

GRACE BURKE, OD — brand share 63.0%
Specialty average (est.)

63% brand-name claims vs 37% generic, on 723 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.

723
Total Claims
$173K
Total Drug Cost
171
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,362
Total Day Supply
39,153
Brand vs Generic
63% brand / 37% generic
Brand Drug Cost
$146K
Generic Drug Cost
$28K

Patient Demographics

Average Patient Age
75.5 years
Avg HCC Risk Score
1.20
Gender Split
61% female / 39% male
Age Distribution
<65: 14, 65-74: 66, 75-84: 62, 85+: 29

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
341
Lumigan
Bimatoprost
53
Travoprost
46
Restasis
Cyclosporine
44
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
28
Alphagan P
Brimonidine Tartrate
26
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
20
Dorzolamide Hcl
18
Epinastine Hcl
17
Cyclosporine
14

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

Optometrist Overview

How GRACE BURKE, OD fits within the Optometrist landscape nationally.

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

GRACE BURKE, OD's 723 claims are above the specialty average of 257.

Nearby Optometrist Providers in New York

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

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

Frequently Asked Questions

What is GRACE BURKE, OD's specialty?
GRACE BURKE, OD specializes in Optometrist and practices in WATERTOWN, New York. Credentials: OD.
How much does GRACE BURKE, OD prescribe under Medicare Part D?
In 2023, GRACE BURKE, OD wrote 723 Medicare Part D claims totaling $173K in drug costs for 171 beneficiaries.
What is GRACE BURKE, OD's Medicare quality score?
GRACE BURKE, OD has a CMS MIPS Final Score of 63.3685/100 (Quality: 100, Cost: 57.1925). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GRACE BURKE, OD located?
GRACE BURKE, OD is located at 1815 STATE ST, WATERTOWN, NY, 13601. Phone: (315) 788-6070.
What is GRACE BURKE, OD's NPI number?
GRACE BURKE, OD's National Provider Identifier (NPI) is 1821048877, issued on 05/11/2006.
Does GRACE BURKE, OD prescribe more brand-name or generic drugs?
GRACE BURKE, OD's prescribing is 63% brand-name and 37% generic drugs by claim count, with $146K 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 GRACE BURKE, OD prescribe most often?
Based on 2023 Medicare Part D data, GRACE BURKE, OD's most frequently prescribed drugs include Latanoprost, Lumigan, Travoprost. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GRACE BURKE, OD accept Medicare?
GRACE BURKE, OD appears in CMS Medicare data with 723 Part D claims and 171 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GRACE BURKE, OD's credentials?
GRACE BURKE, OD's NPI is 1821048877 with credentials OD. 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