2026 NPPES data Optometrist NPI 1538159041 OD
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GRETCHEN KELLY, OD

Optometrist in LA CROSSE, Wisconsin. 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
455
Medicare Part D claims · 168 beneficiaries · Optometrist avg: 257
Generic prescribing
71%
generic claims · 29% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

GRETCHEN KELLY, OD filed 455 Medicare Part D claims in 2023 as a Optometrist in LA CROSSE, Wisconsin, prescribing 71% generic.

455
Part D claims, 2023
71%
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.

GRETCHEN KELLY, OD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

455 Top 38% higher than 62% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about GRETCHEN KELLY, OD?

Quality data not reported

NPI registry status

Active

Issued 10/26/2005

NPI 1538159041

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

455 77% vs specialty avg

2023 prescription claims

Specialty avg: 257

Specialty distribution in Wisconsin

How Optometrist compares to other specialties among Wisconsin providers

Wisconsin providers

Optometrist share within Wisconsin

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

Specialty board-certification context

Estimated specialty board-certified rate — Optometrist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Optometrist ABMS/AOA estimate

Est. board-certified rate (Optometrist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Optometrist) — ABMS / AOA estimate

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).

GRETCHEN KELLY, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 800 WEST AVE S, LA CROSSE, WI, 54601, with a listed phone of (608) 392-9871. NPI 1538159041 was issued on 10/26/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KELLY 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 455 prescription claims written by this provider, covering 168 Medicare beneficiaries and totaling roughly $28K in drug spend, split 29% brand-name and 71% 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.

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

800 WEST AVE S
LA CROSSE, WI 54601

Provider Details

NPI 1538159041
Specialty Optometrist
Credentials OD
Gender Female
NPI Issued 10/26/2005

Hospital and facility affiliations

Facilities where GRETCHEN KELLY, 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.

MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION INC
ONALASKA, WI

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 · Above average

GRETCHEN KELLY, OD — brand share 29.0%
Specialty average (est.)

29% brand-name claims vs 71% generic, on 455 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.

455
Total Claims
$28K
Total Drug Cost
168
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
819
Total Day Supply
22,607
Brand vs Generic
29% brand / 71% generic
Brand Drug Cost
$21K
Generic Drug Cost
$7K
Antibiotic Claims
18

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
1.31
Gender Split
64% female / 36% male
Age Distribution
<65: 11, 65-74: 64, 75-84: 71, 85+: 22

Top Prescribed Drugs (Medicare Part D)

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

What GRETCHEN KELLY, OD 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
174
Timolol Maleate
48
Erythromycin
Erythromycin Base
33
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
32
Azelastine Hcl
27
Prednisolone Acetate
24
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
13

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

Optometrist Overview

How GRETCHEN KELLY, OD fits within the Optometrist landscape nationally.

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

GRETCHEN KELLY, OD's 455 claims are above the specialty average of 257.

Nearby Optometrist Providers in Wisconsin

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

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

Frequently Asked Questions

What is GRETCHEN KELLY, OD's specialty?
GRETCHEN KELLY, OD specializes in Optometrist and practices in LA CROSSE, Wisconsin. Credentials: OD.
How much does GRETCHEN KELLY, OD prescribe under Medicare Part D?
In 2023, GRETCHEN KELLY, OD wrote 455 Medicare Part D claims totaling $28K in drug costs for 168 beneficiaries.
Where is GRETCHEN KELLY, OD located?
GRETCHEN KELLY, OD is located at 800 WEST AVE S, LA CROSSE, WI, 54601. Phone: (608) 392-9871.
What is GRETCHEN KELLY, OD's NPI number?
GRETCHEN KELLY, OD's National Provider Identifier (NPI) is 1538159041, issued on 10/26/2005.
Does GRETCHEN KELLY, OD prescribe more brand-name or generic drugs?
GRETCHEN KELLY, OD's prescribing is 29% brand-name and 71% generic drugs by claim count, with $21K 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 GRETCHEN KELLY, OD prescribe most often?
Based on 2023 Medicare Part D data, GRETCHEN KELLY, OD's most frequently prescribed drugs include Latanoprost, Timolol Maleate, Erythromycin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GRETCHEN KELLY, OD accept Medicare?
GRETCHEN KELLY, OD appears in CMS Medicare data with 455 Part D claims and 168 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GRETCHEN KELLY, OD's credentials?
GRETCHEN KELLY, OD's NPI is 1538159041 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.
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