NPI registry status
Active
2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1154394963 MD
Verify on CMS → Harold Wheatley, MD
Retina Specialist (Ophthalmology) Physician in New Brunswick, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 917 in Retina Specialist (Ophthalmology) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
606
Medicare Part D claims · 137 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
Generic prescribing
72%
generic claims · 28% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
99.9/100
▲ 16 pts above national avg 83.5 · Exceptional
Industry payments
$132.38
6 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Harold Wheatley, MD reported a CMS MIPS final score of 99.9/100 - above the 83.5 national average - and filed 606 Medicare Part D claims in 2023.
- 99.9/100
- MIPS score · +16 vs avg
- 606
- Part D claims, 2023
- 72%
- 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.
Harold Wheatley, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
100 ≥ 91st percentile 91% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Harold Wheatley, MD sits
This provider among retina specialist (ophthalmology) physician peers
Across the 548 retina specialist (ophthalmology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Harold Wheatley, MD writes more Part D claims than 70% of them and scores higher on MIPS quality than 55% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one retina specialist (ophthalmology) physician peer from a representative sample of 60; the gold marker is Harold Wheatley, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Harold Wheatley, MD 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).
What does the federal data show about Harold Wheatley, MD?
High performer (top quartile)Primary specialty
Retina Specialist (Ophthalmology) Physician
Medicare Part D claims
606 9% vs specialty avg
MIPS final score
99.9/100 16.4 pts vs avg
Specialty distribution in New Jersey
How Retina Specialist (Ophthalmology) Physician compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Harold Wheatley, MD's 2023 MIPS final score plotted against the Retina Specialist (Ophthalmology) Physician national average
- MIPS Final Score
- 99.9/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Retina Specialist (Ophthalmology) Physician) - 99.9/100 vs national avg 83.5
How MIPS and board certification work
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).
Harold Wheatley, MD appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding MD credentials at 10 PLUM ST, New Brunswick, NJ, 08901, with a listed phone of (732) 220-1600. NPI 1154394963 was issued on 02/10/2006.
Medicare Part D records for calendar year 2023 show 606 prescription claims written by this provider, covering 137 Medicare beneficiaries and totaling roughly $79K in drug spend, split 28% brand-name and 72% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 99.9/100 for the 2023 performance year (Quality 97.9), compared with the 83.5 average among clinicians with a measured score.
Retina Specialist (Ophthalmology) Physician is a narrow specialty nationwide, with 917 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
Provider Details
| NPI | 1154394963 |
|---|---|
| Specialty | Retina Specialist (Ophthalmology) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 02/10/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
99.8704
Final Score
Measured-score avg: 83.5
97.87
Quality
Reporting: Individual
Hospital and facility affiliations
Facilities where Harold Wheatley, MD 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.
Associated Retinal Consultants LLC
Edison, NJ
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 Harold Wheatley, MD. Source: openpaymentsdata.cms.gov.
Total received
$132
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.
Brand vs generic prescribing mix · Above average
Harold Wheatley, MD - brand share 28.0%
Retina Specialist (Ophthalmology) Physician average
28% brand-name claims vs 72% generic, on 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.
606
Total Claims
$79K
Total Drug Cost
137
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,048
- Total Day Supply
- 29,866
- Brand vs Generic
- 28% brand / 72% generic
- Brand Drug Cost
- $56K
- Generic Drug Cost
- $23K
Patient Demographics
- Average Patient Age
- 76.4 years
- Avg HCC Risk Score
- 1.47
- Gender Split
- 47% female / 53% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Harold Wheatley, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Ketorolac Trometha…
Ketorolac Tromethamine
85 claims
- Prednisolone Acetate
Prednisolone Acetate
65 claims
- Latanoprost
Latanoprost
63 claims
- Timolol Maleate
Timolol Maleate
49 claims
- Dorzolamide Hcl
Dorzolamide Hcl
48 claims
- Dorzolamide-Timolol
Dorzolamide-Timolol
48 claims
- Brimonidine Tartrate
Brimonidine Tartrate
41 claims
- Difluprednate 26
Difluprednate
26 claims
| Drug | Claims |
|---|---|
| Ketorolac Tromethamine | 85 |
| Prednisolone Acetate | 65 |
| Latanoprost | 63 |
| Timolol Maleate | 49 |
| Dorzolamide Hcl | 48 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 48 |
| Brimonidine Tartrate | 41 |
| Difluprednate | 26 |
| Bromfenac Sodium | 20 |
| Diclofenac Sodium | 20 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Retina Specialist (Ophthalmology) Physician in NJ →
All providers in New Jersey →
Compare specialties →
Retina Specialist (Ophthalmology) Physician Overview
How Harold Wheatley, MD fits within the Retina Specialist (Ophthalmology) Physician landscape nationally.
917
Retina Specialist (Ophthalmology) Physician Providers in US
48
States with Retina Specialist (Ophthalmology) Physician
558
Avg Claims per Provider
Harold Wheatley, MD's 606 claims are above the specialty average of 558.
Nearby Retina Specialist (Ophthalmology) Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Wheatley.
Dr. Haris Amin
MD
Toms River, NJ
Dr. Jorge Andrade Romo
MD
Union City, NJ
Dr. Lauren Angioletti
M.D.
Bloomfield, NJ
Dr. Konstantin Astafurov
M.D., PH.D
Little Silver, NJ
Dr. Robert Barone
MD
Newton, NJ
Compare Retina Specialist (Ophthalmology) Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Retina Specialist (Ophthalmology) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Harold Wheatley, MD's specialty? ▼
Harold Wheatley, MD specializes in Retina Specialist (Ophthalmology) Physician and practices in New Brunswick, New Jersey. Credentials: MD.
How much does Harold Wheatley, MD prescribe under Medicare Part D? ▼
In 2023, Harold Wheatley, MD wrote 606 Medicare Part D claims totaling $79K in drug costs for 137 beneficiaries.
What is Harold Wheatley, MD's Medicare quality score? ▼
Harold Wheatley, MD has a CMS MIPS Final Score of 99.9/100 (Quality: 97.9). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Harold Wheatley, MD located? ▼
Harold Wheatley, MD is located at 10 PLUM ST, New Brunswick, NJ, 08901. Phone: (732) 220-1600.
What is Harold Wheatley, MD's NPI number? ▼
Harold Wheatley, MD's National Provider Identifier (NPI) is 1154394963, issued on 02/10/2006.
Does Harold Wheatley, MD prescribe more brand-name or generic drugs? ▼
Harold Wheatley, MD's prescribing is 28% brand-name and 72% generic drugs by claim count, with $56K in brand drug costs.
How many Retina Specialist (Ophthalmology) Physician providers are there in the US? ▼
There are 917 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 Harold Wheatley, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Harold Wheatley, MD's most frequently prescribed drugs include Ketorolac Tromethamine, Prednisolone Acetate, Latanoprost. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Harold Wheatley, MD accept Medicare? ▼
Harold Wheatley, MD appears in CMS Medicare data with 606 Part D claims and 137 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Harold Wheatley, MD's credentials? ▼
Harold Wheatley, MD's NPI is 1154394963 with credentials MD. 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
View source datasets and methodology notes
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.