NPI registry status
Active
2026 NPPES data Ophthalmology Physician NPI 1265097364 MD
Verify on CMS → Heather McGowan, MD
Ophthalmology Physician in Tinton Falls, 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 22,082 in 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
199
Medicare Part D claims · 82 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$229.36
14 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Heather McGowan, MD filed 199 Medicare Part D claims in 2023 as an Ophthalmology Physician in Tinton Falls, New Jersey, prescribing 77% generic.
- 199
- Part D claims, 2023
- 77%
- generic prescribing
- $229.36
- industry payments (Sunshine Act)
- ≥35th
- pct by Part D claim volume (lower-bound band)
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.
CMS NPPES provider registry desk
NPI 1265097364 · Ophthalmology Physician
NPI-10 · ENUM-RECENT · TAX-MID · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1265097364
- ENUM-RECENT 2019
- TAX-MID 22K Ophthalmology Physician
- RX-LIGHT 199
- BOOK-LIGHT 629 in New Jersey
- PHOTO-ENUM Laura Barna · 2019
Heather McGowan, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
199 ≥ 35th percentile 35% of 1,370,886 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Heather McGowan, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Heather McGowan, MD?
Quality data not reportedPrimary specialty
Ophthalmology Physician
Medicare Part D claims
199 86% vs specialty avg
Specialty distribution in New Jersey
How Ophthalmology Physician compares to other specialties among New Jersey providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Ophthalmology Physician. Verify directly:
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).
Practice Address
Provider Details
| NPI | 1265097364 |
|---|---|
| Specialty | Ophthalmology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 05/03/2019 |
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 Heather McGowan, MD. Source: openpaymentsdata.cms.gov.
Total received
$229
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 · Typical
Heather McGowan, MD - brand share 23.0%
Ophthalmology Physician average
23% brand-name claims vs 77% generic, on 199 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.
199
Total Claims
$6K
Total Drug Cost
82
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 253
- Total Day Supply
- 6,069
- Brand vs Generic
- 23% brand / 77% generic
- Brand Drug Cost
- $2K
- Generic Drug Cost
- $4K
Patient Demographics
- Average Patient Age
- 74.4 years
- Avg HCC Risk Score
- 1.22
- Gender Split
- 56% female / 44% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Heather McGowan, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Latanoprost
Latanoprost
32 claims
- Dorzolamide-Timolol
Dorzolamide-Timolol
30 claims
- Prednisolone Acetate
Prednisolone Acetate
30 claims
- Ofloxacin
Ofloxacin
18 claims
- Diclofenac Sodium
Diclofenac Sodium
17 claims
- Neomycin-Polymyxin… 12
Neomycin-Polymyxin-Dexameth
12 claims
- Moxifloxacin 11
Moxifloxacin
11 claims
- Tobramycin-Dexamet… 11
Tobramycin-Dexamethasone
11 claims
| Drug | Claims |
|---|---|
| Latanoprost | 32 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 30 |
| Prednisolone Acetate | 30 |
| Ofloxacin | 18 |
| Diclofenac Sodium | 17 |
| Neomycin-Polymyxin-Dexameth Neomycin/Polymyxin B/Dexametha | 12 |
| Moxifloxacin Moxifloxacin Hcl | 11 |
| Tobramycin-Dexamethasone Tobramycin/Dexamethasone | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Ophthalmology Physician Overview
How Heather McGowan, MD fits within the Ophthalmology Physician landscape nationally.
22,082
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider
Heather McGowan, MD's 199 claims are below the specialty average of 1,420.
Nationwide Ophthalmology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for McGowan, both outside New Jersey so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2019)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby 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 McGowan.
One of 629 Ophthalmology Physician providers enrolled in New Jersey, 5 are shown here.
Dr. Bryan Abessi
M.D.
Branchburg, NJ
Dr. Atul Agarwala
MD
Irvington, NJ
Dr. Arlene Ahmad
MD
Boonton, NJ
Dr. Adil Ahmed
DO
Brick, NJ
Dr. Scott Aksman
MD
Freehold, NJ
Compare Ophthalmology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Heather McGowan, MD's specialty? ▼
Heather McGowan, MD specializes in Ophthalmology Physician and practices in Tinton Falls, New Jersey. Credentials: MD.
How much does Heather McGowan, MD prescribe under Medicare Part D? ▼
In 2023, Heather McGowan, MD wrote 199 Medicare Part D claims totaling $6K in drug costs for 82 beneficiaries.
Where is Heather McGowan, MD located? ▼
Heather McGowan, MD is located at 21 N GILBERT ST, Tinton Falls, NJ, 07701. Phone: (732) 741-1902.
What is Heather McGowan, MD's NPI number? ▼
Heather McGowan, MD's National Provider Identifier (NPI) is 1265097364, issued on 05/03/2019.
Does Heather McGowan, MD prescribe more brand-name or generic drugs? ▼
Heather McGowan, MD's prescribing is 23% brand-name and 77% generic drugs by claim count, with $2K in brand drug costs.
How many Ophthalmology Physician providers are there in the US? ▼
There are 22,082 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 Heather McGowan, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Heather McGowan, MD's most frequently prescribed drugs include Latanoprost, Dorzolamide-Timolol, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Heather McGowan, MD accept Medicare? ▼
Heather McGowan, MD appears in CMS Medicare data with 199 Part D claims and 82 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Heather McGowan, MD's credentials? ▼
Heather McGowan, MD's NPI is 1265097364 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.
- 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.