2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1558364430 M.D.
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HEIDI PIPER, M.D.

Retina Specialist (Ophthalmology) Physician in CANANDAIGUA, 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
1K
Medicare Part D claims · 382 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
83.0827/100
▼ 0 pts below national avg 83.1 · [object Object]
Industry payments
$478.96
25 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

HEIDI PIPER, M.D. reported a CMS MIPS final score of 83.0827/100 — below the 83.1 national average — and filed 1,370 Medicare Part D claims in 2023.

83.0827/100
MIPS score · 0 vs avg
1K
Part D claims, 2023
67%
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.

HEIDI PIPER, M.D.'s MIPS score vs every scored U.S. clinician

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

83 42nd percentile higher than 42% 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%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

HEIDI PIPER, 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).

What does the federal data show about HEIDI PIPER, M.D.?

Near national average

NPI registry status

Active

Issued 05/24/2005

NPI 1558364430

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

1,370 146% vs specialty avg

2023 prescription claims

Specialty avg: 558

MIPS final score

83.0827/100 0.017299999999991655% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

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

New York providers

Retina Specialist (Ophthalmology) Physician share within New York

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

Medicare quality performance — MIPS

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

Near national average
MIPS Final Score
83.0827/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Retina Specialist (Ophthalmology) Physician) — 83.0827/100 vs national avg 83.1

0%100%National avg83%83.1%
MIPS final score (Retina Specialist (Ophthalmology) Physician) — 83.0827/100 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).

HEIDI PIPER, M.D. appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding M.D. credentials at 325 WEST ST, CANANDAIGUA, NY, 14424, with a listed phone of (585) 394-2020. NPI 1558364430 was issued on 05/24/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PIPER 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 1,370 prescription claims written by this provider, covering 382 Medicare beneficiaries and totaling roughly $85K 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 83.0827/100 for the 2023 performance year (Quality 100, Cost 43.609), 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

325 WEST ST
CANANDAIGUA, NY 14424

Provider Details

NPI 1558364430
Specialty Retina Specialist (Ophthalmology) Physician
Credentials M.D.
Gender Female
NPI Issued 05/24/2005

CMS Quality Score (MIPS)

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

83.0827
Final Score
Avg: 83.1
100
Quality
43.609
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where HEIDI PIPER, 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.

FINGER LAKES OPHTHALMOLOGY, PC
CANANDAIGUA, 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 HEIDI PIPER, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$479

Largest payer

Genentech USA, 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 HEIDI PIPER, M.D.. To verify HEIDI PIPER, M.D.'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 · Above average

HEIDI PIPER, M.D. — brand share 33.0%
Specialty average (est.)

33% brand-name claims vs 67% generic, on 1,370 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.

1,370
Total Claims
$85K
Total Drug Cost
382
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,028
Total Day Supply
56,114
Brand vs Generic
33% brand / 67% generic
Brand Drug Cost
$52K
Generic Drug Cost
$32K
Antibiotic Claims
35

Patient Demographics

Average Patient Age
77.8 years
Avg HCC Risk Score
1.14
Gender Split
59% female / 41% male
Age Distribution
<65: 12, 65-74: 131, 75-84: 140, 85+: 99

Top Prescribed Drugs (Medicare Part D)

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

What HEIDI PIPER, M.D. 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
286
Prednisolone Acetate
214
Ketorolac Tromethamine
158
Brimonidine Tartrate
125
Ciprofloxacin Hcl
91
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
91
Timolol Maleate
75
Ofloxacin
41
Dorzolamide Hcl
40
Lumigan
Bimatoprost
36

* 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 HEIDI PIPER, 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

HEIDI PIPER, M.D.'s 1,370 claims are above the specialty average of 558.

Nearby Retina Specialist (Ophthalmology) Physician Providers in New York

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

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

Frequently Asked Questions

What is HEIDI PIPER, M.D.'s specialty?
HEIDI PIPER, M.D. specializes in Retina Specialist (Ophthalmology) Physician and practices in CANANDAIGUA, New York. Credentials: M.D..
How much does HEIDI PIPER, M.D. prescribe under Medicare Part D?
In 2023, HEIDI PIPER, M.D. wrote 1,370 Medicare Part D claims totaling $85K in drug costs for 382 beneficiaries.
What is HEIDI PIPER, M.D.'s Medicare quality score?
HEIDI PIPER, M.D. has a CMS MIPS Final Score of 83.0827/100 (Quality: 100, Cost: 43.609). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HEIDI PIPER, M.D. located?
HEIDI PIPER, M.D. is located at 325 WEST ST, CANANDAIGUA, NY, 14424. Phone: (585) 394-2020.
What is HEIDI PIPER, M.D.'s NPI number?
HEIDI PIPER, M.D.'s National Provider Identifier (NPI) is 1558364430, issued on 05/24/2005.
Does HEIDI PIPER, M.D. prescribe more brand-name or generic drugs?
HEIDI PIPER, M.D.'s prescribing is 33% brand-name and 67% generic drugs by claim count, with $52K 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 HEIDI PIPER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, HEIDI PIPER, M.D.'s most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Ketorolac Tromethamine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HEIDI PIPER, M.D. accept Medicare?
HEIDI PIPER, M.D. appears in CMS Medicare data with 1,370 Part D claims and 382 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HEIDI PIPER, M.D.'s credentials?
HEIDI PIPER, M.D.'s NPI is 1558364430 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