2026 NPPES data Optometrist NPI 1275520884 O. D.
Verify on CMS →

Helen Kim-Sholey, O. D.

Optometrist in Rock Springs, Wyoming.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 60,484 in Optometrist, 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
206
Medicare Part D claims · 35 beneficiaries · Optometrist avg: 257
Generic prescribing
71%
generic claims · 29% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.7/100
▲ 2 pts above national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Helen Kim-Sholey, O. D. reported a CMS MIPS final score of 84.7/100 - above the 83.1 national average - and filed 206 Medicare Part D claims in 2023.

84.7/100
MIPS score · +2 vs avg
206
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.

Helen Kim-Sholey, O. D.'s MIPS score vs every scored U.S. clinician

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

85 45th percentile higher than 45% 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+: 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

Where Helen Kim-Sholey, O. D. sits

This provider among optometrist peers

Across the 6,527 optometrist providers who report both Medicare Part D prescribing and a MIPS quality score, Helen Kim-Sholey, O. D. writes more Part D claims than 33% of them and scores higher on MIPS quality than 48% - placing this provider in the lower-volume, lower-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 47Helen Kim-Sholey, O. D.-Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 48
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one optometrist peer from a representative sample of 60; the gold marker is Helen Kim-Sholey, O. D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Helen Kim-Sholey, O. D.?

Near national average

NPI registry status

Active

Issued 09/29/2005

NPI 1275520884

Primary specialty

Optometrist

High-volume

60,484 US NPIs in this specialty

Medicare Part D claims

206 20% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

84.7/100 1.6 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Wyoming

How Optometrist compares to other specialties among Wyoming providers

Wyoming providers
Community Health Worker - 10.7%Community Health Worker10.7%Case Manager/Care Coordinator - 10.4%Case Manager/Care Coordinator10.4%Clinical Social Worker - 5.5%Clinical Social Worker5.5%Physical Therapist - 5%Physical Therapist5%Pharmacist - 4.7%Pharmacist4.7%Professional Counselor - 3.5%Professional Counselor3.5%Optometrist - 1.1%Optometrist1.1%
Largest specialties in Wyoming (% of in-state providers)

Medicare quality performance, MIPS

Helen Kim-Sholey, O. D.'s 2023 MIPS final score plotted against the Optometrist national average

Near national average
MIPS Final Score
84.7/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) - 84.7/100 vs national avg 83.1

0%100%National avg83%84.7%
MIPS final score (Optometrist) - 84.7/100 vs national avg 83.1
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).

Helen Kim-Sholey, O. D. appears in the CMS NPPES registry as an Optometrist provider holding O. D. credentials at 544 BROADWAY ST, Rock Springs, WY, 82901, with a listed phone of (307) 382-3937. NPI 1275520884 was issued on 09/29/2005.

Medicare Part D records for calendar year 2023 show 206 prescription claims written by this provider, covering 35 Medicare beneficiaries and totaling roughly $24K in drug spend, split 29% brand-name and 71% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.7/100 for the 2023 performance year (Quality 79.8), compared with the national average of 83.1.

Optometrist is a high-volume specialty nationwide, with 60,484 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

544 BROADWAY ST
Rock Springs, WY 82901

Provider Details

NPI 1275520884
Specialty Optometrist
Credentials O. D.
Gender Female
NPI Issued 09/29/2005

CMS Quality Score (MIPS)

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

84.6919
Final Score
Avg: 83.1
79.8035
Quality
86
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where Helen Kim-Sholey, O. 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.

Family Vision Clinic, PC
Rock Springs, WY

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

Helen Kim-Sholey, O. D. - brand share 29.0%
Optometrist average

29% brand-name claims vs 71% generic, on 206 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.

206
Total Claims
$24K
Total Drug Cost
35
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
280
Total Day Supply
7,396
Brand vs Generic
29% brand / 71% generic
Brand Drug Cost
$20K
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
0.76

Top Prescribed Drugs (Medicare Part D)

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

What Helen Kim-Sholey, O. 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
Brimonidine Tartrate
59
Latanoprost
54
Prednisolone Acetate
13

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

Optometrist Overview

How Helen Kim-Sholey, O. D. fits within the Optometrist landscape nationally.

60,484
Optometrist Providers in US
56
States with Optometrist
257
Avg Claims per Provider

Helen Kim-Sholey, O. D.'s 206 claims are below the specialty average of 257.

Nearby Optometrist Providers in Wyoming

Other clinicians with the same primary specialty enrolled in Wyoming, drawn from the same CMS NPPES roster as Kim-Sholey.

Compare Optometrist 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 Wyoming medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Optometrist 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.

Frequently Asked Questions

What is Helen Kim-Sholey, O. D.'s specialty?
Helen Kim-Sholey, O. D. specializes in Optometrist and practices in Rock Springs, Wyoming. Credentials: O. D..
How much does Helen Kim-Sholey, O. D. prescribe under Medicare Part D?
In 2023, Helen Kim-Sholey, O. D. wrote 206 Medicare Part D claims totaling $24K in drug costs for 35 beneficiaries.
What is Helen Kim-Sholey, O. D.'s Medicare quality score?
Helen Kim-Sholey, O. D. has a CMS MIPS Final Score of 84.7/100 (Quality: 79.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Helen Kim-Sholey, O. D. located?
Helen Kim-Sholey, O. D. is located at 544 BROADWAY ST, Rock Springs, WY, 82901. Phone: (307) 382-3937.
What is Helen Kim-Sholey, O. D.'s NPI number?
Helen Kim-Sholey, O. D.'s National Provider Identifier (NPI) is 1275520884, issued on 09/29/2005.
Does Helen Kim-Sholey, O. D. prescribe more brand-name or generic drugs?
Helen Kim-Sholey, O. D.'s prescribing is 29% brand-name and 71% generic drugs by claim count, with $20K in brand drug costs.
How many Optometrist providers are there in the US?
There are 60,484 Optometrist providers across 56 states in the US. The average Optometrist provider writes 257 Medicare Part D claims per year.
What drugs does Helen Kim-Sholey, O. D. prescribe most often?
Based on 2023 Medicare Part D data, Helen Kim-Sholey, O. D.'s most frequently prescribed drugs include Brimonidine Tartrate, Latanoprost, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Helen Kim-Sholey, O. D. accept Medicare?
Helen Kim-Sholey, O. D. appears in CMS Medicare data with 206 Part D claims and 35 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Helen Kim-Sholey, O. D.'s credentials?
Helen Kim-Sholey, O. D.'s NPI is 1275520884 with credentials O. 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

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

Compiled from official public sources by the PlainDoctor editorial team.

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.