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

HELEN KIM-SHOLEY, O. D.

Optometrist in ROCK SPRINGS, Wyoming. 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
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
84.6919/100
▲ 2 pts above national avg 83.1 · [object Object]
What the federal data reveals: HELEN KIM-SHOLEY, O. D. is a Optometrist ([object Object]) practicing in ROCK SPRINGS, Wyoming with a Medicare Part D prescribing footprint of 206 claims across 35 beneficiaries — 29% brand-name prescribing . Their CMS MIPS Final Score of 84.6919/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: HELEN KIM-SHOLEY, O. D. reported a CMS MIPS final score of 84.6919 out of 100, above the 83.1 national average, and filed 206 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

HELEN KIM-SHOLEY, O. D. at a glance

Near national average

NPI registry status

Active

Issued 09/29/2005

NPI 1275520884

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

206 20% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

84.6919/100 1.5919000000000096% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wyoming

How Optometrist compares to other specialties among Wyoming providers

Wyoming providers

Optometrist share within Wyoming

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

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
84.6919/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 84.6919/100 vs national avg 83.1

0%100%National avg83%84.7%
MIPS final score (Optometrist) — 84.6919/100 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).

HELEN KIM-SHOLEY, O. D. is a Optometrist provider practicing in ROCK SPRINGS, Wyoming, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O. D.. NPI: 1275520884. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

HELEN KIM-SHOLEY, O. D. appears in the CMS NPPES registry as a 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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KIM-SHOLEY 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 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. 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 84.6919/100 for the 2023 performance year (Quality 79.8035), compared with the national average of 83.1.

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

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%
Specialty average (est.)

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.

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.

60,463
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 →

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 84.6919/100 (Quality: 79.8035). 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 60,463 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

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