2026 NPPES data Vision Therapy Optometrist NPI 1770546657 O.D.
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Ian Kirste, O.D.

Vision Therapy Optometrist in Aztec, New Mexico.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 368 in Vision Therapy 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
114
Medicare Part D claims · 50 beneficiaries · Vision Therapy Optometrist avg: 209
Generic prescribing
67%
generic claims · 33% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.3/100
▲ 2 pts above national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Ian Kirste, O.D. reported a CMS MIPS final score of 85.3/100 - above the 83.1 national average - and filed 114 Medicare Part D claims in 2023.

85.3/100
MIPS score · +2 vs avg
114
Part D claims, 2023
67%
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.

Ian Kirste, 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 49th percentile higher than 49% 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 Ian Kirste, O.D. sits

This provider among vision therapy optometrist peers

Across the 21 vision therapy optometrist providers who report both Medicare Part D prescribing and a MIPS quality score, Ian Kirste, O.D. writes more Part D claims than 38% of them and scores higher on MIPS quality than 62% - placing this provider in the lower-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

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: 65 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 40Ian Kirste, O.D.-Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 62
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one vision therapy optometrist peer from a representative sample of 20; the gold marker is Ian Kirste, 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 Ian Kirste, O.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/10/2006

NPI 1770546657

Primary specialty

Vision Therapy Optometrist

Rare

368 US NPIs in this specialty

Medicare Part D claims

114 45% vs specialty avg

2023 prescription claims

Specialty avg: 209

MIPS final score

85.3/100 2.2 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in New Mexico

How Vision Therapy Optometrist compares to other specialties among New Mexico providers

New Mexico providers
Behavior Technician - 9.5%Behavior Technician9.5%Case Manager/Care Coordinator - 6.3%Case Manager/Care Coordinator6.3%Mental Health Counselor - 5.1%Mental Health Counselor5.1%Student in an Organized Health Care Education/Training Program - 3.9%Student in an Organized Health Care Education/Training Program3.9%Counselor - 3.8%Counselor3.8%Clinical Social Worker - 3.8%Clinical Social Worker3.8%Vision Therapy Optometrist - 0%Vision Therapy Optometrist0%
Largest specialties in New Mexico (% of in-state providers)

Medicare quality performance, MIPS

Ian Kirste, O.D.'s 2023 MIPS final score plotted against the Vision Therapy Optometrist national average

High performer (top quartile)
MIPS Final Score
85.3/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Vision Therapy Optometrist) - 85.3/100 vs national avg 83.1

0%100%National avg83%85.3%
MIPS final score (Vision Therapy Optometrist) - 85.3/100 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).

Ian Kirste, O.D. appears in the CMS NPPES registry as a Vision Therapy Optometrist provider holding O.D. credentials at 121 S MAIN AVE, Aztec, NM, 87410, with a listed phone of (505) 333-7278. NPI 1770546657 was issued on 04/10/2006.

Medicare Part D records for calendar year 2023 show 114 prescription claims written by this provider, covering 50 Medicare beneficiaries and totaling roughly $7K in drug spend, split 33% brand-name and 67% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.3/100 for the 2023 performance year (Quality 100, Cost 51), compared with the national average of 83.1.

Vision Therapy Optometrist is a narrow specialty nationwide, with 368 enrolled providers across 42 states and an average of 209 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

121 S MAIN AVE
Aztec, NM 87410

Provider Details

NPI 1770546657
Specialty Vision Therapy Optometrist
Credentials O.D.
Gender Male
NPI Issued 04/10/2006

CMS Quality Score (MIPS)

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

85.312
Final Score
Avg: 83.1
100
Quality
51.04
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where Ian Kirste, 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.

Skyview Eyecare Inc
Farmington, NM
Southwest Eye Consultants PLLC
Farmington, NM

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

Ian Kirste, O.D. - brand share 33.0%
Vision Therapy Optometrist average

33% brand-name claims vs 67% generic, on 114 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.

114
Total Claims
$7K
Total Drug Cost
50
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
229
Total Day Supply
6,362
Brand vs Generic
33% brand / 67% generic
Brand Drug Cost
$5K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
69.8 years
Avg HCC Risk Score
0.87
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.

Drug Claims
Latanoprost
70

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

Vision Therapy Optometrist Overview

How Ian Kirste, O.D. fits within the Vision Therapy Optometrist landscape nationally.

368
Vision Therapy Optometrist Providers in US
42
States with Vision Therapy Optometrist
209
Avg Claims per Provider

Ian Kirste, O.D.'s 114 claims are below the specialty average of 209.

Nearby Vision Therapy Optometrist Providers in New Mexico

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

Compare Vision Therapy 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 New Mexico medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Vision Therapy 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 Ian Kirste, O.D.'s specialty?
Ian Kirste, O.D. specializes in Vision Therapy Optometrist and practices in Aztec, New Mexico. Credentials: O.D..
How much does Ian Kirste, O.D. prescribe under Medicare Part D?
In 2023, Ian Kirste, O.D. wrote 114 Medicare Part D claims totaling $7K in drug costs for 50 beneficiaries.
What is Ian Kirste, O.D.'s Medicare quality score?
Ian Kirste, O.D. has a CMS MIPS Final Score of 85.3/100 (Quality: 100, Cost: 51). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ian Kirste, O.D. located?
Ian Kirste, O.D. is located at 121 S MAIN AVE, Aztec, NM, 87410. Phone: (505) 333-7278.
What is Ian Kirste, O.D.'s NPI number?
Ian Kirste, O.D.'s National Provider Identifier (NPI) is 1770546657, issued on 04/10/2006.
Does Ian Kirste, O.D. prescribe more brand-name or generic drugs?
Ian Kirste, O.D.'s prescribing is 33% brand-name and 67% generic drugs by claim count, with $5K in brand drug costs.
How many Vision Therapy Optometrist providers are there in the US?
There are 368 Vision Therapy Optometrist providers across 42 states in the US. The average Vision Therapy Optometrist provider writes 209 Medicare Part D claims per year.
What drugs does Ian Kirste, O.D. prescribe most often?
Based on 2023 Medicare Part D data, Ian Kirste, O.D.'s most frequently prescribed drugs include Latanoprost. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ian Kirste, O.D. accept Medicare?
Ian Kirste, O.D. appears in CMS Medicare data with 114 Part D claims and 50 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ian Kirste, O.D.'s credentials?
Ian Kirste, O.D.'s NPI is 1770546657 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.