2026 NPPES data Optometrist NPI 1235161654 O.D.
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JAMES BOILINI, O.D.

Optometrist in KEY LARGO, Florida. 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
283
Medicare Part D claims · 95 beneficiaries · Optometrist avg: 257
Generic prescribing
45%
generic claims · 55% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$138.75
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JAMES BOILINI, O.D. is a Optometrist ([object Object]) practicing in KEY LARGO, Florida with a Medicare Part D prescribing footprint of 283 claims across 95 beneficiaries — 55% brand-name prescribing . Industry payments of $138.75 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JAMES BOILINI, O.D. filed 283 Medicare Part D claims in 2023 across KEY LARGO, Florida. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JAMES BOILINI, O.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 07/07/2006

NPI 1235161654

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

283 10% vs specialty avg

2023 prescription claims

Specialty avg: 257

Specialty distribution in Florida

How Optometrist compares to other specialties among Florida providers

Florida providers

Optometrist share within Florida

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

Specialty board-certification context

Estimated specialty board-certified rate — Optometrist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Optometrist ABMS/AOA estimate

Est. board-certified rate (Optometrist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Optometrist) — ABMS / AOA estimate

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).

JAMES BOILINI, O.D. is a Optometrist provider practicing in KEY LARGO, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O.D.. NPI: 1235161654. 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.

JAMES BOILINI, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 99696 OVERSEAS HWY, KEY LARGO, FL, 33037, with a listed phone of (305) 451-1481. NPI 1235161654 was issued on 07/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BOILINI 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 283 prescription claims written by this provider, covering 95 Medicare beneficiaries and totaling roughly $58K in drug spend, split 55% brand-name and 45% 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.

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

99696 OVERSEAS HWY
KEY LARGO, FL 33037

Provider Details

NPI 1235161654
Specialty Optometrist
Credentials O.D.
Gender Male
NPI Issued 07/07/2006

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 JAMES BOILINI, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$139

Largest payer

Glaukos Corporation

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 — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to JAMES BOILINI, O.D.. To verify JAMES BOILINI, O.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

JAMES BOILINI, O.D. — brand share 55.0%
Specialty average (est.)

55% brand-name claims vs 45% generic, on 283 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.

283
Total Claims
$58K
Total Drug Cost
95
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
443
Total Day Supply
11,631
Brand vs Generic
55% brand / 45% generic
Brand Drug Cost
$53K
Generic Drug Cost
$6K

Patient Demographics

Average Patient Age
75.7 years
Avg HCC Risk Score
0.96
Gender Split
68% female / 32% 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
69
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
35
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
22
Restasis
Cyclosporine
18
Lumigan
Bimatoprost
17
Prednisolone Acetate
13
Timolol Maleate
12
Fluorometholone
11

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

Optometrist Overview

How JAMES BOILINI, O.D. fits within the Optometrist landscape nationally.

60,463
Optometrist Providers in US
56
States with Optometrist
257
Avg Claims per Provider

JAMES BOILINI, O.D.'s 283 claims are above the specialty average of 257.

Nearby Optometrist Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as BOILINI.

Compare Optometrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES BOILINI, O.D.'s specialty?
JAMES BOILINI, O.D. specializes in Optometrist and practices in KEY LARGO, Florida. Credentials: O.D..
How much does JAMES BOILINI, O.D. prescribe under Medicare Part D?
In 2023, JAMES BOILINI, O.D. wrote 283 Medicare Part D claims totaling $58K in drug costs for 95 beneficiaries.
Where is JAMES BOILINI, O.D. located?
JAMES BOILINI, O.D. is located at 99696 OVERSEAS HWY, KEY LARGO, FL, 33037. Phone: (305) 451-1481.
What is JAMES BOILINI, O.D.'s NPI number?
JAMES BOILINI, O.D.'s National Provider Identifier (NPI) is 1235161654, issued on 07/07/2006.
Does JAMES BOILINI, O.D. prescribe more brand-name or generic drugs?
JAMES BOILINI, O.D.'s prescribing is 55% brand-name and 45% generic drugs by claim count, with $53K 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 JAMES BOILINI, O.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES BOILINI, O.D.'s most frequently prescribed drugs include Latanoprost, Tobramycin-Dexamethasone, Neomycin-Polymyxin-Dexameth. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES BOILINI, O.D. accept Medicare?
JAMES BOILINI, O.D. appears in CMS Medicare data with 283 Part D claims and 95 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES BOILINI, O.D.'s credentials?
JAMES BOILINI, O.D.'s NPI is 1235161654 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.
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