2026 NPPES data Ophthalmology Physician NPI 1295799849 MD
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JAMES CROLEY, MD

Ophthalmology Physician in CAPE CORAL, 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
3K
Medicare Part D claims · 625 beneficiaries · Ophthalmology Physician avg: 1K
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$140.19
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES CROLEY, MD reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 2,505 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
3K
Part D claims, 2023
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.

JAMES CROLEY, MD's MIPS score vs every scored U.S. clinician

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

75 15th percentile higher than 15% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

JAMES CROLEY, MD 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 JAMES CROLEY, MD?

Below national average

NPI registry status

Active

Issued 04/12/2006

NPI 1295799849

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

2,505 76% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Ophthalmology Physician compares to other specialties among Florida providers

Florida providers

Ophthalmology Physician share within Florida

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Florida

Medicare quality performance — MIPS

JAMES CROLEY, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Ophthalmology Physician) — 75/100 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).

JAMES CROLEY, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 613 DEL PRADO BLVD S, CAPE CORAL, FL, 33990, with a listed phone of (239) 772-2122. NPI 1295799849 was issued on 04/12/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CROLEY 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 2,505 prescription claims written by this provider, covering 625 Medicare beneficiaries and totaling roughly $193K in drug spend. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

613 DEL PRADO BLVD S
CAPE CORAL, FL 33990

Provider Details

NPI 1295799849
Specialty Ophthalmology Physician
Credentials MD
Gender Male
NPI Issued 04/12/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Individual

Hospital and facility affiliations

Facilities where JAMES CROLEY, MD 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.

EYE SITE OF CAPE CORAL PA
CAPE CORAL, FL

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 JAMES CROLEY, MD. Source: openpaymentsdata.cms.gov.

Total received

$140

Largest payer

Dompe US, 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 — 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 CROLEY, MD. To verify JAMES CROLEY, MD'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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,505
Total Claims
$193K
Total Drug Cost
625
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,133
Total Day Supply
148,130
Generic Drug Cost
$72K

Patient Demographics

Average Patient Age
76.3 years
Avg HCC Risk Score
1.50
Gender Split
54% female / 46% male
Age Distribution
<65: 25, 65-74: 226, 75-84: 270, 85+: 104

Top Prescribed Drugs (Medicare Part D)

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

What JAMES CROLEY, MD 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
727
Prednisolone Acetate
410
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
324
Tobramycin
233
Brimonidine Tartrate
210
Timolol Maleate
195
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
112
Dorzolamide Hcl
49
Diclofenac Sodium
31
Restasis
Cyclosporine
29

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

Ophthalmology Physician Overview

How JAMES CROLEY, MD fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

JAMES CROLEY, MD's 2,505 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Florida

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

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES CROLEY, MD's specialty?
JAMES CROLEY, MD specializes in Ophthalmology Physician and practices in CAPE CORAL, Florida. Credentials: MD.
How much does JAMES CROLEY, MD prescribe under Medicare Part D?
In 2023, JAMES CROLEY, MD wrote 2,505 Medicare Part D claims totaling $193K in drug costs for 625 beneficiaries.
What is JAMES CROLEY, MD's Medicare quality score?
JAMES CROLEY, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES CROLEY, MD located?
JAMES CROLEY, MD is located at 613 DEL PRADO BLVD S, CAPE CORAL, FL, 33990. Phone: (239) 772-2122.
What is JAMES CROLEY, MD's NPI number?
JAMES CROLEY, MD's National Provider Identifier (NPI) is 1295799849, issued on 04/12/2006.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does JAMES CROLEY, MD prescribe most often?
Based on 2023 Medicare Part D data, JAMES CROLEY, MD's most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES CROLEY, MD accept Medicare?
JAMES CROLEY, MD appears in CMS Medicare data with 2,505 Part D claims and 625 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES CROLEY, MD's credentials?
JAMES CROLEY, MD's NPI is 1295799849 with credentials MD. 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