2026 NPPES data Optometrist NPI 1023144383 OPTOMETRIST
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JAMES FANELLI, OPTOMETRIST

Optometrist in WILMINGTON, North Carolina. 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
507
Medicare Part D claims · 156 beneficiaries · Optometrist avg: 257
Generic prescribing
55%
generic claims · 45% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$17.5K
9 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES FANELLI, OPTOMETRIST reported a CMS MIPS final score of 0/100 — below the 83.1 national average — and filed 507 Medicare Part D claims in 2023.

0/100
MIPS score · -83 vs avg
507
Part D claims, 2023
55%
generic prescribing
$17.5K
industry payments (Sunshine Act)

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 FANELLI, OPTOMETRIST's MIPS score vs every scored U.S. clinician

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

0 0th percentile higher than 0% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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

What does the federal data show about JAMES FANELLI, OPTOMETRIST?

Below national average

NPI registry status

Active

Issued 02/23/2007

NPI 1023144383

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

507 97% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in North Carolina

How Optometrist compares to other specialties among North Carolina providers

North Carolina providers

Optometrist share within North Carolina

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

Medicare quality performance — MIPS

JAMES FANELLI, OPTOMETRIST's 2023 MIPS final score plotted against the Optometrist national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Optometrist) — 0/100 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 FANELLI, OPTOMETRIST is a Optometrist provider practicing in WILMINGTON, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: OPTOMETRIST. NPI: 1023144383. 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 FANELLI, OPTOMETRIST appears in the CMS NPPES registry as a Optometrist provider holding OPTOMETRIST credentials at 5526B CAROLINA BEACH RD, WILMINGTON, NC, 28412, with a listed phone of (910) 452-7225. NPI 1023144383 was issued on 02/23/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FANELLI 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 507 prescription claims written by this provider, covering 156 Medicare beneficiaries and totaling roughly $100K in drug spend, split 45% brand-name and 55% 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 0/100 for the 2023 performance year (Quality 0), 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

5526B CAROLINA BEACH RD
WILMINGTON, NC 28412

Provider Details

NPI 1023144383
Specialty Optometrist
Credentials OPTOMETRIST
Gender Male
NPI Issued 02/23/2007

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

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 FANELLI, OPTOMETRIST. Source: openpaymentsdata.cms.gov.

Total received

$17.5K

Largest payer

Topcon Healthcare, 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.

Brand vs generic prescribing mix · Above average

JAMES FANELLI, OPTOMETRIST — brand share 45.0%
Specialty average (est.)

45% brand-name claims vs 55% generic, on 507 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.

507
Total Claims
$100K
Total Drug Cost
156
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,074
Total Day Supply
30,363
Brand vs Generic
45% brand / 55% generic
Brand Drug Cost
$90K
Generic Drug Cost
$11K

Patient Demographics

Average Patient Age
77.4 years
Avg HCC Risk Score
1.40
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
129
Timolol Maleate
74
Lumigan
Bimatoprost
42
Fluorometholone
39
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
26
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
21
Restasis
Cyclosporine
20
Dorzolamide Hcl
16
Erythromycin
Erythromycin Base
13
Travoprost
13

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

Optometrist Overview

How JAMES FANELLI, OPTOMETRIST fits within the Optometrist landscape nationally.

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

JAMES FANELLI, OPTOMETRIST's 507 claims are above the specialty average of 257.

Nearby Optometrist Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as FANELLI.

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

Frequently Asked Questions

What is JAMES FANELLI, OPTOMETRIST's specialty?
JAMES FANELLI, OPTOMETRIST specializes in Optometrist and practices in WILMINGTON, North Carolina. Credentials: OPTOMETRIST.
How much does JAMES FANELLI, OPTOMETRIST prescribe under Medicare Part D?
In 2023, JAMES FANELLI, OPTOMETRIST wrote 507 Medicare Part D claims totaling $100K in drug costs for 156 beneficiaries.
What is JAMES FANELLI, OPTOMETRIST's Medicare quality score?
JAMES FANELLI, OPTOMETRIST has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES FANELLI, OPTOMETRIST located?
JAMES FANELLI, OPTOMETRIST is located at 5526B CAROLINA BEACH RD, WILMINGTON, NC, 28412. Phone: (910) 452-7225.
What is JAMES FANELLI, OPTOMETRIST's NPI number?
JAMES FANELLI, OPTOMETRIST's National Provider Identifier (NPI) is 1023144383, issued on 02/23/2007.
Does JAMES FANELLI, OPTOMETRIST prescribe more brand-name or generic drugs?
JAMES FANELLI, OPTOMETRIST's prescribing is 45% brand-name and 55% generic drugs by claim count, with $90K 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 FANELLI, OPTOMETRIST prescribe most often?
Based on 2023 Medicare Part D data, JAMES FANELLI, OPTOMETRIST's most frequently prescribed drugs include Latanoprost, Timolol Maleate, Lumigan. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES FANELLI, OPTOMETRIST accept Medicare?
JAMES FANELLI, OPTOMETRIST appears in CMS Medicare data with 507 Part D claims and 156 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES FANELLI, OPTOMETRIST's credentials?
JAMES FANELLI, OPTOMETRIST's NPI is 1023144383 with credentials OPTOMETRIST. 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