2026 NPPES data Ophthalmology Physician NPI 1497734958 M.D.
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JAMES GARRITY, M.D.

Ophthalmology Physician in ROCHESTER, Minnesota. 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
77
Medicare Part D claims · 35 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
73%
generic claims · 27% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.2178/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$75.25
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JAMES GARRITY, M.D. is a Ophthalmology Physician ([object Object]) practicing in ROCHESTER, Minnesota with a Medicare Part D prescribing footprint of 77 claims across 35 beneficiaries — 27% brand-name prescribing . Their CMS MIPS Final Score of 85.2178/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $75.25 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JAMES GARRITY, M.D. reported a CMS MIPS final score of 85.2178 out of 100, above the 83.1 national average, and filed 77 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JAMES GARRITY, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JAMES GARRITY, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 01/12/2006

NPI 1497734958

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

77 95% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

85.2178/100 2.1178000000000026% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Minnesota

How Ophthalmology Physician compares to other specialties among Minnesota providers

Minnesota providers

Ophthalmology Physician share within Minnesota

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

Medicare quality performance — MIPS

JAMES GARRITY, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
85.2178/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 85.2178/100 vs national avg 83.1

0%100%National avg83%85.2%
MIPS final score (Ophthalmology Physician) — 85.2178/100 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 GARRITY, M.D. is a Ophthalmology Physician provider practicing in ROCHESTER, Minnesota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1497734958. 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 GARRITY, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 200 1ST ST SW, ROCHESTER, MN, 55905, with a listed phone of (507) 284-2511. NPI 1497734958 was issued on 01/12/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GARRITY 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 77 prescription claims written by this provider, covering 35 Medicare beneficiaries and totaling roughly $11K in drug spend, split 27% brand-name and 73% 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 85.2178/100 for the 2023 performance year (Quality 86.3944, Cost 67.6649), 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

200 1ST ST SW
ROCHESTER, MN 55905

Provider Details

NPI 1497734958
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 01/12/2006

CMS Quality Score (MIPS)

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

85.2178
Final Score
Avg: 83.1
86.3944
Quality
67.6649
Cost
96
Promoting Interoperability

Reporting: Group practice

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 GARRITY, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$75

Largest payer

Amgen 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 GARRITY, M.D. — brand share 27.0%
Specialty average (est.)

27% brand-name claims vs 73% generic, on 77 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.

77
Total Claims
$11K
Total Drug Cost
35
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
105
Total Day Supply
2,639
Brand vs Generic
27% brand / 73% generic
Brand Drug Cost
$10K
Generic Drug Cost
$886

Patient Demographics

Average Patient Age
79.1 years
Avg HCC Risk Score
1.31
Gender Split
40% female / 60% 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
Erythromycin
Erythromycin Base
14

* 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 GARRITY, M.D. 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 GARRITY, M.D.'s 77 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Minnesota

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

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

Frequently Asked Questions

What is JAMES GARRITY, M.D.'s specialty?
JAMES GARRITY, M.D. specializes in Ophthalmology Physician and practices in ROCHESTER, Minnesota. Credentials: M.D..
How much does JAMES GARRITY, M.D. prescribe under Medicare Part D?
In 2023, JAMES GARRITY, M.D. wrote 77 Medicare Part D claims totaling $11K in drug costs for 35 beneficiaries.
What is JAMES GARRITY, M.D.'s Medicare quality score?
JAMES GARRITY, M.D. has a CMS MIPS Final Score of 85.2178/100 (Quality: 86.3944, Cost: 67.6649). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES GARRITY, M.D. located?
JAMES GARRITY, M.D. is located at 200 1ST ST SW, ROCHESTER, MN, 55905. Phone: (507) 284-2511.
What is JAMES GARRITY, M.D.'s NPI number?
JAMES GARRITY, M.D.'s National Provider Identifier (NPI) is 1497734958, issued on 01/12/2006.
Does JAMES GARRITY, M.D. prescribe more brand-name or generic drugs?
JAMES GARRITY, M.D.'s prescribing is 27% brand-name and 73% generic drugs by claim count, with $10K in brand drug costs.
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 GARRITY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES GARRITY, M.D.'s most frequently prescribed drugs include Erythromycin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES GARRITY, M.D. accept Medicare?
JAMES GARRITY, M.D. appears in CMS Medicare data with 77 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 JAMES GARRITY, M.D.'s credentials?
JAMES GARRITY, M.D.'s NPI is 1497734958 with credentials M.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