2026 NPPES data Optometrist NPI 1932173069 O.D.
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JAMES JACO, O.D.

Optometrist in MURRAY, Kentucky. 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
568
Medicare Part D claims · 139 beneficiaries · Optometrist avg: 257
Generic prescribing
60%
generic claims · 40% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$2.3K
31 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES JACO, O.D. reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 568 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
568
Part D claims, 2023
60%
generic prescribing
$2.3K
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 JACO, 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

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

What does the federal data show about JAMES JACO, O.D.?

Below national average

NPI registry status

Active

Issued 02/15/2006

NPI 1932173069

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

568 121% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Optometrist compares to other specialties among Kentucky providers

Kentucky providers

Optometrist share within Kentucky

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

Medicare quality performance — MIPS

JAMES JACO, O.D.'s 2023 MIPS final score plotted against the Optometrist national average

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

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

0%100%National avg83%75%
MIPS final score (Optometrist) — 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 JACO, O.D. is a Optometrist provider practicing in MURRAY, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O.D.. NPI: 1932173069. 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 JACO, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 106 N 6TH ST, MURRAY, KY, 42071, with a listed phone of (270) 753-2842. NPI 1932173069 was issued on 02/15/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JACO 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 568 prescription claims written by this provider, covering 139 Medicare beneficiaries and totaling roughly $110K in drug spend, split 40% brand-name and 60% 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 75/100 for the 2023 performance year, 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

106 N 6TH ST
MURRAY, KY 42071

Provider Details

NPI 1932173069
Specialty Optometrist
Credentials O.D.
Gender Male
NPI Issued 02/15/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where JAMES JACO, 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.

CLARKSON OPTOMETRY MIDWEST INC
MURRAY, KY

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 JACO, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$2.3K

Largest payer

CooperVision 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 JACO, O.D. — brand share 40.0%
Specialty average (est.)

40% brand-name claims vs 60% generic, on 568 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.

568
Total Claims
$110K
Total Drug Cost
139
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
976
Total Day Supply
27,722
Brand vs Generic
40% brand / 60% generic
Brand Drug Cost
$103K
Generic Drug Cost
$7K

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.26
Gender Split
65% female / 35% 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
245
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
51
Timolol Maleate
39
Lumigan
Bimatoprost
34
Restasis
Cyclosporine
28
Brimonidine Tartrate
22
Dorzolamide Hcl
19
Lotemax Sm
Loteprednol Etabonate
19
Vyzulta
Latanoprostene Bunod
18
Cyclosporine
12

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

Optometrist Overview

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

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

JAMES JACO, O.D.'s 568 claims are above the specialty average of 257.

Nearby Optometrist Providers in Kentucky

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

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

Frequently Asked Questions

What is JAMES JACO, O.D.'s specialty?
JAMES JACO, O.D. specializes in Optometrist and practices in MURRAY, Kentucky. Credentials: O.D..
How much does JAMES JACO, O.D. prescribe under Medicare Part D?
In 2023, JAMES JACO, O.D. wrote 568 Medicare Part D claims totaling $110K in drug costs for 139 beneficiaries.
What is JAMES JACO, O.D.'s Medicare quality score?
JAMES JACO, O.D. 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 JACO, O.D. located?
JAMES JACO, O.D. is located at 106 N 6TH ST, MURRAY, KY, 42071. Phone: (270) 753-2842.
What is JAMES JACO, O.D.'s NPI number?
JAMES JACO, O.D.'s National Provider Identifier (NPI) is 1932173069, issued on 02/15/2006.
Does JAMES JACO, O.D. prescribe more brand-name or generic drugs?
JAMES JACO, O.D.'s prescribing is 40% brand-name and 60% generic drugs by claim count, with $103K 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 JACO, O.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES JACO, O.D.'s most frequently prescribed drugs include Latanoprost, Dorzolamide-Timolol, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES JACO, O.D. accept Medicare?
JAMES JACO, O.D. appears in CMS Medicare data with 568 Part D claims and 139 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES JACO, O.D.'s credentials?
JAMES JACO, O.D.'s NPI is 1932173069 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.
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