2026 NPPES data Ophthalmology Physician NPI 1053306001 M.D.
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JAMES KNOWLES, M.D.

Ophthalmology Physician in BEAVERCREEK, Ohio. 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
2K
Medicare Part D claims · 471 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
60%
generic claims · 40% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
42.7701/100
▼ 40 pts below national avg 83.1 · [object Object]
Industry payments
$15.8
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES KNOWLES, M.D. reported a CMS MIPS final score of 42.7701/100 — below the 83.1 national average — and filed 1,562 Medicare Part D claims in 2023.

42.7701/100
MIPS score · -40 vs avg
2K
Part D claims, 2023
60%
generic prescribing
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 KNOWLES, M.D.'s MIPS score vs every scored U.S. clinician

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

43 4th percentile higher than 4% 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%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

JAMES KNOWLES, M.D. 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 KNOWLES, M.D.?

Below national average

NPI registry status

Active

Issued 09/15/2005

NPI 1053306001

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

1,562 10% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

42.7701/100 40.329899999999995% pts

Below average band

vs 83.1 national avg

Specialty distribution in Ohio

How Ophthalmology Physician compares to other specialties among Ohio providers

Ohio providers

Ophthalmology Physician share within Ohio

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

Medicare quality performance — MIPS

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

Below national average
MIPS Final Score
42.7701/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 42.7701/100 vs national avg 83.1

0%100%National avg83%42.8%
MIPS final score (Ophthalmology Physician) — 42.7701/100 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 KNOWLES, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 4235 INDIAN RIPPLE RD, BEAVERCREEK, OH, 45440, with a listed phone of (937) 427-2020. NPI 1053306001 was issued on 09/15/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KNOWLES 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 1,562 prescription claims written by this provider, covering 471 Medicare beneficiaries and totaling roughly $108K 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 42.7701/100 for the 2023 performance year (Quality 0, Cost 42.567), 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

4235 INDIAN RIPPLE RD
BEAVERCREEK, OH 45440

Provider Details

NPI 1053306001
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 09/15/2005

CMS Quality Score (MIPS)

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

42.7701
Final Score
Avg: 83.1
0
Quality
42.567
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where JAMES KNOWLES, M.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.

STAHL VISION INC
BEAVERCREEK, OH

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

Total received

$16

Largest payer

Johnson & Johnson Surgical Vision, 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 — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to JAMES KNOWLES, M.D.. To verify JAMES KNOWLES, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

JAMES KNOWLES, M.D. — brand share 40.0%
Specialty average (est.)

40% brand-name claims vs 60% generic, on 1,562 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.

1,562
Total Claims
$108K
Total Drug Cost
471
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,371
Total Day Supply
62,108
Brand vs Generic
40% brand / 60% generic
Brand Drug Cost
$81K
Generic Drug Cost
$27K

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
1.12
Gender Split
57% female / 43% male
Age Distribution
<65: 17, 65-74: 219, 75-84: 176, 85+: 59

Top Prescribed Drugs (Medicare Part D)

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

What JAMES KNOWLES, M.D. 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
319
Ketorolac Tromethamine
307
Prednisolone Acetate
280
Moxifloxacin
Moxifloxacin Hcl
232
Brimonidine Tartrate
110
Gatifloxacin
48
Timolol Maleate
42
Dorzolamide Hcl
39
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
32
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
23

* 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 KNOWLES, 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 KNOWLES, M.D.'s 1,562 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Ohio

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

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

Frequently Asked Questions

What is JAMES KNOWLES, M.D.'s specialty?
JAMES KNOWLES, M.D. specializes in Ophthalmology Physician and practices in BEAVERCREEK, Ohio. Credentials: M.D..
How much does JAMES KNOWLES, M.D. prescribe under Medicare Part D?
In 2023, JAMES KNOWLES, M.D. wrote 1,562 Medicare Part D claims totaling $108K in drug costs for 471 beneficiaries.
What is JAMES KNOWLES, M.D.'s Medicare quality score?
JAMES KNOWLES, M.D. has a CMS MIPS Final Score of 42.7701/100 (Quality: 0, Cost: 42.567). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES KNOWLES, M.D. located?
JAMES KNOWLES, M.D. is located at 4235 INDIAN RIPPLE RD, BEAVERCREEK, OH, 45440. Phone: (937) 427-2020.
What is JAMES KNOWLES, M.D.'s NPI number?
JAMES KNOWLES, M.D.'s National Provider Identifier (NPI) is 1053306001, issued on 09/15/2005.
Does JAMES KNOWLES, M.D. prescribe more brand-name or generic drugs?
JAMES KNOWLES, M.D.'s prescribing is 40% brand-name and 60% generic drugs by claim count, with $81K 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 KNOWLES, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES KNOWLES, M.D.'s most frequently prescribed drugs include Latanoprost, Ketorolac Tromethamine, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES KNOWLES, M.D. accept Medicare?
JAMES KNOWLES, M.D. appears in CMS Medicare data with 1,562 Part D claims and 471 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES KNOWLES, M.D.'s credentials?
JAMES KNOWLES, M.D.'s NPI is 1053306001 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