2026 NPPES data Optometrist NPI 1922256205 O.D.
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James Sickler, O.D.

Optometrist in Medina, New York. 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
310
Medicare Part D claims · 139 beneficiaries · Optometrist avg: 257
Generic prescribing
66%
generic claims · 34% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$2.3K
11 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

James Sickler, O.D. reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 310 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
310
Part D claims, 2023
66%
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 Sickler, 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

100 Top 7% higher than 93% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 Sickler, O.D.?

High performer (top quartile)

NPI registry status

Active

Issued 08/29/2008

NPI 1922256205

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

310 21% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

100/100 16.9 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Optometrist compares to other specialties among New York providers

New York providers

Optometrist share within New York

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

Medicare quality performance — MIPS

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

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

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

0%100%National avg83%99%
MIPS final score (Optometrist) — 100/100 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 Sickler, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 500 ERIE ST, Medina, NY, 14103, with a listed phone of (585) 798-2020. NPI 1922256205 was issued on 08/29/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Sickler 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 310 prescription claims written by this provider, covering 139 Medicare beneficiaries and totaling roughly $34K in drug spend, split 34% brand-name and 66% 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 100/100 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

500 ERIE ST
Medina, NY 14103

Provider Details

NPI 1922256205
Specialty Optometrist
Credentials O.D.
Gender Male
NPI Issued 08/29/2008

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where James Sickler, 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.

Lpec Medical Eye Care PLLC
Medina, NY

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

Total received

$2.3K

Largest payer

BIOTISSUE HOLDINGS 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 — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to James Sickler, O.D.. To verify James Sickler, O.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

James Sickler, O.D. — brand share 34.0%
Specialty average (est.)

34% brand-name claims vs 66% generic, on 310 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.

310
Total Claims
$34K
Total Drug Cost
139
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
462
Total Day Supply
11,665
Brand vs Generic
34% brand / 66% generic
Brand Drug Cost
$25K
Generic Drug Cost
$9K

Patient Demographics

Average Patient Age
72.6 years
Avg HCC Risk Score
1.25
Gender Split
62% female / 38% male
Age Distribution
<65: 21, 65-74: 56, 75-84: 41, 85+: 21

Top Prescribed Drugs (Medicare Part D)

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

What James Sickler, O.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
63
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
58
Prednisolone Acetate
41
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
16
Timolol Maleate
16
Tobramycin
14
Lumigan
Bimatoprost
12
Rhopressa
Netarsudil Mesylate
12
Simbrinza
Brinzolamide/Brimonidine Tart
11

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

Optometrist Overview

How James Sickler, O.D. fits within the Optometrist landscape nationally.

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

James Sickler, O.D.'s 310 claims are above the specialty average of 257.

Nearby Optometrist Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Sickler.

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

Frequently Asked Questions

What is James Sickler, O.D.'s specialty?
James Sickler, O.D. specializes in Optometrist and practices in Medina, New York. Credentials: O.D..
How much does James Sickler, O.D. prescribe under Medicare Part D?
In 2023, James Sickler, O.D. wrote 310 Medicare Part D claims totaling $34K in drug costs for 139 beneficiaries.
What is James Sickler, O.D.'s Medicare quality score?
James Sickler, O.D. has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Sickler, O.D. located?
James Sickler, O.D. is located at 500 ERIE ST, Medina, NY, 14103. Phone: (585) 798-2020.
What is James Sickler, O.D.'s NPI number?
James Sickler, O.D.'s National Provider Identifier (NPI) is 1922256205, issued on 08/29/2008.
Does James Sickler, O.D. prescribe more brand-name or generic drugs?
James Sickler, O.D.'s prescribing is 34% brand-name and 66% generic drugs by claim count, with $25K 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 Sickler, O.D. prescribe most often?
Based on 2023 Medicare Part D data, James Sickler, O.D.'s most frequently prescribed drugs include Latanoprost, Neomycin-Polymyxin-Dexameth, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Sickler, O.D. accept Medicare?
James Sickler, O.D. appears in CMS Medicare data with 310 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 Sickler, O.D.'s credentials?
James Sickler, O.D.'s NPI is 1922256205 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