2026 NPPES data Ophthalmology Physician NPI 1396791513 M.D.
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JAMES TWEETEN, M.D.

Ophthalmology Physician in BOISE, Idaho. 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
3K
Medicare Part D claims · 610 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
66%
generic claims · 34% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
88.5167/100
▲ 5 pts above national avg 83.1 · [object Object]
Industry payments
$36.41
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES TWEETEN, M.D. reported a CMS MIPS final score of 88.5167/100 — above the 83.1 national average — and filed 2,551 Medicare Part D claims in 2023.

88.5167/100
MIPS score · +5 vs avg
3K
Part D claims, 2023
66%
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 TWEETEN, 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

89 Top 44% higher than 56% 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%). This entry sits in this band. 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 TWEETEN, 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).

What does the federal data show about JAMES TWEETEN, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 05/26/2006

NPI 1396791513

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

2,551 80% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

88.5167/100 5.416700000000006% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Idaho

How Ophthalmology Physician compares to other specialties among Idaho providers

Idaho providers

Ophthalmology Physician share within Idaho

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

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
88.5167/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 88.5167/100 vs national avg 83.1

0%100%National avg83%88.5%
MIPS final score (Ophthalmology Physician) — 88.5167/100 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 TWEETEN, M.D. is a Ophthalmology Physician provider practicing in BOISE, Idaho, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1396791513. 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 TWEETEN, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 999 N CURTIS RD, BOISE, ID, 83706, with a listed phone of (208) 373-1200. NPI 1396791513 was issued on 05/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TWEETEN 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 2,551 prescription claims written by this provider, covering 610 Medicare beneficiaries and totaling roughly $187K 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 88.5167/100 for the 2023 performance year (Quality 77.6835, Cost 91.4776), 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

999 N CURTIS RD
BOISE, ID 83706

Provider Details

NPI 1396791513
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 05/26/2006

CMS Quality Score (MIPS)

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

88.5167
Final Score
Avg: 83.1
77.6835
Quality
91.4776
Cost

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

Total received

$36

Largest payer

Regeneron Healthcare Solutions, 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 TWEETEN, M.D. — brand share 34.0%
Specialty average (est.)

34% brand-name claims vs 66% generic, on 2,551 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.

2,551
Total Claims
$187K
Total Drug Cost
610
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,865
Total Day Supply
102,455
Brand vs Generic
34% brand / 66% generic
Brand Drug Cost
$125K
Generic Drug Cost
$62K
Antibiotic Claims
16

Patient Demographics

Average Patient Age
78.1 years
Avg HCC Risk Score
1.16
Gender Split
67% female / 33% 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
430
Prednisolone Acetate
406
Moxifloxacin
Moxifloxacin Hcl
397
Ketorolac Tromethamine
378
Brimonidine Tartrate
256
Erythromycin
Erythromycin Base
119
Bromfenac Sodium
104
Dorzolamide Hcl
69
Timolol Maleate
41
Restasis
Cyclosporine
32

* 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 TWEETEN, 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 TWEETEN, M.D.'s 2,551 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Idaho

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

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

Frequently Asked Questions

What is JAMES TWEETEN, M.D.'s specialty?
JAMES TWEETEN, M.D. specializes in Ophthalmology Physician and practices in BOISE, Idaho. Credentials: M.D..
How much does JAMES TWEETEN, M.D. prescribe under Medicare Part D?
In 2023, JAMES TWEETEN, M.D. wrote 2,551 Medicare Part D claims totaling $187K in drug costs for 610 beneficiaries.
What is JAMES TWEETEN, M.D.'s Medicare quality score?
JAMES TWEETEN, M.D. has a CMS MIPS Final Score of 88.5167/100 (Quality: 77.6835, Cost: 91.4776). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES TWEETEN, M.D. located?
JAMES TWEETEN, M.D. is located at 999 N CURTIS RD, BOISE, ID, 83706. Phone: (208) 373-1200.
What is JAMES TWEETEN, M.D.'s NPI number?
JAMES TWEETEN, M.D.'s National Provider Identifier (NPI) is 1396791513, issued on 05/26/2006.
Does JAMES TWEETEN, M.D. prescribe more brand-name or generic drugs?
JAMES TWEETEN, M.D.'s prescribing is 34% brand-name and 66% generic drugs by claim count, with $125K 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 TWEETEN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES TWEETEN, M.D.'s most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Moxifloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES TWEETEN, M.D. accept Medicare?
JAMES TWEETEN, M.D. appears in CMS Medicare data with 2,551 Part D claims and 610 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES TWEETEN, M.D.'s credentials?
JAMES TWEETEN, M.D.'s NPI is 1396791513 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