2026 NPPES data Optometrist NPI 1235191784 OD
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JAMES VERKUILEN, OD

Optometrist in COON RAPIDS, 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
713
Medicare Part D claims · 213 beneficiaries · Optometrist avg: 257
Generic prescribing
63%
generic claims · 37% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.5331/100
▲ 0 pts above national avg 83.1 · [object Object]

What the federal data shows

JAMES VERKUILEN, OD reported a CMS MIPS final score of 83.5331/100 — above the 83.1 national average — and filed 713 Medicare Part D claims in 2023.

83.5331/100
MIPS score · +0 vs avg
713
Part D claims, 2023
63%
generic prescribing

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 VERKUILEN, OD's MIPS score vs every scored U.S. clinician

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

84 42nd percentile higher than 42% 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

What does the federal data show about JAMES VERKUILEN, OD?

Near national average

NPI registry status

Active

Issued 04/03/2006

NPI 1235191784

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

713 177% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

83.5331/100 0.43310000000001025% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Minnesota

How Optometrist compares to other specialties among Minnesota providers

Minnesota providers

Optometrist share within Minnesota

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

Medicare quality performance — MIPS

JAMES VERKUILEN, OD's 2023 MIPS final score plotted against the Optometrist national average

Near national average
MIPS Final Score
83.5331/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 83.5331/100 vs national avg 83.1

0%100%National avg83%83.5%
MIPS final score (Optometrist) — 83.5331/100 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 VERKUILEN, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 9055 SPRINGBROOK DR NW, COON RAPIDS, MN, 55433, with a listed phone of (763) 780-9155. NPI 1235191784 was issued on 04/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what VERKUILEN 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 713 prescription claims written by this provider, covering 213 Medicare beneficiaries and totaling roughly $98K in drug spend, split 37% brand-name and 63% 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 83.5331/100 for the 2023 performance year (Quality 81.7967, Cost 63.3136), 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

9055 SPRINGBROOK DR NW
COON RAPIDS, MN 55433

Provider Details

NPI 1235191784
Specialty Optometrist
Credentials OD
Gender Male
NPI Issued 04/03/2006

CMS Quality Score (MIPS)

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

83.5331
Final Score
Avg: 83.1
81.7967
Quality
63.3136
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JAMES VERKUILEN, OD 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.

ALLINA HEALTH SYSTEM
ANNANDALE, MN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

JAMES VERKUILEN, OD — brand share 37.0%
Specialty average (est.)

37% brand-name claims vs 63% generic, on 713 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.

713
Total Claims
$98K
Total Drug Cost
213
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,487
Total Day Supply
42,610
Brand vs Generic
37% brand / 63% generic
Brand Drug Cost
$79K
Generic Drug Cost
$19K

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
1.28
Gender Split
57% female / 43% male
Age Distribution
<65: 22, 65-74: 87, 75-84: 91, 85+: 13

Top Prescribed Drugs (Medicare Part D)

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

What JAMES VERKUILEN, OD 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
292
Timolol Maleate
121
Prednisolone Acetate
51
Brimonidine Tartrate
45
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
32
Restasis
Cyclosporine
32
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
25
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
19
Dorzolamide Hcl
14
Loteprednol Etabonate
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 VERKUILEN, OD fits within the Optometrist landscape nationally.

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

JAMES VERKUILEN, OD's 713 claims are above the specialty average of 257.

Nearby Optometrist Providers in Minnesota

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

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

Frequently Asked Questions

What is JAMES VERKUILEN, OD's specialty?
JAMES VERKUILEN, OD specializes in Optometrist and practices in COON RAPIDS, Minnesota. Credentials: OD.
How much does JAMES VERKUILEN, OD prescribe under Medicare Part D?
In 2023, JAMES VERKUILEN, OD wrote 713 Medicare Part D claims totaling $98K in drug costs for 213 beneficiaries.
What is JAMES VERKUILEN, OD's Medicare quality score?
JAMES VERKUILEN, OD has a CMS MIPS Final Score of 83.5331/100 (Quality: 81.7967, Cost: 63.3136). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES VERKUILEN, OD located?
JAMES VERKUILEN, OD is located at 9055 SPRINGBROOK DR NW, COON RAPIDS, MN, 55433. Phone: (763) 780-9155.
What is JAMES VERKUILEN, OD's NPI number?
JAMES VERKUILEN, OD's National Provider Identifier (NPI) is 1235191784, issued on 04/03/2006.
Does JAMES VERKUILEN, OD prescribe more brand-name or generic drugs?
JAMES VERKUILEN, OD's prescribing is 37% brand-name and 63% generic drugs by claim count, with $79K 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 VERKUILEN, OD prescribe most often?
Based on 2023 Medicare Part D data, JAMES VERKUILEN, OD's most frequently prescribed drugs include Latanoprost, Timolol Maleate, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES VERKUILEN, OD accept Medicare?
JAMES VERKUILEN, OD appears in CMS Medicare data with 713 Part D claims and 213 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES VERKUILEN, OD's credentials?
JAMES VERKUILEN, OD's NPI is 1235191784 with credentials OD. 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