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2026 NPPES data Optometrist NPI 1265094551 OD
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James Walsh, OD

Optometrist in Boynton Beach, Florida.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 61,426 in Optometrist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
541
Medicare Part D claims · 287 beneficiaries · Optometrist avg: 279
Generic prescribing
39%
generic claims · 61% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84/100
▲ 1 pts above national avg 83.5 · Above neutral
Industry payments
$1.3K
16 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

James Walsh, OD reported a CMS MIPS final score of 84/100 - above the 83.5 national average - and filed 541 Medicare Part D claims in 2024.

84/100
MIPS score · +1 vs avg
541
Part D claims, 2024
39%
generic prescribing
$1.3K
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.

Federal trust snapshot

What official records show about James Walsh, OD

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1265094551), first enumerated 07/08/2019.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 541 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 84/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $1.3K in reported industry payments (16 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Florida statewide board action statistics are published annually — these figures describe aggregate state activity, not James Walsh, OD's individual license status. Verify directly with the state medical board.

    Source: FLDOH annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

Compare Walsh with other Optometrist providers

Same primary specialty, same federal CMS NPPES roster.

All 34 Optometrist providers in Boynton Beach, FL →

Also enrolled in Florida

Other specialties in Boynton Beach: Behavior Technician (215) · Pharmacist (157) · Family Nurse Practitioner (142) · Physical Therapist (142)

CMS NPPES provider registry desk

NPI 1265094551 · Optometrist

NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-INLINE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1265094551
  • ENUM-RECENT 2019
  • TAX-MEGA 61K Optometrist
  • MIPS-INLINE 84/100
  • RX-LIGHT 541
  • BOOK-LIGHT 3,499 in Florida
  • PHOTO-FINISH Stephen Herman, OD · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

James Walsh, OD's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

84 ≥ 42nd percentile 42% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where James Walsh, OD sits

This provider among optometrist peers

Across the 6,187 optometrist providers who report both Medicare Part D prescribing and a MIPS quality score, James Walsh, OD writes more Part D claims than 66% of them and scores higher on MIPS quality than 42% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 0James Walsh, OD, Part D claim volume, percentile in specialty: 66 · MIPS quality, percentile: 42
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one optometrist peer from a representative sample of 60; the gold marker is James Walsh, OD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about James Walsh, OD?

Near national average

NPI registry status

Active

Issued 07/08/2019

NPI 1265094551

Primary specialty

Optometrist

High-volume

61,426 US NPIs in this specialty

Medicare Part D claims

541 94% vs specialty avg

2024 prescription claims

Specialty avg: 279

MIPS final score

84/100 0.5 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Florida

How Optometrist compares to other specialties among Florida providers

Florida providers
Behavior Technician16.3%Mental Health Counselor4.8%Family Nurse Practitioner4.5%Pharmacist4.1%Student in an Organized Heal…4.1%Physical Therapist3%Optometrist0.7%
Largest specialties in Florida (% of in-state providers)

Medicare quality performance, MIPS

James Walsh, OD's 2023 MIPS final score plotted against the Optometrist national average

Near national average
MIPS Final Score
84/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%84%
MIPS final score (Optometrist) - 84/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

1717 W WOOLBRIGHT RD
Boynton Beach, FL 33426
(561) 737-5500

Provider Details

NPI 1265094551
Specialty Optometrist
Credentials OD
Gender Male
NPI Issued 07/08/2019

CMS Quality Score (MIPS)

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

84.0175
Final Score
Measured-score avg: 83.5
100
Quality
46.725
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where James Walsh, 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.

Florida Eye Microsurgical Institute Inc
Boynton Beach, FL

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 Walsh, OD. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

Largest payer

ANI Pharmaceuticals, 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 - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to James Walsh, OD. To verify James Walsh, OD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

James Walsh, OD - brand share 61.0%
Optometrist average

61% brand-name claims vs 39% generic, on 541 2024 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 2024.

541
Total Claims
$253K
Total Drug Cost
287
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
791.367
Total Day Supply
19,134
Brand vs Generic
61% brand / 39% generic
Brand Drug Cost
$247K
Generic Drug Cost
$5K
Antibiotic Claims
64

Patient Demographics

Average Patient Age
78.3 years
Avg HCC Risk Score
1.50
Gender Split
66% female / 34% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What James Walsh, OD prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Doxycycline Hyclate
 59
Cequa
Cyclosporine
58
Xiidra
Lifitegrast
46
Prednisolone Acetate
 44
Restasis
Cyclosporine
42
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
37
Erythromycin
Erythromycin Base
36
Loteprednol Etabonate
 32
Latanoprost
 23
Vevye
Cyclosporine
21

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

More Optometrist in FL → All providers in Florida → Compare specialties →

Optometrist Overview

How James Walsh, OD fits within the Optometrist landscape nationally.

61,426
Optometrist Providers in US
56
States with Optometrist
279
Avg Claims per Provider

James Walsh, OD's 541 claims are above the specialty average of 279.

Nationwide Optometrist peers with similar MIPS or enrollment year

Two federal-record peer sets for Walsh, both outside Florida so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (84 here).

Stephen Herman 84 MI Jessica Jackson 84 MI Heidi Johnson 84 MI Matthew Verbrigghe 84 TX

Same NPPES enumeration year (2019)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Matthew Lorson Hutchinson, KS Annedrea Morreale Antioch, TN Kelly Reed Scottsdale, AZ Amy Buonaccorsi Warwick, RI

Nearby Optometrist Providers in Florida

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

One of 3,499 Optometrist providers enrolled in Florida, 11 are shown on this page.

Dr. Mariem Abdou
OD
Davie, FL
Dr. Jemila Abdulgabbar
OD
Odessa, FL
Dr. Wafa Abdulrazzaq
OD
Cooper City, FL
Alexis Abernathy
Orlando, FL
Salma Abouassaf
Homestead, FL

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

Frequently Asked Questions

What is James Walsh, OD's specialty? ▼
James Walsh, OD specializes in Optometrist and practices in Boynton Beach, Florida. Credentials: OD.
How much does James Walsh, OD prescribe under Medicare Part D? ▼
In 2024, James Walsh, OD wrote 541 Medicare Part D claims totaling $253K in drug costs for 287 beneficiaries.
What is James Walsh, OD's Medicare quality score? ▼
James Walsh, OD has a CMS MIPS Final Score of 84/100 (Quality: 100, Cost: 46.7). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Walsh, OD located? ▼
James Walsh, OD is located at 1717 W WOOLBRIGHT RD, Boynton Beach, FL, 33426. Phone: (561) 737-5500.
What is James Walsh, OD's NPI number? ▼
James Walsh, OD's National Provider Identifier (NPI) is 1265094551, issued on 07/08/2019.
Does James Walsh, OD prescribe more brand-name or generic drugs? ▼
James Walsh, OD's prescribing is 61% brand-name and 39% generic drugs by claim count, with $247K in brand drug costs.
How many Optometrist providers are there in the US? ▼
There are 61,426 Optometrist providers across 56 states in the US. The average Optometrist provider writes 279 Medicare Part D claims per year.
What drugs does James Walsh, OD prescribe most often? ▼
Based on 2024 Medicare Part D data, James Walsh, OD's most frequently prescribed drugs include Doxycycline Hyclate, Cequa, Xiidra. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Walsh, OD accept Medicare? ▼
James Walsh, OD appears in CMS Medicare data with 541 Part D claims and 287 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Walsh, OD's credentials? ▼
James Walsh, OD's NPI is 1265094551 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

View source datasets and methodology notes
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 (2024). 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 August 2026 (NPPES) / 2024 (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

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.