2026 NPPES data Ophthalmology Physician NPI 1104804962 MD
Verify on CMS →

JANICE SINCLAIR, MD

Ophthalmology Physician in MAPLE GROVE, 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
2K
Medicare Part D claims · 487 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.8055/100
▼ 3 pts below national avg 83.1 · [object Object]

What the federal data shows

JANICE SINCLAIR, MD reported a CMS MIPS final score of 79.8055/100 — below the 83.1 national average — and filed 2,137 Medicare Part D claims in 2023.

79.8055/100
MIPS score · -3 vs avg
2K
Part D claims, 2023
75%
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.

JANICE SINCLAIR, MD's MIPS score vs every scored U.S. clinician

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

80 30th percentile higher than 30% 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%). This entry sits in this band. 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)

JANICE SINCLAIR, MD 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 JANICE SINCLAIR, MD?

Near national average

NPI registry status

Active

Issued 01/03/2006

NPI 1104804962

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

2,137 50% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

79.8055/100 3.2944999999999993% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Minnesota

How Ophthalmology Physician compares to other specialties among Minnesota providers

Minnesota providers

Ophthalmology Physician share within Minnesota

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

Medicare quality performance — MIPS

JANICE SINCLAIR, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

Near national average
MIPS Final Score
79.8055/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 79.8055/100 vs national avg 83.1

0%100%National avg83%79.8%
MIPS final score (Ophthalmology Physician) — 79.8055/100 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).

JANICE SINCLAIR, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 12000 ELM CREEK BLVD N STE 100, MAPLE GROVE, MN, 55369, with a listed phone of (763) 416-7600. NPI 1104804962 was issued on 01/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SINCLAIR 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 2,137 prescription claims written by this provider, covering 487 Medicare beneficiaries and totaling roughly $233K in drug spend, split 25% brand-name and 75% 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 79.8055/100 for the 2023 performance year (Quality 95.3713, Cost 48.147), 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

12000 ELM CREEK BLVD N STE 100
MAPLE GROVE, MN 55369

Provider Details

NPI 1104804962
Specialty Ophthalmology Physician
Credentials MD
Gender Female
NPI Issued 01/03/2006

CMS Quality Score (MIPS)

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

79.8055
Final Score
Avg: 83.1
95.3713
Quality
48.147
Cost
87
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JANICE SINCLAIR, MD 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.

NORTHWEST EYE CLINIC LLC
MAPLE GROVE, 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

JANICE SINCLAIR, MD — brand share 25.0%
Specialty average (est.)

25% brand-name claims vs 75% generic, on 2,137 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.

2,137
Total Claims
$233K
Total Drug Cost
487
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,376
Total Day Supply
126,914
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$178K
Generic Drug Cost
$55K
Antibiotic Claims
54

Patient Demographics

Average Patient Age
77.3 years
Avg HCC Risk Score
1.04
Gender Split
75% female / 25% male

Top Prescribed Drugs (Medicare Part D)

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

What JANICE SINCLAIR, MD 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
947
Timolol Maleate
326
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
167
Brimonidine Tartrate
101
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
64
Restasis
Cyclosporine
57
Dorzolamide Hcl
43
Travoprost
42
Lumigan
Bimatoprost
40
Prednisolone Acetate
35

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

Ophthalmology Physician Overview

How JANICE SINCLAIR, MD 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

JANICE SINCLAIR, MD's 2,137 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Minnesota

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

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

Frequently Asked Questions

What is JANICE SINCLAIR, MD's specialty?
JANICE SINCLAIR, MD specializes in Ophthalmology Physician and practices in MAPLE GROVE, Minnesota. Credentials: MD.
How much does JANICE SINCLAIR, MD prescribe under Medicare Part D?
In 2023, JANICE SINCLAIR, MD wrote 2,137 Medicare Part D claims totaling $233K in drug costs for 487 beneficiaries.
What is JANICE SINCLAIR, MD's Medicare quality score?
JANICE SINCLAIR, MD has a CMS MIPS Final Score of 79.8055/100 (Quality: 95.3713, Cost: 48.147). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JANICE SINCLAIR, MD located?
JANICE SINCLAIR, MD is located at 12000 ELM CREEK BLVD N STE 100, MAPLE GROVE, MN, 55369. Phone: (763) 416-7600.
What is JANICE SINCLAIR, MD's NPI number?
JANICE SINCLAIR, MD's National Provider Identifier (NPI) is 1104804962, issued on 01/03/2006.
Does JANICE SINCLAIR, MD prescribe more brand-name or generic drugs?
JANICE SINCLAIR, MD's prescribing is 25% brand-name and 75% generic drugs by claim count, with $178K 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 JANICE SINCLAIR, MD prescribe most often?
Based on 2023 Medicare Part D data, JANICE SINCLAIR, MD's most frequently prescribed drugs include Latanoprost, Timolol Maleate, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JANICE SINCLAIR, MD accept Medicare?
JANICE SINCLAIR, MD appears in CMS Medicare data with 2,137 Part D claims and 487 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JANICE SINCLAIR, MD's credentials?
JANICE SINCLAIR, MD's NPI is 1104804962 with credentials MD. 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