2026 NPPES data Optometrist NPI 1255526232 O.D.
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JEFFREY SUTTON, O.D.

Optometrist in BOONE, North Carolina. 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
13
Medicare Part D claims · Optometrist avg: 257
Generic prescribing
8%
generic claims · 92% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]

What the federal data shows

JEFFREY SUTTON, O.D. reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 13 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
13
Part D claims, 2023
8%
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.

JEFFREY SUTTON, 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 JEFFREY SUTTON, O.D.?

High performer (top quartile)

NPI registry status

Active

Issued 09/12/2007

NPI 1255526232

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

13 95% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Optometrist compares to other specialties among North Carolina providers

North Carolina providers

Optometrist share within North Carolina

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

Medicare quality performance — MIPS

JEFFREY SUTTON, 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).

JEFFREY SUTTON, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 717 GREENWAY RD, BOONE, NC, 28607, with a listed phone of (828) 265-2020. NPI 1255526232 was issued on 09/12/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SUTTON 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 13 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $5K in drug spend, split 92% brand-name and 8% 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 (Quality 89.9984), 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

717 GREENWAY RD
BOONE, NC 28607

Provider Details

NPI 1255526232
Specialty Optometrist
Credentials O.D.
Gender Male
NPI Issued 09/12/2007

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
89.9984
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JEFFREY SUTTON, 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.

WILCOX OPTOMETRY PLLC
ROCKY MOUNT, NC

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 · Brand-heavy

JEFFREY SUTTON, O.D. — brand share 92.0%
Specialty average (est.)

92% brand-name claims vs 8% generic, on 13 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.

13
Total Claims
$5K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
15
Total Day Supply
397
Brand vs Generic
92% brand / 8% generic
Brand Drug Cost
$5K

Patient Demographics

Average Patient Age
74.3 years
Avg HCC Risk Score
0.87

Optometrist Overview

How JEFFREY SUTTON, O.D. fits within the Optometrist landscape nationally.

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

JEFFREY SUTTON, O.D.'s 13 claims are below the specialty average of 257.

Nearby Optometrist Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as SUTTON.

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

Frequently Asked Questions

What is JEFFREY SUTTON, O.D.'s specialty?
JEFFREY SUTTON, O.D. specializes in Optometrist and practices in BOONE, North Carolina. Credentials: O.D..
How much does JEFFREY SUTTON, O.D. prescribe under Medicare Part D?
In 2023, JEFFREY SUTTON, O.D. wrote 13 Medicare Part D claims totaling $5K in drug costs for N/A beneficiaries.
What is JEFFREY SUTTON, O.D.'s Medicare quality score?
JEFFREY SUTTON, O.D. has a CMS MIPS Final Score of 100/100 (Quality: 89.9984). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JEFFREY SUTTON, O.D. located?
JEFFREY SUTTON, O.D. is located at 717 GREENWAY RD, BOONE, NC, 28607. Phone: (828) 265-2020.
What is JEFFREY SUTTON, O.D.'s NPI number?
JEFFREY SUTTON, O.D.'s National Provider Identifier (NPI) is 1255526232, issued on 09/12/2007.
Does JEFFREY SUTTON, O.D. prescribe more brand-name or generic drugs?
JEFFREY SUTTON, O.D.'s prescribing is 92% brand-name and 8% generic drugs by claim count, with $5K 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.
Does JEFFREY SUTTON, O.D. accept Medicare?
JEFFREY SUTTON, O.D. appears in CMS Medicare data with 13 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JEFFREY SUTTON, O.D.'s credentials?
JEFFREY SUTTON, O.D.'s NPI is 1255526232 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