2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1437655891 MD, PHD
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JENNIFER ADEGHATE, MD, PHD

Retina Specialist (Ophthalmology) Physician in MILWAUKEE, Wisconsin. 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
165
Medicare Part D claims · 60 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
Generic prescribing
65%
generic claims · 35% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$288.12
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JENNIFER ADEGHATE, MD, PHD reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 165 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
165
Part D claims, 2023
65%
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.

JENNIFER ADEGHATE, MD, PHD'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

Board certification likely (heuristic — not verified)

JENNIFER ADEGHATE, MD, PHD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 JENNIFER ADEGHATE, MD, PHD?

High performer (top quartile)

NPI registry status

Active

Issued 04/04/2018

NPI 1437655891

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

165 70% vs specialty avg

2023 prescription claims

Specialty avg: 558

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Retina Specialist (Ophthalmology) Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Retina Specialist (Ophthalmology) Physician share within Wisconsin

1. Retina Specialist (Ophthalmology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Retina Specialist (Ophthalmology) Physician share within Wisconsin

Medicare quality performance — MIPS

JENNIFER ADEGHATE, MD, PHD's 2023 MIPS final score plotted against the Retina Specialist (Ophthalmology) Physician national average

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

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

0%100%National avg83%99%
MIPS final score (Retina Specialist (Ophthalmology) Physician) — 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).

JENNIFER ADEGHATE, MD, PHD appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding MD, PHD credentials at 925 N 87TH ST, MILWAUKEE, WI, 53226, with a listed phone of (414) 955-2020. NPI 1437655891 was issued on 04/04/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ADEGHATE 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 165 prescription claims written by this provider, covering 60 Medicare beneficiaries and totaling roughly $14K in drug spend, split 35% brand-name and 65% 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 86.8066), compared with the national average of 83.1.

Retina Specialist (Ophthalmology) Physician is a narrow specialty nationwide, with 913 enrolled providers across 48 states and an average of 558 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

925 N 87TH ST
MILWAUKEE, WI 53226

Provider Details

NPI 1437655891
Specialty Retina Specialist (Ophthalmology) Physician
Credentials MD, PHD
Gender Female
NPI Issued 04/04/2018

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
86.8066
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JENNIFER ADEGHATE, MD, PHD 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.

FROEDTERT ANDTHE MEDICAL COLLEGE OF WISCONSIN COMMUNITY PHYSICIANS INC
MEQUON, WI
THE MEDICAL COLLEGE OF WISCONSIN INC
MILWAUKEE, WI

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 JENNIFER ADEGHATE, MD, PHD. Source: openpaymentsdata.cms.gov.

Total received

$288

Largest payer

Genentech USA, 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

JENNIFER ADEGHATE, MD, PHD — brand share 35.0%
Specialty average (est.)

35% brand-name claims vs 65% generic, on 165 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.

165
Total Claims
$14K
Total Drug Cost
60
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
213
Total Day Supply
5,329
Brand vs Generic
35% brand / 65% generic
Brand Drug Cost
$9K
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
1.90
Gender Split
40% female / 60% male

Top Prescribed Drugs (Medicare Part D)

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

What JENNIFER ADEGHATE, MD, PHD 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
Prednisolone Acetate
30
Moxifloxacin
Moxifloxacin Hcl
29
Brimonidine Tartrate
15
Bromfenac Sodium
12
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
12
Latanoprost
12

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

Retina Specialist (Ophthalmology) Physician Overview

How JENNIFER ADEGHATE, MD, PHD fits within the Retina Specialist (Ophthalmology) Physician landscape nationally.

913
Retina Specialist (Ophthalmology) Physician Providers in US
48
States with Retina Specialist (Ophthalmology) Physician
558
Avg Claims per Provider

JENNIFER ADEGHATE, MD, PHD's 165 claims are below the specialty average of 558.

Nearby Retina Specialist (Ophthalmology) Physician Providers in Wisconsin

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

Compare Retina Specialist (Ophthalmology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JENNIFER ADEGHATE, MD, PHD's specialty?
JENNIFER ADEGHATE, MD, PHD specializes in Retina Specialist (Ophthalmology) Physician and practices in MILWAUKEE, Wisconsin. Credentials: MD, PHD.
How much does JENNIFER ADEGHATE, MD, PHD prescribe under Medicare Part D?
In 2023, JENNIFER ADEGHATE, MD, PHD wrote 165 Medicare Part D claims totaling $14K in drug costs for 60 beneficiaries.
What is JENNIFER ADEGHATE, MD, PHD's Medicare quality score?
JENNIFER ADEGHATE, MD, PHD has a CMS MIPS Final Score of 100/100 (Quality: 86.8066). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JENNIFER ADEGHATE, MD, PHD located?
JENNIFER ADEGHATE, MD, PHD is located at 925 N 87TH ST, MILWAUKEE, WI, 53226. Phone: (414) 955-2020.
What is JENNIFER ADEGHATE, MD, PHD's NPI number?
JENNIFER ADEGHATE, MD, PHD's National Provider Identifier (NPI) is 1437655891, issued on 04/04/2018.
Does JENNIFER ADEGHATE, MD, PHD prescribe more brand-name or generic drugs?
JENNIFER ADEGHATE, MD, PHD's prescribing is 35% brand-name and 65% generic drugs by claim count, with $9K in brand drug costs.
How many Retina Specialist (Ophthalmology) Physician providers are there in the US?
There are 913 Retina Specialist (Ophthalmology) Physician providers across 48 states in the US. The average Retina Specialist (Ophthalmology) Physician provider writes 558 Medicare Part D claims per year.
What drugs does JENNIFER ADEGHATE, MD, PHD prescribe most often?
Based on 2023 Medicare Part D data, JENNIFER ADEGHATE, MD, PHD's most frequently prescribed drugs include Prednisolone Acetate, Moxifloxacin, Brimonidine Tartrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JENNIFER ADEGHATE, MD, PHD accept Medicare?
JENNIFER ADEGHATE, MD, PHD appears in CMS Medicare data with 165 Part D claims and 60 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JENNIFER ADEGHATE, MD, PHD's credentials?
JENNIFER ADEGHATE, MD, PHD's NPI is 1437655891 with credentials MD, PHD. 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