NPI registry status
Active
2026 NPPES data Ophthalmology Physician NPI 1700874518 M.D.
Verify on CMS → Joel Cohen, M.D.
Ophthalmology Physician in Houston, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 22,090 in Ophthalmology Physician, 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
6K
Medicare Part D claims · 1K beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
45%
generic claims · 55% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
22.6/100
▼ 60 pts below national avg 83.1 · Below average
Industry payments
$770.55
29 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Joel Cohen, M.D. reported a CMS MIPS final score of 22.6/100 - below the 83.1 national average - and filed 5,948 Medicare Part D claims in 2023.
- 22.6/100
- MIPS score · -60 vs avg
- 6K
- Part D claims, 2023
- 45%
- 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.
Joel Cohen, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
23 3rd percentile higher than 3% of 477,587 scored providers
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
Where Joel Cohen, M.D. sits
This provider among ophthalmology physician peers
Across the 9,866 ophthalmology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Joel Cohen, M.D. writes more Part D claims than 97% of them and scores higher on MIPS quality than 4% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one ophthalmology physician peer from a representative sample of 60; the gold marker is Joel Cohen, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Joel Cohen, M.D. 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 Joel Cohen, M.D.?
Below national averagePrimary specialty
Ophthalmology Physician
Medicare Part D claims
5,948 319% vs specialty avg
MIPS final score
22.6/100 60.5 pts vs avg
Specialty distribution in Texas
How Ophthalmology Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Joel Cohen, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average
- MIPS Final Score
- 22.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Ophthalmology Physician) - 22.6/100 vs national avg 83.1
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).
Joel Cohen, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 13333 DOTSON RD. SUITE 200, Houston, TX, 77070, with a listed phone of (281) 890-1784. NPI 1700874518 was issued on 10/06/2005.
Medicare Part D records for calendar year 2023 show 5,948 prescription claims written by this provider, covering 1,182 Medicare beneficiaries and totaling roughly $1.3 million in drug spend, split 55% brand-name and 45% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 22.6/100 for the 2023 performance year (Quality 15, Cost 55.4), 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
Provider Details
| NPI | 1700874518 |
|---|---|
| Specialty | Ophthalmology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 10/06/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
22.6183
Final Score
Avg: 83.1
15
Quality
55.3944
Cost
Reporting: Individual
Hospital and facility affiliations
Facilities where Joel Cohen, M.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.
1960 Eye Surgeons, P.A.
Houston, TX
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 Joel Cohen, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$771
Largest payer
ABBVIE 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 - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Joel Cohen, M.D.. To verify Joel Cohen, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Brand-heavy
Joel Cohen, M.D. - brand share 55.0%
Ophthalmology Physician average
55% brand-name claims vs 45% generic, on 5,948 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.
5,948
Total Claims
$1.3M
Total Drug Cost
1,182
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 10,872
- Total Day Supply
- 311,084
- Brand vs Generic
- 55% brand / 45% generic
- Brand Drug Cost
- $1.2M
- Generic Drug Cost
- $165K
- Antibiotic Claims
- 19
Patient Demographics
- Average Patient Age
- 77.0 years
- Avg HCC Risk Score
- 1.33
- Gender Split
- 62% female / 38% male
- Age Distribution
- <65: 20, 65-74: 424, 75-84: 557, 85+: 181
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Joel Cohen, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Latanoprost
Latanoprost
1,194 claims
- Dorzolamide-Timolol
Dorzolamide-Timolol
591 claims
- Lumigan 472
Lumigan
472 claims
- Prednisolone Acetate 414
Prednisolone Acetate
414 claims
- Moxifloxacin 286
Moxifloxacin
286 claims
- Timolol Maleate 254
Timolol Maleate
254 claims
- Rhopressa 245
Rhopressa
245 claims
- Brimonidine Tartrate 214
Brimonidine Tartrate
214 claims
| Drug | Claims |
|---|---|
| Latanoprost | 1,194 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 591 |
| Lumigan Bimatoprost | 472 |
| Prednisolone Acetate | 414 |
| Moxifloxacin Moxifloxacin Hcl | 286 |
| Timolol Maleate | 254 |
| Rhopressa Netarsudil Mesylate | 245 |
| Brimonidine Tartrate | 214 |
| Prolensa Bromfenac Sodium | 203 |
| Dorzolamide Hcl | 180 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Ophthalmology Physician Overview
How Joel Cohen, M.D. 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
Joel Cohen, M.D.'s 5,948 claims are above the specialty average of 1,420.
Nearby Ophthalmology Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Cohen.
Dr. Justin Aaker
MD
Georgetown, TX
Dr. Asad Abbas
M.D.
Baytown, TX
Dr. Ashkan Abbey
M.D.
Dallas, TX
Dr. Meredith Abbott
MD
Dallas, TX
Dr. Musa Abdelaziz
MD
Southlake, TX
Compare Ophthalmology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Ophthalmology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Joel Cohen, M.D.'s specialty? ▼
Joel Cohen, M.D. specializes in Ophthalmology Physician and practices in Houston, Texas. Credentials: M.D..
How much does Joel Cohen, M.D. prescribe under Medicare Part D? ▼
In 2023, Joel Cohen, M.D. wrote 5,948 Medicare Part D claims totaling $1.3M in drug costs for 1,182 beneficiaries.
What is Joel Cohen, M.D.'s Medicare quality score? ▼
Joel Cohen, M.D. has a CMS MIPS Final Score of 22.6/100 (Quality: 15, Cost: 55.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Joel Cohen, M.D. located? ▼
Joel Cohen, M.D. is located at 13333 DOTSON RD. SUITE 200, Houston, TX, 77070. Phone: (281) 890-1784.
What is Joel Cohen, M.D.'s NPI number? ▼
Joel Cohen, M.D.'s National Provider Identifier (NPI) is 1700874518, issued on 10/06/2005.
Does Joel Cohen, M.D. prescribe more brand-name or generic drugs? ▼
Joel Cohen, M.D.'s prescribing is 55% brand-name and 45% generic drugs by claim count, with $1.2M 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 Joel Cohen, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Joel Cohen, M.D.'s most frequently prescribed drugs include Latanoprost, Dorzolamide-Timolol, Lumigan. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Joel Cohen, M.D. accept Medicare? ▼
Joel Cohen, M.D. appears in CMS Medicare data with 5,948 Part D claims and 1,182 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joel Cohen, M.D.'s credentials? ▼
Joel Cohen, M.D.'s NPI is 1700874518 with credentials M.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
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 (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
Compiled from official public sources by the PlainDoctor editorial team.