2026 NPPES data Optometrist NPI 1033170295 OD
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JOEL MCGAHEN, OD

Optometrist in CHAMBERSBURG, Pennsylvania. 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
294
Medicare Part D claims · 91 beneficiaries · Optometrist avg: 257
Generic prescribing
72%
generic claims · 28% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.7475/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$60.1
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOEL MCGAHEN, OD reported a CMS MIPS final score of 84.7475/100 — above the 83.1 national average — and filed 294 Medicare Part D claims in 2023.

84.7475/100
MIPS score · +2 vs avg
294
Part D claims, 2023
72%
generic prescribing
$60.1
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.

JOEL MCGAHEN, OD's MIPS score vs every scored U.S. clinician

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

85 45th percentile higher than 45% 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%). This entry sits in this band. 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

What does the federal data show about JOEL MCGAHEN, OD?

Near national average

NPI registry status

Active

Issued 03/29/2006

NPI 1033170295

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

294 14% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

84.7475/100 1.647500000000008% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Optometrist compares to other specialties among Pennsylvania providers

Pennsylvania providers

Optometrist share within Pennsylvania

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

Medicare quality performance — MIPS

JOEL MCGAHEN, OD's 2023 MIPS final score plotted against the Optometrist national average

Near national average
MIPS Final Score
84.7475/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 84.7475/100 vs national avg 83.1

0%100%National avg83%84.7%
MIPS final score (Optometrist) — 84.7475/100 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).

JOEL MCGAHEN, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 422 PHOENIX DR, CHAMBERSBURG, PA, 17201, with a listed phone of (717) 264-4012. NPI 1033170295 was issued on 03/29/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCGAHEN 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 294 prescription claims written by this provider, covering 91 Medicare beneficiaries and totaling roughly $47K in drug spend, split 28% brand-name and 72% 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 84.7475/100 for the 2023 performance year (Quality 69.495), 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

422 PHOENIX DR
CHAMBERSBURG, PA 17201

Provider Details

NPI 1033170295
Specialty Optometrist
Credentials OD
Gender Male
NPI Issued 03/29/2006

CMS Quality Score (MIPS)

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

84.7475
Final Score
Avg: 83.1
69.495
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where JOEL MCGAHEN, 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.

AEG PENNSYLVANIA PROFESSIONAL INC
CHAMBERSBURG, PA

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

Total received

$60

Largest payer

CooperVision 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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to JOEL MCGAHEN, OD. To verify JOEL MCGAHEN, OD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

JOEL MCGAHEN, OD — brand share 28.0%
Specialty average (est.)

28% brand-name claims vs 72% generic, on 294 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.

294
Total Claims
$47K
Total Drug Cost
91
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
609
Total Day Supply
17,559
Brand vs Generic
28% brand / 72% generic
Brand Drug Cost
$32K
Generic Drug Cost
$15K

Patient Demographics

Average Patient Age
76.0 years
Avg HCC Risk Score
1.11
Gender Split
63% female / 37% male

Top Prescribed Drugs (Medicare Part D)

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

What JOEL MCGAHEN, OD 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
88
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
46
Timolol Maleate
31
Brimonidine Tartrate
16
Restasis
Cyclosporine
15
Cyclosporine
13
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
12

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

Optometrist Overview

How JOEL MCGAHEN, OD fits within the Optometrist landscape nationally.

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

JOEL MCGAHEN, OD's 294 claims are above the specialty average of 257.

Nearby Optometrist Providers in Pennsylvania

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

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

Frequently Asked Questions

What is JOEL MCGAHEN, OD's specialty?
JOEL MCGAHEN, OD specializes in Optometrist and practices in CHAMBERSBURG, Pennsylvania. Credentials: OD.
How much does JOEL MCGAHEN, OD prescribe under Medicare Part D?
In 2023, JOEL MCGAHEN, OD wrote 294 Medicare Part D claims totaling $47K in drug costs for 91 beneficiaries.
What is JOEL MCGAHEN, OD's Medicare quality score?
JOEL MCGAHEN, OD has a CMS MIPS Final Score of 84.7475/100 (Quality: 69.495). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOEL MCGAHEN, OD located?
JOEL MCGAHEN, OD is located at 422 PHOENIX DR, CHAMBERSBURG, PA, 17201. Phone: (717) 264-4012.
What is JOEL MCGAHEN, OD's NPI number?
JOEL MCGAHEN, OD's National Provider Identifier (NPI) is 1033170295, issued on 03/29/2006.
Does JOEL MCGAHEN, OD prescribe more brand-name or generic drugs?
JOEL MCGAHEN, OD's prescribing is 28% brand-name and 72% generic drugs by claim count, with $32K 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.
What drugs does JOEL MCGAHEN, OD prescribe most often?
Based on 2023 Medicare Part D data, JOEL MCGAHEN, OD's most frequently prescribed drugs include Latanoprost, Dorzolamide-Timolol, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOEL MCGAHEN, OD accept Medicare?
JOEL MCGAHEN, OD appears in CMS Medicare data with 294 Part D claims and 91 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOEL MCGAHEN, OD's credentials?
JOEL MCGAHEN, OD's NPI is 1033170295 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

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