NPI registry status
Active
2026 NPPES data Ophthalmology Physician NPI 1265436174 M.D.
Verify on CMS → John Boozan, M.D.
Ophthalmology Physician in Summit, New Jersey.
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
1K
Medicare Part D claims · 297 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
43%
generic claims · 57% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.6/100
▲ 4 pts above national avg 83.1 · Above neutral
Industry payments
$970.33
28 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
John Boozan, M.D. reported a CMS MIPS final score of 86.6/100 - above the 83.1 national average - and filed 1,066 Medicare Part D claims in 2023.
- 86.6/100
- MIPS score · +4 vs avg
- 1K
- Part D claims, 2023
- 43%
- 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.
John Boozan, 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
87 Top 48% higher than 52% 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 John Boozan, 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, John Boozan, M.D. writes more Part D claims than 47% of them and scores higher on MIPS quality than 48% - placing this provider in the lower-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 John Boozan, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
John Boozan, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 John Boozan, M.D.?
High performer (top quartile)Primary specialty
Ophthalmology Physician
Medicare Part D claims
1,066 25% vs specialty avg
MIPS final score
86.6/100 3.5 pts vs avg
Specialty distribution in New Jersey
How Ophthalmology Physician compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
John Boozan, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average
- MIPS Final Score
- 86.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Ophthalmology Physician) - 86.6/100 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).
John Boozan, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 33 OVERLOOK RD, Summit, NJ, 07901, with a listed phone of (908) 277-1166. NPI 1265436174 was issued on 06/08/2005.
Medicare Part D records for calendar year 2023 show 1,066 prescription claims written by this provider, covering 297 Medicare beneficiaries and totaling roughly $124K in drug spend, split 57% brand-name and 43% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 86.6/100 for the 2023 performance year (Quality 96.5, Cost 60), 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 | 1265436174 |
|---|---|
| Specialty | Ophthalmology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/08/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
86.6173
Final Score
Avg: 83.1
96.529
Quality
60.019
Cost
Reporting: Individual
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 John Boozan, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$970
Largest payer
Glaukos Corporation
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 · Brand-heavy
John Boozan, M.D. - brand share 57.0%
Ophthalmology Physician average
57% brand-name claims vs 43% generic, on 1,066 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.
1,066
Total Claims
$124K
Total Drug Cost
297
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,491
- Total Day Supply
- 37,653
- Brand vs Generic
- 57% brand / 43% generic
- Brand Drug Cost
- $105K
- Generic Drug Cost
- $19K
Patient Demographics
- Average Patient Age
- 76.9 years
- Avg HCC Risk Score
- 1.32
- Gender Split
- 60% female / 40% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What John Boozan, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prednisolone Acetate
Prednisolone Acetate
285 claims
- Latanoprost
Latanoprost
268 claims
- Ciprofloxacin Hcl
Ciprofloxacin Hcl
118 claims
- Timolol Maleate 76
Timolol Maleate
76 claims
- Restasis 39
Restasis
39 claims
- Dorzolamide Hcl 36
Dorzolamide Hcl
36 claims
- Dorzolamide-Timolol 35
Dorzolamide-Timolol
35 claims
- Vyzulta 30
Vyzulta
30 claims
| Drug | Claims |
|---|---|
| Prednisolone Acetate | 285 |
| Latanoprost | 268 |
| Ciprofloxacin Hcl | 118 |
| Timolol Maleate | 76 |
| Restasis Cyclosporine | 39 |
| Dorzolamide Hcl | 36 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 35 |
| Vyzulta Latanoprostene Bunod | 30 |
| Lumigan Bimatoprost | 23 |
| Erythromycin Erythromycin Base | 21 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Ophthalmology Physician Overview
How John Boozan, 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
John Boozan, M.D.'s 1,066 claims are below the specialty average of 1,420.
Nearby Ophthalmology Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Boozan.
Dr. Bryan Abessi
M.D.
Branchburg, NJ
Dr. Atul Agarwala
MD
Irvington, NJ
Dr. Arlene Ahmad
MD
Boonton, NJ
Dr. Adil Ahmed
DO
Brick, NJ
Dr. Scott Aksman
MD
Freehold, NJ
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 New Jersey 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 John Boozan, M.D.'s specialty? ▼
John Boozan, M.D. specializes in Ophthalmology Physician and practices in Summit, New Jersey. Credentials: M.D..
How much does John Boozan, M.D. prescribe under Medicare Part D? ▼
In 2023, John Boozan, M.D. wrote 1,066 Medicare Part D claims totaling $124K in drug costs for 297 beneficiaries.
What is John Boozan, M.D.'s Medicare quality score? ▼
John Boozan, M.D. has a CMS MIPS Final Score of 86.6/100 (Quality: 96.5, Cost: 60). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Boozan, M.D. located? ▼
John Boozan, M.D. is located at 33 OVERLOOK RD, Summit, NJ, 07901. Phone: (908) 277-1166.
What is John Boozan, M.D.'s NPI number? ▼
John Boozan, M.D.'s National Provider Identifier (NPI) is 1265436174, issued on 06/08/2005.
Does John Boozan, M.D. prescribe more brand-name or generic drugs? ▼
John Boozan, M.D.'s prescribing is 57% brand-name and 43% generic drugs by claim count, with $105K 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 John Boozan, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, John Boozan, M.D.'s most frequently prescribed drugs include Prednisolone Acetate, Latanoprost, Ciprofloxacin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Boozan, M.D. accept Medicare? ▼
John Boozan, M.D. appears in CMS Medicare data with 1,066 Part D claims and 297 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Boozan, M.D.'s credentials? ▼
John Boozan, M.D.'s NPI is 1265436174 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.