2026 NPPES data Optometrist NPI 1235141342 OD
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JOHN BOYLE, OD

Optometrist in SCRANTON, 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
738
Medicare Part D claims · 206 beneficiaries · Optometrist avg: 257
Generic prescribing
50%
generic claims · 50% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$1.1K
33 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOHN BOYLE, OD is a Optometrist ([object Object]) practicing in SCRANTON, Pennsylvania with a Medicare Part D prescribing footprint of 738 claims across 206 beneficiaries — 50% brand-name prescribing . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.1K across 33 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOHN BOYLE, OD reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 738 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JOHN BOYLE, OD at a glance

Below national average

NPI registry status

Active

Issued 08/13/2006

NPI 1235141342

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

738 187% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

0/100 83.1% pts

Penalty band 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

JOHN BOYLE, OD's 2023 MIPS final score plotted against the Optometrist national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 0/100 vs national avg 83.1

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

JOHN BOYLE, OD is a Optometrist provider practicing in SCRANTON, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: OD. NPI: 1235141342. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOHN BOYLE, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 3 W OLIVE ST, SCRANTON, PA, 18508, with a listed phone of (570) 558-5566. NPI 1235141342 was issued on 08/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BOYLE 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 738 prescription claims written by this provider, covering 206 Medicare beneficiaries and totaling roughly $235K in drug spend, split 50% brand-name and 50% 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 0/100 for the 2023 performance year (Quality 0), 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

3 W OLIVE ST
SCRANTON, PA 18508

Provider Details

NPI 1235141342
Specialty Optometrist
Credentials OD
Gender Male
NPI Issued 08/13/2006

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

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

Total received

$1.1K

Largest payer

Bausch & Lomb Americas 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 JOHN BOYLE, OD. To verify JOHN BOYLE, 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 · Brand-heavy

JOHN BOYLE, OD — brand share 50.0%
Specialty average (est.)

50% brand-name claims vs 50% generic, on 738 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.

738
Total Claims
$235K
Total Drug Cost
206
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,142
Total Day Supply
30,828
Brand vs Generic
50% brand / 50% generic
Brand Drug Cost
$212K
Generic Drug Cost
$23K
Antibiotic Claims
18

Patient Demographics

Average Patient Age
76.0 years
Avg HCC Risk Score
1.18
Gender Split
70% female / 30% male
Age Distribution
<65: 11, 65-74: 85, 75-84: 72, 85+: 38

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Latanoprost
102
Restasis
Cyclosporine
88
Lumigan
Bimatoprost
55
Timolol Maleate
43
Travoprost
43
Cyclosporine
42
Alphagan P
Brimonidine Tartrate
35
Loteprednol Etabonate
33
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
31
Prednisolone Acetate
28

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

Optometrist Overview

How JOHN BOYLE, OD fits within the Optometrist landscape nationally.

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

JOHN BOYLE, OD's 738 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 BOYLE.

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

Frequently Asked Questions

What is JOHN BOYLE, OD's specialty?
JOHN BOYLE, OD specializes in Optometrist and practices in SCRANTON, Pennsylvania. Credentials: OD.
How much does JOHN BOYLE, OD prescribe under Medicare Part D?
In 2023, JOHN BOYLE, OD wrote 738 Medicare Part D claims totaling $235K in drug costs for 206 beneficiaries.
What is JOHN BOYLE, OD's Medicare quality score?
JOHN BOYLE, OD has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN BOYLE, OD located?
JOHN BOYLE, OD is located at 3 W OLIVE ST, SCRANTON, PA, 18508. Phone: (570) 558-5566.
What is JOHN BOYLE, OD's NPI number?
JOHN BOYLE, OD's National Provider Identifier (NPI) is 1235141342, issued on 08/13/2006.
Does JOHN BOYLE, OD prescribe more brand-name or generic drugs?
JOHN BOYLE, OD's prescribing is 50% brand-name and 50% generic drugs by claim count, with $212K 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 JOHN BOYLE, OD prescribe most often?
Based on 2023 Medicare Part D data, JOHN BOYLE, OD's most frequently prescribed drugs include Latanoprost, Restasis, Lumigan. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN BOYLE, OD accept Medicare?
JOHN BOYLE, OD appears in CMS Medicare data with 738 Part D claims and 206 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN BOYLE, OD's credentials?
JOHN BOYLE, OD's NPI is 1235141342 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