2026 NPPES data Ophthalmology Physician NPI 1992735302 MD
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JOHN WALLACE, MD

Ophthalmology Physician in DOTHAN, Alabama. 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
573
Medicare Part D claims · 206 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.916/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$174.26
8 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOHN WALLACE, MD is a Ophthalmology Physician ([object Object]) practicing in DOTHAN, Alabama with a Medicare Part D prescribing footprint of 573 claims across 206 beneficiaries — 30% brand-name prescribing . Their CMS MIPS Final Score of 75.916/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $174.26 across 8 transactions are disclosed under CMS Open Payments (Sunshine Act).

What the federal data shows

JOHN WALLACE, MD reported a CMS MIPS final score of 75.916/100 — below the 83.1 national average — and filed 573 Medicare Part D claims in 2023.

75.916/100
MIPS score · -7 vs avg
573
Part D claims, 2023
70%
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 WALLACE, MD's MIPS score vs every scored U.S. clinician

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

76 15th percentile higher than 15% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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

Board certification likely (heuristic — not verified)

JOHN WALLACE, MD 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).

JOHN WALLACE, MD at a glance

Below national average

NPI registry status

Active

Issued 07/03/2006

NPI 1992735302

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

573 60% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

75.916/100 7.1839999999999975% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Alabama

How Ophthalmology Physician compares to other specialties among Alabama providers

Alabama providers

Ophthalmology Physician share within Alabama

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Alabama

Medicare quality performance — MIPS

JOHN WALLACE, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
75.916/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 75.916/100 vs national avg 83.1

0%100%National avg83%75.9%
MIPS final score (Ophthalmology Physician) — 75.916/100 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 WALLACE, MD is a Ophthalmology Physician provider practicing in DOTHAN, Alabama, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1992735302. 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 WALLACE, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 2664 HARTFORD HWY, DOTHAN, AL, 36305, with a listed phone of (334) 699-2244. NPI 1992735302 was issued on 07/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WALLACE 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 573 prescription claims written by this provider, covering 206 Medicare beneficiaries and totaling roughly $547K in drug spend, split 30% brand-name and 70% generic by claim count, with an opioid prescribing rate of 14.8%. 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 75.916/100 for the 2023 performance year (Quality 100, Cost 19.72), 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

2664 HARTFORD HWY
DOTHAN, AL 36305

Provider Details

NPI 1992735302
Specialty Ophthalmology Physician
Credentials MD
Gender Male
NPI Issued 07/03/2006

CMS Quality Score (MIPS)

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

75.916
Final Score
Avg: 83.1
100
Quality
19.72
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOHN WALLACE, MD 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.

EYE SURGICAL ASSOCIATES P C
DOTHAN, AL

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 JOHN WALLACE, MD. Source: openpaymentsdata.cms.gov.

Total received

$174

Largest payer

Tarsus Pharmaceuticals, 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

JOHN WALLACE, MD — brand share 30.0%
Specialty average (est.)

30% brand-name claims vs 70% generic, on 573 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.

573
Total Claims
$547K
Total Drug Cost
206
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
893
Total Day Supply
22,963
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$538K
Generic Drug Cost
$9K
Opioid Claims
85 (14.8% rate)
Antibiotic Claims
17

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
1.23
Gender Split
60% female / 40% male
Age Distribution
<65: 13, 65-74: 83, 75-84: 82, 85+: 28

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
171
Tramadol Hcl
78
Timolol Maleate
62
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
58
Vyzulta
Latanoprostene Bunod
22
Acyclovir
19
Simbrinza
Brinzolamide/Brimonidine Tart
18
Prednisolone Acetate
17
Brimonidine Tartrate
15

* 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 WALLACE, MD 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 WALLACE, MD's 573 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Alabama

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

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN WALLACE, MD's specialty?
JOHN WALLACE, MD specializes in Ophthalmology Physician and practices in DOTHAN, Alabama. Credentials: MD.
How much does JOHN WALLACE, MD prescribe under Medicare Part D?
In 2023, JOHN WALLACE, MD wrote 573 Medicare Part D claims totaling $547K in drug costs for 206 beneficiaries.
What is JOHN WALLACE, MD's Medicare quality score?
JOHN WALLACE, MD has a CMS MIPS Final Score of 75.916/100 (Quality: 100, Cost: 19.72). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN WALLACE, MD located?
JOHN WALLACE, MD is located at 2664 HARTFORD HWY, DOTHAN, AL, 36305. Phone: (334) 699-2244.
What is JOHN WALLACE, MD's NPI number?
JOHN WALLACE, MD's National Provider Identifier (NPI) is 1992735302, issued on 07/03/2006.
Does JOHN WALLACE, MD prescribe more brand-name or generic drugs?
JOHN WALLACE, MD's prescribing is 30% brand-name and 70% generic drugs by claim count, with $538K in brand drug costs.
Does JOHN WALLACE, MD prescribe opioids?
Yes, JOHN WALLACE, MD had 85 opioid claims in 2023 with an opioid prescribing rate of 14.8%.
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 WALLACE, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN WALLACE, MD's most frequently prescribed drugs include Latanoprost, Tramadol Hcl, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN WALLACE, MD accept Medicare?
JOHN WALLACE, MD appears in CMS Medicare data with 573 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 WALLACE, MD's credentials?
JOHN WALLACE, MD's NPI is 1992735302 with credentials MD. 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