2026 NPPES data Ophthalmology Physician NPI 1407974561 MD, PHD
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JONATHAN PRIBILA, MD, PHD

Ophthalmology Physician in ST LOUIS PARK, Minnesota. 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
135
Medicare Part D claims · 55 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

JONATHAN PRIBILA, MD, PHD filed 135 Medicare Part D claims in 2023 as a Ophthalmology Physician in ST LOUIS PARK, Minnesota, prescribing 80% generic.

135
Part D claims, 2023
80%
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.

JONATHAN PRIBILA, MD, PHD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

135 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

JONATHAN PRIBILA, MD, PHD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 JONATHAN PRIBILA, MD, PHD?

Quality data not reported

NPI registry status

Active

Issued 03/27/2007

NPI 1407974561

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

135 90% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

Specialty distribution in Minnesota

How Ophthalmology Physician compares to other specialties among Minnesota providers

Minnesota providers

Ophthalmology Physician share within Minnesota

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

Specialty board-certification context

Estimated specialty board-certified rate — Ophthalmology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Ophthalmology Physician ABMS/AOA estimate

Est. board-certified rate (Ophthalmology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Ophthalmology Physician) — ABMS / AOA estimate

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).

JONATHAN PRIBILA, MD, PHD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD, PHD credentials at 3900 PARK NICOLLET BLVD, ST LOUIS PARK, MN, 55416, with a listed phone of (952) 993-3150. NPI 1407974561 was issued on 03/27/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PRIBILA 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 135 prescription claims written by this provider, covering 55 Medicare beneficiaries and totaling roughly $12K in drug spend, split 20% brand-name and 80% 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.

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

3900 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Provider Details

NPI 1407974561
Specialty Ophthalmology Physician
Credentials MD, PHD
Gender Male
NPI Issued 03/27/2007

Hospital and facility affiliations

Facilities where JONATHAN PRIBILA, MD, PHD 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.

PARK NICOLLET CLINIC
ST LOUIS PARK, MN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

JONATHAN PRIBILA, MD, PHD — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 135 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.

135
Total Claims
$12K
Total Drug Cost
55
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
246
Total Day Supply
6,959
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$9K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
1.00
Gender Split
75% female / 25% male

Top Prescribed Drugs (Medicare Part D)

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

What JONATHAN PRIBILA, MD, PHD 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
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
44
Latanoprost
28
Brimonidine Tartrate
12

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

Ophthalmology Physician Overview

How JONATHAN PRIBILA, MD, PHD 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

JONATHAN PRIBILA, MD, PHD's 135 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Minnesota

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

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

Frequently Asked Questions

What is JONATHAN PRIBILA, MD, PHD's specialty?
JONATHAN PRIBILA, MD, PHD specializes in Ophthalmology Physician and practices in ST LOUIS PARK, Minnesota. Credentials: MD, PHD.
How much does JONATHAN PRIBILA, MD, PHD prescribe under Medicare Part D?
In 2023, JONATHAN PRIBILA, MD, PHD wrote 135 Medicare Part D claims totaling $12K in drug costs for 55 beneficiaries.
Where is JONATHAN PRIBILA, MD, PHD located?
JONATHAN PRIBILA, MD, PHD is located at 3900 PARK NICOLLET BLVD, ST LOUIS PARK, MN, 55416. Phone: (952) 993-3150.
What is JONATHAN PRIBILA, MD, PHD's NPI number?
JONATHAN PRIBILA, MD, PHD's National Provider Identifier (NPI) is 1407974561, issued on 03/27/2007.
Does JONATHAN PRIBILA, MD, PHD prescribe more brand-name or generic drugs?
JONATHAN PRIBILA, MD, PHD's prescribing is 20% brand-name and 80% generic drugs by claim count, with $9K 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 JONATHAN PRIBILA, MD, PHD prescribe most often?
Based on 2023 Medicare Part D data, JONATHAN PRIBILA, MD, PHD's most frequently prescribed drugs include Dorzolamide-Timolol, Latanoprost, Brimonidine Tartrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JONATHAN PRIBILA, MD, PHD accept Medicare?
JONATHAN PRIBILA, MD, PHD appears in CMS Medicare data with 135 Part D claims and 55 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JONATHAN PRIBILA, MD, PHD's credentials?
JONATHAN PRIBILA, MD, PHD's NPI is 1407974561 with credentials MD, PHD. 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.
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