2026 NPPES data Ophthalmology Physician NPI 1770972440
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JOSEPH SIMONETT

Ophthalmology Physician in MILWAUKIE, Oregon. 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
343
Medicare Part D claims · 125 beneficiaries · Ophthalmology Physician avg: 1K
MIPS score
92.687/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$5.5K
9 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOSEPH SIMONETT is a Ophthalmology Physician ([object Object]) practicing in MILWAUKIE, Oregon with a Medicare Part D prescribing footprint of 343 claims across 125 beneficiaries . Their CMS MIPS Final Score of 92.687/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $5.5K across 9 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOSEPH SIMONETT reported a CMS MIPS final score of 92.687 out of 100, above the 83.1 national average, and filed 343 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JOSEPH SIMONETT practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JOSEPH SIMONETT at a glance

High performer (top quartile)

NPI registry status

Active

Issued 01/17/2015

NPI 1770972440

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

343 76% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

92.687/100 9.587000000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Oregon

How Ophthalmology Physician compares to other specialties among Oregon providers

Oregon providers

Ophthalmology Physician share within Oregon

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

Medicare quality performance — MIPS

JOSEPH SIMONETT's 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
92.687/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 92.687/100 vs national avg 83.1

0%100%National avg83%92.7%
MIPS final score (Ophthalmology Physician) — 92.687/100 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).

JOSEPH SIMONETT is a Ophthalmology Physician provider practicing in MILWAUKIE, Oregon, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1770972440. 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.

JOSEPH SIMONETT appears in the CMS NPPES registry as a Ophthalmology Physician provider at 11086 SE OAK ST, MILWAUKIE, OR, 97222, with a listed phone of (503) 656-4221. NPI 1770972440 was issued on 01/17/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SIMONETT 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 343 prescription claims written by this provider, covering 125 Medicare beneficiaries and totaling roughly $12K in drug spend. 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 92.687/100 for the 2023 performance year (Quality 99.1983, Cost 76.425), 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

11086 SE OAK ST
MILWAUKIE, OR 97222

Provider Details

NPI 1770972440
Specialty Ophthalmology Physician
Gender Male
NPI Issued 01/17/2015

CMS Quality Score (MIPS)

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

92.687
Final Score
Avg: 83.1
99.1983
Quality
76.425
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOSEPH SIMONETT 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 HEALTH NORTHWEST PC
MILWAUKIE, OR
UNIVERSITY OF UTAH ADULT SERVICES
SALT LAKE CITY, UT

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 JOSEPH SIMONETT. Source: openpaymentsdata.cms.gov.

Total received

$5.5K

Largest payer

Regeneron 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

343
Total Claims
$12K
Total Drug Cost
125
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
450
Total Day Supply
11,070
Generic Drug Cost
$6K

Patient Demographics

Average Patient Age
75.0 years
Avg HCC Risk Score
1.26
Gender Split
54% female / 46% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisolone Acetate
144
Ofloxacin
57
Ketorolac Tromethamine
30
Moxifloxacin
Moxifloxacin Hcl
21
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
20
Timolol Maleate
17

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

Ophthalmology Physician Overview

How JOSEPH SIMONETT 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

JOSEPH SIMONETT's 343 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Oregon

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

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

Frequently Asked Questions

What is JOSEPH SIMONETT's specialty?
JOSEPH SIMONETT specializes in Ophthalmology Physician and practices in MILWAUKIE, Oregon.
How much does JOSEPH SIMONETT prescribe under Medicare Part D?
In 2023, JOSEPH SIMONETT wrote 343 Medicare Part D claims totaling $12K in drug costs for 125 beneficiaries.
What is JOSEPH SIMONETT's Medicare quality score?
JOSEPH SIMONETT has a CMS MIPS Final Score of 92.687/100 (Quality: 99.1983, Cost: 76.425). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSEPH SIMONETT located?
JOSEPH SIMONETT is located at 11086 SE OAK ST, MILWAUKIE, OR, 97222. Phone: (503) 656-4221.
What is JOSEPH SIMONETT's NPI number?
JOSEPH SIMONETT's National Provider Identifier (NPI) is 1770972440, issued on 01/17/2015.
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 JOSEPH SIMONETT prescribe most often?
Based on 2023 Medicare Part D data, JOSEPH SIMONETT's most frequently prescribed drugs include Prednisolone Acetate, Ofloxacin, Ketorolac Tromethamine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSEPH SIMONETT accept Medicare?
JOSEPH SIMONETT appears in CMS Medicare data with 343 Part D claims and 125 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSEPH SIMONETT's credentials?
JOSEPH SIMONETT's NPI is 1770972440. 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