2026 NPPES data Optometrist NPI 1407101439 O.D.
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JOSHUA DANIEL, O.D.

Optometrist in ASHLAND, Kentucky. 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
1K
Medicare Part D claims · 339 beneficiaries · Optometrist avg: 257
Generic prescribing
53%
generic claims · 47% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.1976/100
▲ 6 pts above national avg 83.1 · [object Object]
Industry payments
$627.1
29 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOSHUA DANIEL, O.D. is a Optometrist ([object Object]) practicing in ASHLAND, Kentucky with a Medicare Part D prescribing footprint of 1K claims across 339 beneficiaries — 47% brand-name prescribing . Their CMS MIPS Final Score of 89.1976/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $627.1 across 29 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOSHUA DANIEL, O.D. reported a CMS MIPS final score of 89.1976 out of 100, above the 83.1 national average, and filed 1,159 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JOSHUA DANIEL, O.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/16/2012

NPI 1407101439

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

1,159 351% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

89.1976/100 6.0976% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Optometrist compares to other specialties among Kentucky providers

Kentucky providers

Optometrist share within Kentucky

1. Optometrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Optometrist share within Kentucky

Medicare quality performance — MIPS

JOSHUA DANIEL, O.D.'s 2023 MIPS final score plotted against the Optometrist national average

High performer (top quartile)
MIPS Final Score
89.1976/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 89.1976/100 vs national avg 83.1

0%100%National avg83%89.2%
MIPS final score (Optometrist) — 89.1976/100 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).

JOSHUA DANIEL, O.D. is a Optometrist provider practicing in ASHLAND, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O.D.. NPI: 1407101439. 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.

JOSHUA DANIEL, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 500 WINCHESTER AVE, ASHLAND, KY, 41101, with a listed phone of (606) 324-3672. NPI 1407101439 was issued on 07/16/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DANIEL 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 1,159 prescription claims written by this provider, covering 339 Medicare beneficiaries and totaling roughly $426K in drug spend, split 47% brand-name and 53% 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 89.1976/100 for the 2023 performance year (Quality 83.0865), 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

500 WINCHESTER AVE
ASHLAND, KY 41101

Provider Details

NPI 1407101439
Specialty Optometrist
Credentials O.D.
Gender Male
NPI Issued 07/16/2012

CMS Quality Score (MIPS)

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

89.1976
Final Score
Avg: 83.1
83.0865
Quality
95
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where JOSHUA DANIEL, O.D. 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.

ENVISION PROFESSIONAL GROUP PLLC
MARION, VA

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 JOSHUA DANIEL, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$627

Largest payer

SUN PHARMACEUTICAL INDUSTRIES 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

JOSHUA DANIEL, O.D. — brand share 47.0%
Specialty average (est.)

47% brand-name claims vs 53% generic, on 1,159 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.

1,159
Total Claims
$426K
Total Drug Cost
339
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,127
Total Day Supply
61,318
Brand vs Generic
47% brand / 53% generic
Brand Drug Cost
$396K
Generic Drug Cost
$30K
Antibiotic Claims
115

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
1.35
Gender Split
74% female / 26% male
Age Distribution
<65: 32, 65-74: 144, 75-84: 115, 85+: 48

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
228
Restasis
Cyclosporine
140
Erythromycin
Erythromycin Base
97
Timolol Maleate
80
Xiidra
Lifitegrast
79
Prednisolone Acetate
71
Doxycycline Monohydrate
52
Doxycycline Hyclate
50
Combigan
Brimonidine Tartrate/Timolol
41
Lumigan
Bimatoprost
38

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

Optometrist Overview

How JOSHUA DANIEL, O.D. fits within the Optometrist landscape nationally.

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

JOSHUA DANIEL, O.D.'s 1,159 claims are above the specialty average of 257.

Nearby Optometrist Providers in Kentucky

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

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

Frequently Asked Questions

What is JOSHUA DANIEL, O.D.'s specialty?
JOSHUA DANIEL, O.D. specializes in Optometrist and practices in ASHLAND, Kentucky. Credentials: O.D..
How much does JOSHUA DANIEL, O.D. prescribe under Medicare Part D?
In 2023, JOSHUA DANIEL, O.D. wrote 1,159 Medicare Part D claims totaling $426K in drug costs for 339 beneficiaries.
What is JOSHUA DANIEL, O.D.'s Medicare quality score?
JOSHUA DANIEL, O.D. has a CMS MIPS Final Score of 89.1976/100 (Quality: 83.0865). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSHUA DANIEL, O.D. located?
JOSHUA DANIEL, O.D. is located at 500 WINCHESTER AVE, ASHLAND, KY, 41101. Phone: (606) 324-3672.
What is JOSHUA DANIEL, O.D.'s NPI number?
JOSHUA DANIEL, O.D.'s National Provider Identifier (NPI) is 1407101439, issued on 07/16/2012.
Does JOSHUA DANIEL, O.D. prescribe more brand-name or generic drugs?
JOSHUA DANIEL, O.D.'s prescribing is 47% brand-name and 53% generic drugs by claim count, with $396K 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 JOSHUA DANIEL, O.D. prescribe most often?
Based on 2023 Medicare Part D data, JOSHUA DANIEL, O.D.'s most frequently prescribed drugs include Latanoprost, Restasis, Erythromycin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSHUA DANIEL, O.D. accept Medicare?
JOSHUA DANIEL, O.D. appears in CMS Medicare data with 1,159 Part D claims and 339 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSHUA DANIEL, O.D.'s credentials?
JOSHUA DANIEL, O.D.'s NPI is 1407101439 with credentials O.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

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