2026 NPPES data Optometrist NPI 1316293525 O.D.
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JUSTIN ATHERTON, O.D.

Optometrist in BLACK RIVER FALLS, Wisconsin. 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
531
Medicare Part D claims · 99 beneficiaries · Optometrist avg: 257
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: JUSTIN ATHERTON, O.D. is a Optometrist ([object Object]) practicing in BLACK RIVER FALLS, Wisconsin with a Medicare Part D prescribing footprint of 531 claims across 99 beneficiaries — 30% brand-name prescribing .

What stands out: JUSTIN ATHERTON, O.D. filed 531 Medicare Part D claims in 2023 across BLACK RIVER FALLS, Wisconsin. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JUSTIN ATHERTON, O.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 07/25/2012

NPI 1316293525

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

531 107% vs specialty avg

2023 prescription claims

Specialty avg: 257

Specialty distribution in Wisconsin

How Optometrist compares to other specialties among Wisconsin providers

Wisconsin providers

Optometrist share within Wisconsin

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Optometrist) — 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).

JUSTIN ATHERTON, O.D. is a Optometrist provider practicing in BLACK RIVER FALLS, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O.D.. NPI: 1316293525. 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.

JUSTIN ATHERTON, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 601 W ADAMS ST, BLACK RIVER FALLS, WI, 54615, with a listed phone of (715) 274-6451. NPI 1316293525 was issued on 07/25/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ATHERTON 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 531 prescription claims written by this provider, covering 99 Medicare beneficiaries and totaling roughly $31K in drug spend, split 30% brand-name and 70% 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.

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

601 W ADAMS ST
BLACK RIVER FALLS, WI 54615

Provider Details

NPI 1316293525
Specialty Optometrist
Credentials O.D.
Gender Male
NPI Issued 07/25/2012

Hospital and facility affiliations

Facilities where JUSTIN ATHERTON, 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.

GUNDERSEN CLINIC LTD
BLACK RIVER FALLS, WI

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 · Above average

JUSTIN ATHERTON, O.D. — brand share 30.0%
Specialty average (est.)

30% brand-name claims vs 70% generic, on 531 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.

531
Total Claims
$31K
Total Drug Cost
99
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
720
Total Day Supply
19,706
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$24K
Generic Drug Cost
$7K

Patient Demographics

Average Patient Age
76.6 years
Avg HCC Risk Score
1.10
Gender Split
58% female / 42% 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
Latanoprost
223
Brimonidine Tartrate
65
Timolol Maleate
63
Dorzolamide Hcl
21
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
21
Prednisolone Acetate
21
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
14
Acyclovir
12
Olopatadine Hcl
12
Xiidra
Lifitegrast
12

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

Optometrist Overview

How JUSTIN ATHERTON, O.D. fits within the Optometrist landscape nationally.

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

JUSTIN ATHERTON, O.D.'s 531 claims are above the specialty average of 257.

Nearby Optometrist Providers in Wisconsin

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

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

Frequently Asked Questions

What is JUSTIN ATHERTON, O.D.'s specialty?
JUSTIN ATHERTON, O.D. specializes in Optometrist and practices in BLACK RIVER FALLS, Wisconsin. Credentials: O.D..
How much does JUSTIN ATHERTON, O.D. prescribe under Medicare Part D?
In 2023, JUSTIN ATHERTON, O.D. wrote 531 Medicare Part D claims totaling $31K in drug costs for 99 beneficiaries.
Where is JUSTIN ATHERTON, O.D. located?
JUSTIN ATHERTON, O.D. is located at 601 W ADAMS ST, BLACK RIVER FALLS, WI, 54615. Phone: (715) 274-6451.
What is JUSTIN ATHERTON, O.D.'s NPI number?
JUSTIN ATHERTON, O.D.'s National Provider Identifier (NPI) is 1316293525, issued on 07/25/2012.
Does JUSTIN ATHERTON, O.D. prescribe more brand-name or generic drugs?
JUSTIN ATHERTON, O.D.'s prescribing is 30% brand-name and 70% generic drugs by claim count, with $24K 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 JUSTIN ATHERTON, O.D. prescribe most often?
Based on 2023 Medicare Part D data, JUSTIN ATHERTON, O.D.'s most frequently prescribed drugs include Latanoprost, Brimonidine Tartrate, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JUSTIN ATHERTON, O.D. accept Medicare?
JUSTIN ATHERTON, O.D. appears in CMS Medicare data with 531 Part D claims and 99 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JUSTIN ATHERTON, O.D.'s credentials?
JUSTIN ATHERTON, O.D.'s NPI is 1316293525 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.
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