2026 NPPES data Optometrist NPI 1023047867 O.D.
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JUSTIN SCHWEITZER, O.D.

Optometrist in SIOUX FALLS, South Dakota. 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
2K
Medicare Part D claims · 330 beneficiaries · Optometrist avg: 257
Generic prescribing
40%
generic claims · 60% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.4495/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$139.7K
205 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JUSTIN SCHWEITZER, O.D. is a Optometrist ([object Object]) practicing in SIOUX FALLS, South Dakota with a Medicare Part D prescribing footprint of 2K claims across 330 beneficiaries — 60% brand-name prescribing . Their CMS MIPS Final Score of 94.4495/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $139.7K across 205 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JUSTIN SCHWEITZER, O.D. reported a CMS MIPS final score of 94.4495 out of 100, above the 83.1 national average, and filed 1,945 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JUSTIN SCHWEITZER, O.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/02/2006

NPI 1023047867

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

1,945 657% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

94.4495/100 11.349500000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in South Dakota

How Optometrist compares to other specialties among South Dakota providers

South Dakota providers

Optometrist share within South Dakota

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

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
94.4495/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 94.4495/100 vs national avg 83.1

0%100%National avg83%94.4%
MIPS final score (Optometrist) — 94.4495/100 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).

JUSTIN SCHWEITZER, O.D. is a Optometrist provider practicing in SIOUX FALLS, South Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O.D.. NPI: 1023047867. 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 SCHWEITZER, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 3101 W 57TH ST, SIOUX FALLS, SD, 57108, with a listed phone of (605) 361-3937. NPI 1023047867 was issued on 07/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SCHWEITZER 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 1,945 prescription claims written by this provider, covering 330 Medicare beneficiaries and totaling roughly $782K in drug spend, split 60% brand-name and 40% 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 94.4495/100 for the 2023 performance year (Quality 89.9082), 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

3101 W 57TH ST
SIOUX FALLS, SD 57108

Provider Details

NPI 1023047867
Specialty Optometrist
Credentials O.D.
Gender Male
NPI Issued 07/02/2006

CMS Quality Score (MIPS)

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

94.4495
Final Score
Avg: 83.1
89.9082
Quality
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where JUSTIN SCHWEITZER, 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.

VANCE THOMPSON VISION CLINIC PROF LLC
SIOUX FALLS, SD

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 JUSTIN SCHWEITZER, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$139.7K

Largest payer

Bausch & Lomb Americas 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 · Brand-heavy

JUSTIN SCHWEITZER, O.D. — brand share 60.0%
Specialty average (est.)

60% brand-name claims vs 40% generic, on 1,945 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.

1,945
Total Claims
$782K
Total Drug Cost
330
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,853
Total Day Supply
78,723
Brand vs Generic
60% brand / 40% generic
Brand Drug Cost
$750K
Generic Drug Cost
$32K

Patient Demographics

Average Patient Age
76.1 years
Avg HCC Risk Score
0.97
Gender Split
65% female / 35% male
Age Distribution
<65: 11, 65-74: 142, 75-84: 125, 85+: 52

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
271
Prednisolone Acetate
259
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
198
Combigan
Brimonidine Tartrate/Timolol
136
Moxifloxacin
Moxifloxacin Hcl
134
Lumigan
Bimatoprost
121
Timolol Maleate
99
Vyzulta
Latanoprostene Bunod
95
Restasis
Cyclosporine
71
Brimonidine Tartrate-Timolol
Brimonidine Tartrate/Timolol
67

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

Optometrist Overview

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

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

JUSTIN SCHWEITZER, O.D.'s 1,945 claims are above the specialty average of 257.

Nearby Optometrist Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as SCHWEITZER.

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

Frequently Asked Questions

What is JUSTIN SCHWEITZER, O.D.'s specialty?
JUSTIN SCHWEITZER, O.D. specializes in Optometrist and practices in SIOUX FALLS, South Dakota. Credentials: O.D..
How much does JUSTIN SCHWEITZER, O.D. prescribe under Medicare Part D?
In 2023, JUSTIN SCHWEITZER, O.D. wrote 1,945 Medicare Part D claims totaling $782K in drug costs for 330 beneficiaries.
What is JUSTIN SCHWEITZER, O.D.'s Medicare quality score?
JUSTIN SCHWEITZER, O.D. has a CMS MIPS Final Score of 94.4495/100 (Quality: 89.9082). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JUSTIN SCHWEITZER, O.D. located?
JUSTIN SCHWEITZER, O.D. is located at 3101 W 57TH ST, SIOUX FALLS, SD, 57108. Phone: (605) 361-3937.
What is JUSTIN SCHWEITZER, O.D.'s NPI number?
JUSTIN SCHWEITZER, O.D.'s National Provider Identifier (NPI) is 1023047867, issued on 07/02/2006.
Does JUSTIN SCHWEITZER, O.D. prescribe more brand-name or generic drugs?
JUSTIN SCHWEITZER, O.D.'s prescribing is 60% brand-name and 40% generic drugs by claim count, with $750K 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 SCHWEITZER, O.D. prescribe most often?
Based on 2023 Medicare Part D data, JUSTIN SCHWEITZER, O.D.'s most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JUSTIN SCHWEITZER, O.D. accept Medicare?
JUSTIN SCHWEITZER, O.D. appears in CMS Medicare data with 1,945 Part D claims and 330 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JUSTIN SCHWEITZER, O.D.'s credentials?
JUSTIN SCHWEITZER, O.D.'s NPI is 1023047867 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