2026 NPPES data Ophthalmology Physician NPI 1588642003 M.D.
Verify on CMS →

K. EPLEY, M.D.

Ophthalmology Physician in KIRKLAND, Washington. 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
35
Medicare Part D claims · Ophthalmology Physician avg: 1K
MIPS score
68.7599/100
▼ 14 pts below national avg 83.1 · [object Object]
Industry payments
$16.82
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: K. EPLEY, M.D. is a Ophthalmology Physician ([object Object]) practicing in KIRKLAND, Washington with a Medicare Part D prescribing footprint of 35 claims . Their CMS MIPS Final Score of 68.7599/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $16.82 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What the federal data shows

K. EPLEY, M.D. reported a CMS MIPS final score of 68.7599/100 — below the 83.1 national average — and filed 35 Medicare Part D claims in 2023.

68.7599/100
MIPS score · -14 vs avg
35
Part D claims, 2023
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.

K. EPLEY, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

69 7th percentile higher than 7% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

K. EPLEY, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

K. EPLEY, M.D. at a glance

Below national average

NPI registry status

Active

Issued 01/04/2006

NPI 1588642003

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

35 98% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

68.7599/100 14.340099999999993% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Washington

How Ophthalmology Physician compares to other specialties among Washington providers

Washington providers

Ophthalmology Physician share within Washington

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

Medicare quality performance — MIPS

K. EPLEY, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
68.7599/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 68.7599/100 vs national avg 83.1

0%100%National avg83%68.8%
MIPS final score (Ophthalmology Physician) — 68.7599/100 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).

K. EPLEY, M.D. is a Ophthalmology Physician provider practicing in KIRKLAND, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1588642003. 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.

K. EPLEY, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 11800 NE 128TH ST, KIRKLAND, WA, 98034, with a listed phone of (425) 823-3937. NPI 1588642003 was issued on 01/04/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what EPLEY 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 35 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $4K 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 68.7599/100 for the 2023 performance year (Quality 100, Cost 79.1997), 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

11800 NE 128TH ST
KIRKLAND, WA 98034

Provider Details

NPI 1588642003
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 01/04/2006

CMS Quality Score (MIPS)

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

68.7599
Final Score
Avg: 83.1
100
Quality
79.1997
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where K. EPLEY, M.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.

CHILDREN'S EYE CARE PC
KIRKLAND, WA

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 K. EPLEY, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$17

Largest payer

CooperVision 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.

License & disciplinary context — Washington WMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 — they are NOT specific to K. EPLEY, M.D.. To verify K. EPLEY, M.D.'s current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

35
Total Claims
$4K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
37
Total Day Supply
754
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.53

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Travoprost
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 K. EPLEY, M.D. 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

K. EPLEY, M.D.'s 35 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Washington

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

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

Frequently Asked Questions

What is K. EPLEY, M.D.'s specialty?
K. EPLEY, M.D. specializes in Ophthalmology Physician and practices in KIRKLAND, Washington. Credentials: M.D..
How much does K. EPLEY, M.D. prescribe under Medicare Part D?
In 2023, K. EPLEY, M.D. wrote 35 Medicare Part D claims totaling $4K in drug costs for N/A beneficiaries.
What is K. EPLEY, M.D.'s Medicare quality score?
K. EPLEY, M.D. has a CMS MIPS Final Score of 68.7599/100 (Quality: 100, Cost: 79.1997). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is K. EPLEY, M.D. located?
K. EPLEY, M.D. is located at 11800 NE 128TH ST, KIRKLAND, WA, 98034. Phone: (425) 823-3937.
What is K. EPLEY, M.D.'s NPI number?
K. EPLEY, M.D.'s National Provider Identifier (NPI) is 1588642003, issued on 01/04/2006.
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 K. EPLEY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, K. EPLEY, M.D.'s most frequently prescribed drugs include Travoprost. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does K. EPLEY, M.D. accept Medicare?
K. EPLEY, M.D. appears in CMS Medicare data with 35 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify K. EPLEY, M.D.'s credentials?
K. EPLEY, M.D.'s NPI is 1588642003 with credentials M.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