2026 NPPES data Optometrist NPI 1306891361 O.D
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KARI MATTSON, O.D

Optometrist in LEXINGTON, 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
135
Medicare Part D claims · 58 beneficiaries · Optometrist avg: 257
Generic prescribing
52%
generic claims · 48% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$308.84
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KARI MATTSON, O.D filed 135 Medicare Part D claims in 2023 as a Optometrist in LEXINGTON, Kentucky, prescribing 52% generic.

135
Part D claims, 2023
52%
generic prescribing
$308.84
industry payments (Sunshine Act)

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.

KARI MATTSON, O.D's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

135 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about KARI MATTSON, O.D?

Quality data not reported

NPI registry status

Active

Issued 05/24/2006

NPI 1306891361

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

135 47% vs specialty avg

2023 prescription claims

Specialty avg: 257

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

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).

KARI MATTSON, O.D appears in the CMS NPPES registry as a Optometrist provider holding O.D credentials at 4051 NICHOLASVILLE RD, LEXINGTON, KY, 40503, with a listed phone of (859) 272-1422. NPI 1306891361 was issued on 05/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MATTSON 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 135 prescription claims written by this provider, covering 58 Medicare beneficiaries and totaling roughly $480K in drug spend, split 48% brand-name and 52% 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

4051 NICHOLASVILLE RD
LEXINGTON, KY 40503

Provider Details

NPI 1306891361
Specialty Optometrist
Credentials O.D
Gender Female
NPI Issued 05/24/2006

Hospital and facility affiliations

Facilities where KARI MATTSON, 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.

KY DOCTORS OF OPTOMETRY, PLLC
GEORGETOWN, KY

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 KARI MATTSON, O.D. Source: openpaymentsdata.cms.gov.

Total received

$309

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

KARI MATTSON, O.D — brand share 48.0%
Specialty average (est.)

48% brand-name claims vs 52% generic, on 135 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.

135
Total Claims
$480K
Total Drug Cost
58
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
182
Total Day Supply
4,609
Brand vs Generic
48% brand / 52% generic
Brand Drug Cost
$478K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
1.10
Gender Split
60% female / 40% 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
34
Restasis
Cyclosporine
19

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

Optometrist Overview

How KARI MATTSON, O.D fits within the Optometrist landscape nationally.

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

KARI MATTSON, O.D's 135 claims are below 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 MATTSON.

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

Frequently Asked Questions

What is KARI MATTSON, O.D's specialty?
KARI MATTSON, O.D specializes in Optometrist and practices in LEXINGTON, Kentucky. Credentials: O.D.
How much does KARI MATTSON, O.D prescribe under Medicare Part D?
In 2023, KARI MATTSON, O.D wrote 135 Medicare Part D claims totaling $480K in drug costs for 58 beneficiaries.
Where is KARI MATTSON, O.D located?
KARI MATTSON, O.D is located at 4051 NICHOLASVILLE RD, LEXINGTON, KY, 40503. Phone: (859) 272-1422.
What is KARI MATTSON, O.D's NPI number?
KARI MATTSON, O.D's National Provider Identifier (NPI) is 1306891361, issued on 05/24/2006.
Does KARI MATTSON, O.D prescribe more brand-name or generic drugs?
KARI MATTSON, O.D's prescribing is 48% brand-name and 52% generic drugs by claim count, with $478K 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 KARI MATTSON, O.D prescribe most often?
Based on 2023 Medicare Part D data, KARI MATTSON, O.D's most frequently prescribed drugs include Latanoprost, Restasis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KARI MATTSON, O.D accept Medicare?
KARI MATTSON, O.D appears in CMS Medicare data with 135 Part D claims and 58 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KARI MATTSON, O.D's credentials?
KARI MATTSON, O.D's NPI is 1306891361 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