2026 NPPES data Ophthalmology Physician NPI 1538554258 D.O.
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KELVIN MCDANIEL, D.O.

Ophthalmology Physician in ST. LOUIS, Missouri. 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 · 375 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
59%
generic claims · 41% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.6649/100
▼ 0 pts below national avg 83.1 · [object Object]
Industry payments
$762.53
33 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KELVIN MCDANIEL, D.O. reported a CMS MIPS final score of 82.6649/100 — below the 83.1 national average — and filed 1,372 Medicare Part D claims in 2023.

82.6649/100
MIPS score · 0 vs avg
1K
Part D claims, 2023
59%
generic prescribing
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.

KELVIN MCDANIEL, D.O.'s MIPS score vs every scored U.S. clinician

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

83 39th percentile higher than 39% 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%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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)

KELVIN MCDANIEL, D.O. 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).

What does the federal data show about KELVIN MCDANIEL, D.O.?

Near national average

NPI registry status

Active

Issued 03/31/2015

NPI 1538554258

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

1,372 3% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

82.6649/100 0.4350999999999914% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Ophthalmology Physician compares to other specialties among Missouri providers

Missouri providers

Ophthalmology Physician share within Missouri

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

Medicare quality performance — MIPS

KELVIN MCDANIEL, D.O.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

Near national average
MIPS Final Score
82.6649/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 82.6649/100 vs national avg 83.1

0%100%National avg83%82.7%
MIPS final score (Ophthalmology Physician) — 82.6649/100 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).

KELVIN MCDANIEL, D.O. is a Ophthalmology Physician provider practicing in ST. LOUIS, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1538554258. 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.

KELVIN MCDANIEL, D.O. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding D.O. credentials at 6420 CLAYTON RD, ST. LOUIS, MO, 63117, with a listed phone of (314) 768-8778. NPI 1538554258 was issued on 03/31/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCDANIEL 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 1,372 prescription claims written by this provider, covering 375 Medicare beneficiaries and totaling roughly $163K in drug spend, split 41% brand-name and 59% 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 82.6649/100 for the 2023 performance year (Quality 100, Cost 63.883), 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

6420 CLAYTON RD
ST. LOUIS, MO 63117

Provider Details

NPI 1538554258
Specialty Ophthalmology Physician
Credentials D.O.
Gender Male
NPI Issued 03/31/2015

CMS Quality Score (MIPS)

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

82.6649
Final Score
Avg: 83.1
100
Quality
63.883
Cost
74
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KELVIN MCDANIEL, D.O. 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.

BAY EYES CATARACT AND LASER CENTER INC
FAIRHOPE, AL

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 KELVIN MCDANIEL, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$763

Largest payer

Alcon Vision LLC

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

KELVIN MCDANIEL, D.O. — brand share 41.0%
Specialty average (est.)

41% brand-name claims vs 59% generic, on 1,372 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.

1,372
Total Claims
$163K
Total Drug Cost
375
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,225
Total Day Supply
60,705
Brand vs Generic
41% brand / 59% generic
Brand Drug Cost
$136K
Generic Drug Cost
$27K

Patient Demographics

Average Patient Age
74.6 years
Avg HCC Risk Score
1.03
Gender Split
57% female / 43% male
Age Distribution
<65: 16, 65-74: 181, 75-84: 137, 85+: 41

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
357
Prednisolone Acetate
168
Ofloxacin
133
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
115
Timolol Maleate
103
Ketorolac Tromethamine
68
Prolensa
Bromfenac Sodium
57
Brimonidine Tartrate
51
Lumigan
Bimatoprost
46
Dorzolamide Hcl
41

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

Ophthalmology Physician Overview

How KELVIN MCDANIEL, D.O. 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

KELVIN MCDANIEL, D.O.'s 1,372 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Missouri

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

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

Frequently Asked Questions

What is KELVIN MCDANIEL, D.O.'s specialty?
KELVIN MCDANIEL, D.O. specializes in Ophthalmology Physician and practices in ST. LOUIS, Missouri. Credentials: D.O..
How much does KELVIN MCDANIEL, D.O. prescribe under Medicare Part D?
In 2023, KELVIN MCDANIEL, D.O. wrote 1,372 Medicare Part D claims totaling $163K in drug costs for 375 beneficiaries.
What is KELVIN MCDANIEL, D.O.'s Medicare quality score?
KELVIN MCDANIEL, D.O. has a CMS MIPS Final Score of 82.6649/100 (Quality: 100, Cost: 63.883). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KELVIN MCDANIEL, D.O. located?
KELVIN MCDANIEL, D.O. is located at 6420 CLAYTON RD, ST. LOUIS, MO, 63117. Phone: (314) 768-8778.
What is KELVIN MCDANIEL, D.O.'s NPI number?
KELVIN MCDANIEL, D.O.'s National Provider Identifier (NPI) is 1538554258, issued on 03/31/2015.
Does KELVIN MCDANIEL, D.O. prescribe more brand-name or generic drugs?
KELVIN MCDANIEL, D.O.'s prescribing is 41% brand-name and 59% generic drugs by claim count, with $136K in brand drug costs.
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 KELVIN MCDANIEL, D.O. prescribe most often?
Based on 2023 Medicare Part D data, KELVIN MCDANIEL, D.O.'s most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Ofloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KELVIN MCDANIEL, D.O. accept Medicare?
KELVIN MCDANIEL, D.O. appears in CMS Medicare data with 1,372 Part D claims and 375 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KELVIN MCDANIEL, D.O.'s credentials?
KELVIN MCDANIEL, D.O.'s NPI is 1538554258 with credentials D.O.. 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