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2026 NPPES data Optometrist NPI 1225069792 OD
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Kevin Bigham, OD

Optometrist in Matthews, North Carolina.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 61,426 in Optometrist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
598
Medicare Part D claims · 162 beneficiaries · Optometrist avg: 279
Generic prescribing
58%
generic claims · 42% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.1/100
▲ 13 pts above national avg 83.5 · Exceptional
Industry payments
$639.4
24 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Kevin Bigham, OD reported a CMS MIPS final score of 96.1/100 - above the 83.5 national average - and filed 598 Medicare Part D claims in 2024.

96.1/100
MIPS score · +13 vs avg
598
Part D claims, 2024
58%
generic prescribing
$639.4
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.

Federal trust snapshot

What official records show about Kevin Bigham, OD

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1225069792), first enumerated 07/05/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 598 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 96.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $639.4 in reported industry payments (24 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1225069792 · Optometrist

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-ELITE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1225069792
  • ENUM-LEGACY 2006
  • TAX-MEGA 61K Optometrist
  • MIPS-ELITE 96.1/100
  • RX-LIGHT 598
  • BOOK-LIGHT 1,443 in North Carolina
  • PHOTO-FINISH Sherri Azimi, O.D. · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Kevin Bigham, OD's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

96 ≥ 82nd percentile 82% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Kevin Bigham, OD sits

This provider among optometrist peers

Across the 6,187 optometrist providers who report both Medicare Part D prescribing and a MIPS quality score, Kevin Bigham, OD writes more Part D claims than 70% of them and scores higher on MIPS quality than 79% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 0Kevin Bigham, OD, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 79
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one optometrist peer from a representative sample of 60; the gold marker is Kevin Bigham, OD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Kevin Bigham, OD?

High performer (top quartile)

NPI registry status

Active

Issued 07/05/2006

NPI 1225069792

Primary specialty

Optometrist

High-volume

61,426 US NPIs in this specialty

Medicare Part D claims

598 114% vs specialty avg

2024 prescription claims

Specialty avg: 279

MIPS final score

96.1/100 12.6 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in North Carolina

How Optometrist compares to other specialties among North Carolina providers

North Carolina providers
Clinical Social Worker7.1%Behavior Technician6.8%Pharmacist4.9%Student in an Organized Heal…4.7%Physical Therapist4.2%Mental Health Counselor4.2%Optometrist0.7%
Largest specialties in North Carolina (% of in-state providers)

Medicare quality performance, MIPS

Kevin Bigham, OD's 2023 MIPS final score plotted against the Optometrist national average

High performer (top quartile)
MIPS Final Score
96.1/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%96.1%
MIPS final score (Optometrist) - 96.1/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

14617 LAWYERS RD
Matthews, NC 28104
(704) 893-0090

Provider Details

NPI 1225069792
Specialty Optometrist
Credentials OD
Gender Male
NPI Issued 07/05/2006

CMS Quality Score (MIPS)

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

96.0577
Final Score
Measured-score avg: 83.5
92.1153
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where Kevin Bigham, OD 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.

First Choice Eye Care OD PLLC
Matthews, NC

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 Kevin Bigham, OD. Source: openpaymentsdata.cms.gov.

Total received

$639

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.

Brand vs generic prescribing mix · Above average

Kevin Bigham, OD - brand share 42.0%
Optometrist average

42% brand-name claims vs 58% generic, on 598 2024 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 2024.

598
Total Claims
$154K
Total Drug Cost
162
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,224.933
Total Day Supply
35,150
Brand vs Generic
42% brand / 58% generic
Brand Drug Cost
$144K
Generic Drug Cost
$10K

Patient Demographics

Average Patient Age
75.1 years
Avg HCC Risk Score
1.19
Gender Split
62% female / 38% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Kevin Bigham, OD prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Latanoprost
 186
Timolol Maleate
 89
Travoprost
 54
Lumigan
Bimatoprost
46
Brimonidine Tartrate
 36
Restasis
Cyclosporine
34
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
21
Combigan
Brimonidine Tartrate/Timolol
15
Xiidra
Lifitegrast
14
Cyclosporine
 12

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

More Optometrist in NC → All providers in North Carolina → Compare specialties →

Optometrist Overview

How Kevin Bigham, OD fits within the Optometrist landscape nationally.

61,426
Optometrist Providers in US
56
States with Optometrist
279
Avg Claims per Provider

Kevin Bigham, OD's 598 claims are above the specialty average of 279.

Nationwide Optometrist peers with similar MIPS or enrollment year

Two federal-record peer sets for Bigham, both outside North Carolina so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (96.1 here).

Sherri Azimi 96.1 CA David Bloomberg 96.1 CA Krista Gardner 96.1 CA Yasmin Kouchak 96.1 CA

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Su Pei Li Columbus, OH Benica Eyvazzadeh Thousand Oaks, CA Josephine Lai Lancaster, CA Gregory Harrison Plano, TX

Nearby Optometrist Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Bigham.

One of 1,443 Optometrist providers enrolled in North Carolina, 5 are shown here.

Dr. Charlotte Ablott
OD
Salisbury, NC
Dr. Eric Ablott
OD
Randleman, NC
Dr. John Adams
OD
Lumberton, NC
Dr. Rick Adams
OD
Rocky Mount, NC
Dr. William Adams
O.D.
Benson, NC

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

Frequently Asked Questions

What is Kevin Bigham, OD's specialty? ▼
Kevin Bigham, OD specializes in Optometrist and practices in Matthews, North Carolina. Credentials: OD.
How much does Kevin Bigham, OD prescribe under Medicare Part D? ▼
In 2024, Kevin Bigham, OD wrote 598 Medicare Part D claims totaling $154K in drug costs for 162 beneficiaries.
What is Kevin Bigham, OD's Medicare quality score? ▼
Kevin Bigham, OD has a CMS MIPS Final Score of 96.1/100 (Quality: 92.1). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kevin Bigham, OD located? ▼
Kevin Bigham, OD is located at 14617 LAWYERS RD, Matthews, NC, 28104. Phone: (704) 893-0090.
What is Kevin Bigham, OD's NPI number? ▼
Kevin Bigham, OD's National Provider Identifier (NPI) is 1225069792, issued on 07/05/2006.
Does Kevin Bigham, OD prescribe more brand-name or generic drugs? ▼
Kevin Bigham, OD's prescribing is 42% brand-name and 58% generic drugs by claim count, with $144K in brand drug costs.
How many Optometrist providers are there in the US? ▼
There are 61,426 Optometrist providers across 56 states in the US. The average Optometrist provider writes 279 Medicare Part D claims per year.
What drugs does Kevin Bigham, OD prescribe most often? ▼
Based on 2024 Medicare Part D data, Kevin Bigham, OD's most frequently prescribed drugs include Latanoprost, Timolol Maleate, Travoprost. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kevin Bigham, OD accept Medicare? ▼
Kevin Bigham, OD appears in CMS Medicare data with 598 Part D claims and 162 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kevin Bigham, OD's credentials? ▼
Kevin Bigham, OD's NPI is 1225069792 with credentials OD. 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

View source datasets and methodology notes
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 (2024). 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 August 2026 (NPPES) / 2024 (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

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.