2026 NPPES data Ophthalmology Physician NPI 1518951433 MD
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LEE BIRCHANSKY, MD

Ophthalmology Physician in CEDAR RAPIDS, Iowa. 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 · 370 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
67%
generic claims · 33% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$104.42
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: LEE BIRCHANSKY, MD is a Ophthalmology Physician ([object Object]) practicing in CEDAR RAPIDS, Iowa with a Medicare Part D prescribing footprint of 2K claims across 370 beneficiaries — 33% brand-name prescribing . Industry payments of $104.42 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What the federal data shows

LEE BIRCHANSKY, MD filed 1,747 Medicare Part D claims in 2023 as a Ophthalmology Physician in CEDAR RAPIDS, Iowa, prescribing 67% generic.

2K
Part D claims, 2023
67%
generic prescribing
$104.42
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.

Board-eligible specialty (heuristic — not verified)

LEE BIRCHANSKY, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

LEE BIRCHANSKY, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 09/07/2005

NPI 1518951433

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

1,747 23% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

Specialty distribution in Iowa

How Ophthalmology Physician compares to other specialties among Iowa providers

Iowa providers

Ophthalmology Physician share within Iowa

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

Specialty board-certification context

Estimated specialty board-certified rate — Ophthalmology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Ophthalmology Physician ABMS/AOA estimate

Est. board-certified rate (Ophthalmology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Ophthalmology Physician) — 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).

LEE BIRCHANSKY, MD is a Ophthalmology Physician provider practicing in CEDAR RAPIDS, Iowa, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1518951433. 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.

LEE BIRCHANSKY, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 1136 H AVE NE, CEDAR RAPIDS, IA, 52402, with a listed phone of (319) 362-9855. NPI 1518951433 was issued on 09/07/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BIRCHANSKY 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 1,747 prescription claims written by this provider, covering 370 Medicare beneficiaries and totaling roughly $58K in drug spend, split 33% brand-name and 67% 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.

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

1136 H AVE NE
CEDAR RAPIDS, IA 52402

Provider Details

NPI 1518951433
Specialty Ophthalmology Physician
Credentials MD
Gender Male
NPI Issued 09/07/2005

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 LEE BIRCHANSKY, MD. Source: openpaymentsdata.cms.gov.

Total received

$104

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

LEE BIRCHANSKY, MD — brand share 33.0%
Specialty average (est.)

33% brand-name claims vs 67% generic, on 1,747 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.

1,747
Total Claims
$58K
Total Drug Cost
370
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,807
Total Day Supply
35,335
Brand vs Generic
33% brand / 67% generic
Brand Drug Cost
$24K
Generic Drug Cost
$34K

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
1.12
Gender Split
57% female / 43% male
Age Distribution
<65: 16, 65-74: 192, 75-84: 131, 85+: 31

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ketorolac Tromethamine
582
Moxifloxacin
Moxifloxacin Hcl
572
Prednisolone Acetate
569

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

Ophthalmology Physician Overview

How LEE BIRCHANSKY, MD 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

LEE BIRCHANSKY, MD's 1,747 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Iowa

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

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

Frequently Asked Questions

What is LEE BIRCHANSKY, MD's specialty?
LEE BIRCHANSKY, MD specializes in Ophthalmology Physician and practices in CEDAR RAPIDS, Iowa. Credentials: MD.
How much does LEE BIRCHANSKY, MD prescribe under Medicare Part D?
In 2023, LEE BIRCHANSKY, MD wrote 1,747 Medicare Part D claims totaling $58K in drug costs for 370 beneficiaries.
Where is LEE BIRCHANSKY, MD located?
LEE BIRCHANSKY, MD is located at 1136 H AVE NE, CEDAR RAPIDS, IA, 52402. Phone: (319) 362-9855.
What is LEE BIRCHANSKY, MD's NPI number?
LEE BIRCHANSKY, MD's National Provider Identifier (NPI) is 1518951433, issued on 09/07/2005.
Does LEE BIRCHANSKY, MD prescribe more brand-name or generic drugs?
LEE BIRCHANSKY, MD's prescribing is 33% brand-name and 67% generic drugs by claim count, with $24K 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 LEE BIRCHANSKY, MD prescribe most often?
Based on 2023 Medicare Part D data, LEE BIRCHANSKY, MD's most frequently prescribed drugs include Ketorolac Tromethamine, Moxifloxacin, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LEE BIRCHANSKY, MD accept Medicare?
LEE BIRCHANSKY, MD appears in CMS Medicare data with 1,747 Part D claims and 370 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LEE BIRCHANSKY, MD's credentials?
LEE BIRCHANSKY, MD's NPI is 1518951433 with credentials MD. 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