LORI HARKINS, M D
Ophthalmology Physician in GRAND ISLAND, Nebraska. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What stands out: LORI HARKINS, M D reported a CMS MIPS final score of 90.4132 out of 100, above the 83.1 national average, and filed 2,566 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.
LORI HARKINS, M D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
LORI HARKINS, M D at a glance
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Nebraska
How Ophthalmology Physician compares to other specialties among Nebraska providers
Ophthalmology Physician share within Nebraska
Ophthalmology Physician is one of the more visible NUCC categories in Nebraska
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
LORI HARKINS, M D's 2023 MIPS final score plotted against the Ophthalmology Physician national average
- MIPS Final Score
- 90.4132/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Ophthalmology Physician) — 90.4132/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Ophthalmology Physician US NPIs
90.4132/100 MIPS final score — 7.3 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Ophthalmology Physician. Quality dim: 100. Cost dim: 68.0441.
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).
LORI HARKINS, M D is a Ophthalmology Physician provider practicing in GRAND ISLAND, Nebraska, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M D. NPI: 1154322501. 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.
LORI HARKINS, M D appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M D credentials at 830 N ALPHA ST, GRAND ISLAND, NE, 68803, with a listed phone of (308) 384-9148. NPI 1154322501 was issued on 08/09/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HARKINS 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 2,566 prescription claims written by this provider, covering 436 Medicare beneficiaries and totaling roughly $400K in drug spend, split 47% brand-name and 53% 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 90.4132/100 for the 2023 performance year (Quality 100, Cost 68.0441), 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
Provider Details
| NPI | 1154322501 |
|---|---|
| Specialty | Ophthalmology Physician |
| Credentials | M D |
| Gender | Female |
| NPI Issued | 08/09/2005 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm LORI HARKINS, M D's current license status, disciplinary history, and board certifications with the Nebraska Department of Health and Human Services in Nebraska before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Individual
Brand vs generic prescribing mix · Above average
47% brand-name claims vs 53% generic, on 2,566 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.
Prescribing Breakdown
- 30-Day Fills
- 3,563
- Total Day Supply
- 98,466
- Brand vs Generic
- 47% brand / 53% generic
- Brand Drug Cost
- $363K
- Generic Drug Cost
- $38K
Patient Demographics
- Average Patient Age
- 77.4 years
- Avg HCC Risk Score
- 1.23
- Gender Split
- 68% female / 32% male
- Age Distribution
- <65: 17, 65-74: 151, 75-84: 173, 85+: 95
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 | 745 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 351 |
| Restasis Cyclosporine | 177 |
| Prednisolone Acetate | 154 |
| Dorzolamide Hcl | 150 |
| Erythromycin Erythromycin Base | 117 |
| Simbrinza Brinzolamide/Brimonidine Tart | 101 |
| Alphagan P Brimonidine Tartrate | 87 |
| Brimonidine Tartrate | 79 |
| Lumigan Bimatoprost | 75 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Ophthalmology Physician Overview
How LORI HARKINS, M D fits within the Ophthalmology Physician landscape nationally.
LORI HARKINS, M D's 2,566 claims are above the specialty average of 1,420.
Nearby Ophthalmology Physician Providers in Nebraska
Other clinicians with the same primary specialty enrolled in Nebraska, drawn from the same CMS NPPES roster as HARKINS.
Compare Ophthalmology Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
What is LORI HARKINS, M D's specialty? ▼
How much does LORI HARKINS, M D prescribe under Medicare Part D? ▼
What is LORI HARKINS, M D's Medicare quality score? ▼
Where is LORI HARKINS, M D located? ▼
What is LORI HARKINS, M D's NPI number? ▼
Does LORI HARKINS, M D prescribe more brand-name or generic drugs? ▼
How many Ophthalmology Physician providers are there in the US? ▼
What drugs does LORI HARKINS, M D prescribe most often? ▼
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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