2026 NPPES data Ophthalmology Physician NPI 1073193058 MD
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MALCOLM KATES, MD

Ophthalmology Physician in MILWAUKEE, Wisconsin. 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
154
Medicare Part D claims · 87 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$362.05
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MALCOLM KATES, MD filed 154 Medicare Part D claims in 2023 as a Ophthalmology Physician in MILWAUKEE, Wisconsin, prescribing 79% generic.

154
Part D claims, 2023
79%
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.

MALCOLM KATES, MD's Medicare Part D volume vs every U.S. prescriber

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

154 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

Board certification likely (heuristic — not verified)

MALCOLM KATES, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 MALCOLM KATES, MD?

Quality data not reported

NPI registry status

Active

Issued 04/13/2021

NPI 1073193058

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

154 89% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

Specialty distribution in Wisconsin

How Ophthalmology Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Ophthalmology Physician share within Wisconsin

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

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).

MALCOLM KATES, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 925 N 87TH ST, MILWAUKEE, WI, 53226, with a listed phone of (414) 955-2020. NPI 1073193058 was issued on 04/13/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KATES 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 154 prescription claims written by this provider, covering 87 Medicare beneficiaries and totaling roughly $5K in drug spend, split 21% brand-name and 79% 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

925 N 87TH ST
MILWAUKEE, WI 53226

Provider Details

NPI 1073193058
Specialty Ophthalmology Physician
Credentials MD
Gender Male
NPI Issued 04/13/2021

Hospital and facility affiliations

Facilities where MALCOLM KATES, MD 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.

THE MEDICAL COLLEGE OF WISCONSIN INC
MILWAUKEE, WI

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 MALCOLM KATES, MD. Source: openpaymentsdata.cms.gov.

Total received

$362

Largest payer

Genentech USA, 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 · Typical

MALCOLM KATES, MD — brand share 21.0%
Specialty average (est.)

21% brand-name claims vs 79% generic, on 154 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.

154
Total Claims
$5K
Total Drug Cost
87
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
172
Total Day Supply
2,715
Brand vs Generic
21% brand / 79% generic
Brand Drug Cost
$3K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
69.1 years
Avg HCC Risk Score
1.59
Gender Split
68% female / 32% male
Age Distribution
<65: 18, 65-74: 48, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What MALCOLM KATES, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Erythromycin
Erythromycin Base
35
Prednisolone Acetate
16
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
13
Brimonidine Tartrate
11
Ofloxacin
11
Valacyclovir
Valacyclovir Hcl
11

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

Ophthalmology Physician Overview

How MALCOLM KATES, 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

MALCOLM KATES, MD's 154 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Wisconsin

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

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

Frequently Asked Questions

What is MALCOLM KATES, MD's specialty?
MALCOLM KATES, MD specializes in Ophthalmology Physician and practices in MILWAUKEE, Wisconsin. Credentials: MD.
How much does MALCOLM KATES, MD prescribe under Medicare Part D?
In 2023, MALCOLM KATES, MD wrote 154 Medicare Part D claims totaling $5K in drug costs for 87 beneficiaries.
Where is MALCOLM KATES, MD located?
MALCOLM KATES, MD is located at 925 N 87TH ST, MILWAUKEE, WI, 53226. Phone: (414) 955-2020.
What is MALCOLM KATES, MD's NPI number?
MALCOLM KATES, MD's National Provider Identifier (NPI) is 1073193058, issued on 04/13/2021.
Does MALCOLM KATES, MD prescribe more brand-name or generic drugs?
MALCOLM KATES, MD's prescribing is 21% brand-name and 79% generic drugs by claim count, with $3K 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 MALCOLM KATES, MD prescribe most often?
Based on 2023 Medicare Part D data, MALCOLM KATES, MD's most frequently prescribed drugs include Erythromycin, Prednisolone Acetate, Neomycin-Polymyxin-Dexameth. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MALCOLM KATES, MD accept Medicare?
MALCOLM KATES, MD appears in CMS Medicare data with 154 Part D claims and 87 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MALCOLM KATES, MD's credentials?
MALCOLM KATES, MD's NPI is 1073193058 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