2026 NPPES data Ophthalmic Plastic and Reconstructive Surgery Physician NPI 1235167537 MD
Verify on CMS →

MARK DUFFY, MD

Ophthalmic Plastic and Reconstructive Surgery Physician in GREEN BAY, 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
808
Medicare Part D claims · 445 beneficiaries · Ophthalmic Plastic and Reconstructive Surgery Physician avg: 624
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.3373/100
▼ 6 pts below national avg 83.1 · [object Object]

What the federal data shows

MARK DUFFY, MD reported a CMS MIPS final score of 77.3373/100 — below the 83.1 national average — and filed 808 Medicare Part D claims in 2023.

77.3373/100
MIPS score · -6 vs avg
808
Part D claims, 2023
97%
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.

MARK DUFFY, MD's MIPS score vs every scored U.S. clinician

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

77 24th percentile higher than 24% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

MARK DUFFY, MD 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 MARK DUFFY, MD?

Below national average

NPI registry status

Active

Issued 06/28/2006

NPI 1235167537

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery Physician

Rare

291 US NPIs in this specialty

Medicare Part D claims

808 29% vs specialty avg

2023 prescription claims

Specialty avg: 624

MIPS final score

77.3373/100 5.762699999999995% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Ophthalmic Plastic and Reconstructive Surgery Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Ophthalmic Plastic and Reconstructive Surgery Physician share within Wisconsin

1. Ophthalmic Plastic and Reconstructive Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmic Plastic and Reconstructive Surgery Physician share within Wisconsin

Medicare quality performance — MIPS

MARK DUFFY, MD's 2023 MIPS final score plotted against the Ophthalmic Plastic and Reconstructive Surgery Physician national average

Below national average
MIPS Final Score
77.3373/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmic Plastic and Reconstructive Surgery Physician) — 77.3373/100 vs national avg 83.1

0%100%National avg83%77.3%
MIPS final score (Ophthalmic Plastic and Reconstructive Surgery Physician) — 77.3373/100 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).

MARK DUFFY, MD appears in the CMS NPPES registry as a Ophthalmic Plastic and Reconstructive Surgery Physician provider holding MD credentials at 2253 W MASON ST, GREEN BAY, WI, 54303, with a listed phone of (920) 327-7000. NPI 1235167537 was issued on 06/28/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DUFFY 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 808 prescription claims written by this provider, covering 445 Medicare beneficiaries and totaling roughly $8K in drug spend, split 3% brand-name and 97% generic by claim count, with an opioid prescribing rate of 19.1%. 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 77.3373/100 for the 2023 performance year (Quality 76.2218, Cost 48.236), compared with the national average of 83.1.

Ophthalmic Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 291 enrolled providers across 46 states and an average of 624 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

2253 W MASON ST
GREEN BAY, WI 54303

Provider Details

NPI 1235167537
Specialty Ophthalmic Plastic and Reconstructive Surgery Physician
Credentials MD
Gender Male
NPI Issued 06/28/2006

CMS Quality Score (MIPS)

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

77.3373
Final Score
Avg: 83.1
76.2218
Quality
48.236
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARK DUFFY, 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.

BAYCARE CLINIC LLP
GREEN BAY, 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).

Brand vs generic prescribing mix · Generic-heavy

MARK DUFFY, MD — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 808 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.

808
Total Claims
$8K
Total Drug Cost
445
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
814
Total Day Supply
7,747
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$1K
Generic Drug Cost
$7K
Opioid Claims
154 (19.1% rate)
Antibiotic Claims
183

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.04
Gender Split
60% female / 40% male
Age Distribution
<65: 16, 65-74: 234, 75-84: 155, 85+: 40

Top Prescribed Drugs (Medicare Part D)

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

What MARK DUFFY, 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
432
Cephalexin
153
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
149
Azithromycin
27
Prednisolone Acetate
16

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

Ophthalmic Plastic and Reconstructive Surgery Physician Overview

How MARK DUFFY, MD fits within the Ophthalmic Plastic and Reconstructive Surgery Physician landscape nationally.

291
Ophthalmic Plastic and Reconstructive Surgery Physician Providers in US
46
States with Ophthalmic Plastic and Reconstructive Surgery Physician
624
Avg Claims per Provider

MARK DUFFY, MD's 808 claims are above the specialty average of 624.

Nearby Ophthalmic Plastic and Reconstructive Surgery Physician Providers in Wisconsin

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

Compare Ophthalmic Plastic and Reconstructive Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARK DUFFY, MD's specialty?
MARK DUFFY, MD specializes in Ophthalmic Plastic and Reconstructive Surgery Physician and practices in GREEN BAY, Wisconsin. Credentials: MD.
How much does MARK DUFFY, MD prescribe under Medicare Part D?
In 2023, MARK DUFFY, MD wrote 808 Medicare Part D claims totaling $8K in drug costs for 445 beneficiaries.
What is MARK DUFFY, MD's Medicare quality score?
MARK DUFFY, MD has a CMS MIPS Final Score of 77.3373/100 (Quality: 76.2218, Cost: 48.236). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARK DUFFY, MD located?
MARK DUFFY, MD is located at 2253 W MASON ST, GREEN BAY, WI, 54303. Phone: (920) 327-7000.
What is MARK DUFFY, MD's NPI number?
MARK DUFFY, MD's National Provider Identifier (NPI) is 1235167537, issued on 06/28/2006.
Does MARK DUFFY, MD prescribe more brand-name or generic drugs?
MARK DUFFY, MD's prescribing is 3% brand-name and 97% generic drugs by claim count, with $1K in brand drug costs.
Does MARK DUFFY, MD prescribe opioids?
Yes, MARK DUFFY, MD had 154 opioid claims in 2023 with an opioid prescribing rate of 19.1%.
How many Ophthalmic Plastic and Reconstructive Surgery Physician providers are there in the US?
There are 291 Ophthalmic Plastic and Reconstructive Surgery Physician providers across 46 states in the US. The average Ophthalmic Plastic and Reconstructive Surgery Physician provider writes 624 Medicare Part D claims per year.
What drugs does MARK DUFFY, MD prescribe most often?
Based on 2023 Medicare Part D data, MARK DUFFY, MD's most frequently prescribed drugs include Erythromycin, Cephalexin, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK DUFFY, MD accept Medicare?
MARK DUFFY, MD appears in CMS Medicare data with 808 Part D claims and 445 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK DUFFY, MD's credentials?
MARK DUFFY, MD's NPI is 1235167537 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.
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