2026 NPPES data Optometrist NPI 1568874907 O.D.
Verify on CMS →

MATHEW MERGENTHALER, O.D.

Optometrist in MEDFORD, 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
316
Medicare Part D claims · 91 beneficiaries · Optometrist avg: 257
Generic prescribing
59%
generic claims · 41% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.3178/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$62.22
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MATHEW MERGENTHALER, O.D. reported a CMS MIPS final score of 94.3178/100 — above the 83.1 national average — and filed 316 Medicare Part D claims in 2023.

94.3178/100
MIPS score · +11 vs avg
316
Part D claims, 2023
59%
generic prescribing
$62.22
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.

MATHEW MERGENTHALER, O.D.'s MIPS score vs every scored U.S. clinician

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

94 Top 25% higher than 75% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

What does the federal data show about MATHEW MERGENTHALER, O.D.?

High performer (top quartile)

NPI registry status

Active

Issued 05/20/2014

NPI 1568874907

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

316 23% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

94.3178/100 11.217800000000011% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Optometrist compares to other specialties among Wisconsin providers

Wisconsin providers

Optometrist share within Wisconsin

1. Optometrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Optometrist share within Wisconsin

Medicare quality performance — MIPS

MATHEW MERGENTHALER, O.D.'s 2023 MIPS final score plotted against the Optometrist national average

High performer (top quartile)
MIPS Final Score
94.3178/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 94.3178/100 vs national avg 83.1

0%100%National avg83%94.3%
MIPS final score (Optometrist) — 94.3178/100 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).

MATHEW MERGENTHALER, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 671 S GIBSON ST, MEDFORD, WI, 54451, with a listed phone of (608) 790-5851. NPI 1568874907 was issued on 05/20/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MERGENTHALER 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 316 prescription claims written by this provider, covering 91 Medicare beneficiaries and totaling roughly $23K in drug spend, split 41% brand-name and 59% 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 94.3178/100 for the 2023 performance year (Quality 88.6355), compared with the national average of 83.1.

Optometrist is a high-volume specialty nationwide, with 60,463 enrolled providers across 56 states and an average of 257 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

671 S GIBSON ST
MEDFORD, WI 54451

Provider Details

NPI 1568874907
Specialty Optometrist
Credentials O.D.
Gender Male
NPI Issued 05/20/2014

CMS Quality Score (MIPS)

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

94.3178
Final Score
Avg: 83.1
88.6355
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where MATHEW MERGENTHALER, O.D. 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.

HEALTHVIEW EYE CARE CENTER, SC
COLBY, WI
HEALTHVIEW EYE CARE CENTER-MEDFORD SC
MEDFORD, WI
SHOPTIKAL LLC
WINONA, MN

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 MATHEW MERGENTHALER, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$62

Largest payer

Astellas Pharma US 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

MATHEW MERGENTHALER, O.D. — brand share 41.0%
Specialty average (est.)

41% brand-name claims vs 59% generic, on 316 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.

316
Total Claims
$23K
Total Drug Cost
91
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
530
Total Day Supply
14,665
Brand vs Generic
41% brand / 59% generic
Brand Drug Cost
$16K
Generic Drug Cost
$6K
Antibiotic Claims
12

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.05
Gender Split
64% female / 36% male

Top Prescribed Drugs (Medicare Part D)

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

What MATHEW MERGENTHALER, O.D. 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
Latanoprost
114
Timolol Maleate
28
Brimonidine Tartrate
23
Brimonidine Tartrate-Timolol
Brimonidine Tartrate/Timolol
16
Prednisolone Acetate
16
Combigan
Brimonidine Tartrate/Timolol
15
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
15
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
11

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

Optometrist Overview

How MATHEW MERGENTHALER, O.D. fits within the Optometrist landscape nationally.

60,463
Optometrist Providers in US
56
States with Optometrist
257
Avg Claims per Provider

MATHEW MERGENTHALER, O.D.'s 316 claims are above the specialty average of 257.

Nearby Optometrist Providers in Wisconsin

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

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

Frequently Asked Questions

What is MATHEW MERGENTHALER, O.D.'s specialty?
MATHEW MERGENTHALER, O.D. specializes in Optometrist and practices in MEDFORD, Wisconsin. Credentials: O.D..
How much does MATHEW MERGENTHALER, O.D. prescribe under Medicare Part D?
In 2023, MATHEW MERGENTHALER, O.D. wrote 316 Medicare Part D claims totaling $23K in drug costs for 91 beneficiaries.
What is MATHEW MERGENTHALER, O.D.'s Medicare quality score?
MATHEW MERGENTHALER, O.D. has a CMS MIPS Final Score of 94.3178/100 (Quality: 88.6355). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MATHEW MERGENTHALER, O.D. located?
MATHEW MERGENTHALER, O.D. is located at 671 S GIBSON ST, MEDFORD, WI, 54451. Phone: (608) 790-5851.
What is MATHEW MERGENTHALER, O.D.'s NPI number?
MATHEW MERGENTHALER, O.D.'s National Provider Identifier (NPI) is 1568874907, issued on 05/20/2014.
Does MATHEW MERGENTHALER, O.D. prescribe more brand-name or generic drugs?
MATHEW MERGENTHALER, O.D.'s prescribing is 41% brand-name and 59% generic drugs by claim count, with $16K in brand drug costs.
How many Optometrist providers are there in the US?
There are 60,463 Optometrist providers across 56 states in the US. The average Optometrist provider writes 257 Medicare Part D claims per year.
What drugs does MATHEW MERGENTHALER, O.D. prescribe most often?
Based on 2023 Medicare Part D data, MATHEW MERGENTHALER, O.D.'s most frequently prescribed drugs include Latanoprost, Timolol Maleate, Brimonidine Tartrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MATHEW MERGENTHALER, O.D. accept Medicare?
MATHEW MERGENTHALER, O.D. appears in CMS Medicare data with 316 Part D claims and 91 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MATHEW MERGENTHALER, O.D.'s credentials?
MATHEW MERGENTHALER, O.D.'s NPI is 1568874907 with credentials O.D.. 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