2026 NPPES data Optometrist NPI 1265597066 O.D.
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MATT HESSE, O.D.

Optometrist in MONTICELLO, Kentucky. 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
777
Medicare Part D claims · 209 beneficiaries · Optometrist avg: 257
Generic prescribing
51%
generic claims · 49% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$60.73
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MATT HESSE, O.D. filed 777 Medicare Part D claims in 2023 as a Optometrist in MONTICELLO, Kentucky, prescribing 51% generic.

777
Part D claims, 2023
51%
generic prescribing
$60.73
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.

MATT HESSE, O.D.'s Medicare Part D volume vs every U.S. prescriber

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

777 Top 29% higher than 71% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). This entry sits in this band. 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

What does the federal data show about MATT HESSE, O.D.?

Quality data not reported

NPI registry status

Active

Issued 12/22/2006

NPI 1265597066

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

777 202% vs specialty avg

2023 prescription claims

Specialty avg: 257

Specialty distribution in Kentucky

How Optometrist compares to other specialties among Kentucky providers

Kentucky providers

Optometrist share within Kentucky

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

Specialty board-certification context

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

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

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

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

MATT HESSE, O.D. is a Optometrist provider practicing in MONTICELLO, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O.D.. NPI: 1265597066. 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.

MATT HESSE, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 211 CUMBERLAND XING, MONTICELLO, KY, 42633, with a listed phone of (606) 348-3355. NPI 1265597066 was issued on 12/22/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HESSE 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 777 prescription claims written by this provider, covering 209 Medicare beneficiaries and totaling roughly $287K in drug spend, split 49% brand-name and 51% 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.

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

211 CUMBERLAND XING
MONTICELLO, KY 42633

Provider Details

NPI 1265597066
Specialty Optometrist
Credentials O.D.
Gender Male
NPI Issued 12/22/2006

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 MATT HESSE, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$61

Largest payer

Bausch & Lomb Americas 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

MATT HESSE, O.D. — brand share 49.0%
Specialty average (est.)

49% brand-name claims vs 51% generic, on 777 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.

777
Total Claims
$287K
Total Drug Cost
209
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,388
Total Day Supply
38,398
Brand vs Generic
49% brand / 51% generic
Brand Drug Cost
$275K
Generic Drug Cost
$12K

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
1.23
Gender Split
67% female / 33% male
Age Distribution
<65: 35, 65-74: 102, 75-84: 57, 85+: 15

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
259
Prednisolone Acetate
93
Restasis
Cyclosporine
89
Xiidra
Lifitegrast
62
Timolol Maleate
53
Brimonidine Tartrate
51
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
27
Ketorolac Tromethamine
26
Rocklatan
Netarsudil Mesylat/Latanoprost
22
Loteprednol Etabonate
13

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

Optometrist Overview

How MATT HESSE, O.D. fits within the Optometrist landscape nationally.

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

MATT HESSE, O.D.'s 777 claims are above the specialty average of 257.

Nearby Optometrist Providers in Kentucky

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

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

Frequently Asked Questions

What is MATT HESSE, O.D.'s specialty?
MATT HESSE, O.D. specializes in Optometrist and practices in MONTICELLO, Kentucky. Credentials: O.D..
How much does MATT HESSE, O.D. prescribe under Medicare Part D?
In 2023, MATT HESSE, O.D. wrote 777 Medicare Part D claims totaling $287K in drug costs for 209 beneficiaries.
Where is MATT HESSE, O.D. located?
MATT HESSE, O.D. is located at 211 CUMBERLAND XING, MONTICELLO, KY, 42633. Phone: (606) 348-3355.
What is MATT HESSE, O.D.'s NPI number?
MATT HESSE, O.D.'s National Provider Identifier (NPI) is 1265597066, issued on 12/22/2006.
Does MATT HESSE, O.D. prescribe more brand-name or generic drugs?
MATT HESSE, O.D.'s prescribing is 49% brand-name and 51% generic drugs by claim count, with $275K 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 MATT HESSE, O.D. prescribe most often?
Based on 2023 Medicare Part D data, MATT HESSE, O.D.'s most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Restasis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MATT HESSE, O.D. accept Medicare?
MATT HESSE, O.D. appears in CMS Medicare data with 777 Part D claims and 209 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MATT HESSE, O.D.'s credentials?
MATT HESSE, O.D.'s NPI is 1265597066 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.
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