2026 NPPES data Ophthalmology Physician NPI 1417955865 M.D.
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MATTHEW PAUL, M.D.

Ophthalmology Physician in DANBURY, Connecticut. 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
2K
Medicare Part D claims · 766 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
65%
generic claims · 35% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.2464/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$2.7K
22 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MATTHEW PAUL, M.D. reported a CMS MIPS final score of 94.2464/100 — above the 83.1 national average — and filed 2,316 Medicare Part D claims in 2023.

94.2464/100
MIPS score · +11 vs avg
2K
Part D claims, 2023
65%
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.

MATTHEW PAUL, M.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

Board certification likely (heuristic — not verified)

MATTHEW PAUL, M.D. 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 MATTHEW PAUL, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/11/2005

NPI 1417955865

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

2,316 63% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

94.2464/100 11.1464% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Connecticut

How Ophthalmology Physician compares to other specialties among Connecticut providers

Connecticut providers

Ophthalmology Physician share within Connecticut

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

Medicare quality performance — MIPS

MATTHEW PAUL, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
94.2464/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 94.2464/100 vs national avg 83.1

0%100%National avg83%94.2%
MIPS final score (Ophthalmology Physician) — 94.2464/100 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).

MATTHEW PAUL, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 69 SAND PIT RD, DANBURY, CT, 06810, with a listed phone of (203) 791-2020. NPI 1417955865 was issued on 07/11/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PAUL 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 2,316 prescription claims written by this provider, covering 766 Medicare beneficiaries and totaling roughly $347K in drug spend, split 35% brand-name and 65% 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 94.2464/100 for the 2023 performance year (Quality 78.2615), 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

69 SAND PIT RD
DANBURY, CT 06810

Provider Details

NPI 1417955865
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 07/11/2005

CMS Quality Score (MIPS)

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

94.2464
Final Score
Avg: 83.1
78.2615
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MATTHEW PAUL, M.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.

CONNECTICUT EYE CONSULTANTS PC
DANBURY, CT

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 MATTHEW PAUL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$2.7K

Largest payer

EyePoint Pharmaceuticals 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

MATTHEW PAUL, M.D. — brand share 35.0%
Specialty average (est.)

35% brand-name claims vs 65% generic, on 2,316 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.

2,316
Total Claims
$347K
Total Drug Cost
766
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,654
Total Day Supply
99,734
Brand vs Generic
35% brand / 65% generic
Brand Drug Cost
$296K
Generic Drug Cost
$52K
Antibiotic Claims
39

Patient Demographics

Average Patient Age
77.7 years
Avg HCC Risk Score
1.03
Gender Split
60% female / 40% male
Age Distribution
<65: 15, 65-74: 249, 75-84: 370, 85+: 132

Top Prescribed Drugs (Medicare Part D)

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

What MATTHEW PAUL, M.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
607
Prednisolone Acetate
316
Timolol Maleate
229
Ketorolac Tromethamine
181
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
144
Brimonidine Tartrate
102
Lumigan
Bimatoprost
93
Restasis
Cyclosporine
79
Dorzolamide Hcl
56
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
56

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

Ophthalmology Physician Overview

How MATTHEW PAUL, M.D. 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

MATTHEW PAUL, M.D.'s 2,316 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Connecticut

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

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

Frequently Asked Questions

What is MATTHEW PAUL, M.D.'s specialty?
MATTHEW PAUL, M.D. specializes in Ophthalmology Physician and practices in DANBURY, Connecticut. Credentials: M.D..
How much does MATTHEW PAUL, M.D. prescribe under Medicare Part D?
In 2023, MATTHEW PAUL, M.D. wrote 2,316 Medicare Part D claims totaling $347K in drug costs for 766 beneficiaries.
What is MATTHEW PAUL, M.D.'s Medicare quality score?
MATTHEW PAUL, M.D. has a CMS MIPS Final Score of 94.2464/100 (Quality: 78.2615). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MATTHEW PAUL, M.D. located?
MATTHEW PAUL, M.D. is located at 69 SAND PIT RD, DANBURY, CT, 06810. Phone: (203) 791-2020.
What is MATTHEW PAUL, M.D.'s NPI number?
MATTHEW PAUL, M.D.'s National Provider Identifier (NPI) is 1417955865, issued on 07/11/2005.
Does MATTHEW PAUL, M.D. prescribe more brand-name or generic drugs?
MATTHEW PAUL, M.D.'s prescribing is 35% brand-name and 65% generic drugs by claim count, with $296K 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 MATTHEW PAUL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MATTHEW PAUL, M.D.'s most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MATTHEW PAUL, M.D. accept Medicare?
MATTHEW PAUL, M.D. appears in CMS Medicare data with 2,316 Part D claims and 766 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MATTHEW PAUL, M.D.'s credentials?
MATTHEW PAUL, M.D.'s NPI is 1417955865 with credentials M.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