2026 NPPES data Optometrist NPI 1225036197 O.D.
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MICHAEL FISHBAUGH, O.D.

Optometrist in ST. HENRY, Ohio. 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
861
Medicare Part D claims · 238 beneficiaries · Optometrist avg: 257
Generic prescribing
59%
generic claims · 41% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$480.57
16 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MICHAEL FISHBAUGH, O.D. reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 861 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
861
Part D claims, 2023
59%
generic prescribing
$480.57
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.

MICHAEL FISHBAUGH, 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

100 Top 7% higher than 93% 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 MICHAEL FISHBAUGH, O.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/13/2005

NPI 1225036197

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

861 235% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Ohio

How Optometrist compares to other specialties among Ohio providers

Ohio providers

Optometrist share within Ohio

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

Medicare quality performance — MIPS

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

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

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

0%100%National avg83%99%
MIPS final score (Optometrist) — 100/100 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).

MICHAEL FISHBAUGH, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 570 KREMER HOYING RD., ST. HENRY, OH, 45883, with a listed phone of (419) 678-8800. NPI 1225036197 was issued on 07/13/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FISHBAUGH 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 861 prescription claims written by this provider, covering 238 Medicare beneficiaries and totaling roughly $209K 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 100/100 for the 2023 performance year (Quality 100), 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

570 KREMER HOYING RD.
ST. HENRY, OH 45883

Provider Details

NPI 1225036197
Specialty Optometrist
Credentials O.D.
Gender Male
NPI Issued 07/13/2005

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Quality
94
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where MICHAEL FISHBAUGH, 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.

AEG OHIO PROFESSIONAL PC
LIMA, OH

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 MICHAEL FISHBAUGH, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$481

Largest payer

Johnson & Johnson Vision Care, 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.

License & disciplinary context — Ohio OMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 — they are NOT specific to MICHAEL FISHBAUGH, O.D.. To verify MICHAEL FISHBAUGH, O.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

MICHAEL FISHBAUGH, O.D. — brand share 41.0%
Specialty average (est.)

41% brand-name claims vs 59% generic, on 861 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.

861
Total Claims
$209K
Total Drug Cost
238
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,256
Total Day Supply
35,563
Brand vs Generic
41% brand / 59% generic
Brand Drug Cost
$193K
Generic Drug Cost
$17K

Patient Demographics

Average Patient Age
69.7 years
Avg HCC Risk Score
1.29
Gender Split
60% female / 40% male
Age Distribution
<65: 60, 65-74: 104, 75-84: 50, 85+: 24

Top Prescribed Drugs (Medicare Part D)

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

What MICHAEL FISHBAUGH, 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
199
Restasis
Cyclosporine
117
Azelastine Hcl
82
Erythromycin
Erythromycin Base
81
Brimonidine Tartrate
66
Cyclosporine
32
Prednisolone Acetate
29
Xiidra
Lifitegrast
28
Timolol Maleate
26
Lumigan
Bimatoprost
25

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

Optometrist Overview

How MICHAEL FISHBAUGH, O.D. fits within the Optometrist landscape nationally.

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

MICHAEL FISHBAUGH, O.D.'s 861 claims are above the specialty average of 257.

Nearby Optometrist Providers in Ohio

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

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

Frequently Asked Questions

What is MICHAEL FISHBAUGH, O.D.'s specialty?
MICHAEL FISHBAUGH, O.D. specializes in Optometrist and practices in ST. HENRY, Ohio. Credentials: O.D..
How much does MICHAEL FISHBAUGH, O.D. prescribe under Medicare Part D?
In 2023, MICHAEL FISHBAUGH, O.D. wrote 861 Medicare Part D claims totaling $209K in drug costs for 238 beneficiaries.
What is MICHAEL FISHBAUGH, O.D.'s Medicare quality score?
MICHAEL FISHBAUGH, O.D. has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL FISHBAUGH, O.D. located?
MICHAEL FISHBAUGH, O.D. is located at 570 KREMER HOYING RD., ST. HENRY, OH, 45883. Phone: (419) 678-8800.
What is MICHAEL FISHBAUGH, O.D.'s NPI number?
MICHAEL FISHBAUGH, O.D.'s National Provider Identifier (NPI) is 1225036197, issued on 07/13/2005.
Does MICHAEL FISHBAUGH, O.D. prescribe more brand-name or generic drugs?
MICHAEL FISHBAUGH, O.D.'s prescribing is 41% brand-name and 59% generic drugs by claim count, with $193K 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 MICHAEL FISHBAUGH, O.D. prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL FISHBAUGH, O.D.'s most frequently prescribed drugs include Latanoprost, Restasis, Azelastine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL FISHBAUGH, O.D. accept Medicare?
MICHAEL FISHBAUGH, O.D. appears in CMS Medicare data with 861 Part D claims and 238 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL FISHBAUGH, O.D.'s credentials?
MICHAEL FISHBAUGH, O.D.'s NPI is 1225036197 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