2026 NPPES data Ophthalmology Physician NPI 1609874486 MD
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MICHAEL WELSH, MD

Ophthalmology Physician in CARMEL, Indiana. 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
413
Medicare Part D claims · 244 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.11/100
▲ 11 pts above national avg 83.1 · [object Object]

What the federal data shows

MICHAEL WELSH, MD reported a CMS MIPS final score of 94.11/100 — above the 83.1 national average — and filed 413 Medicare Part D claims in 2023.

94.11/100
MIPS score · +11 vs avg
413
Part D claims, 2023
84%
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.

MICHAEL WELSH, MD'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)

MICHAEL WELSH, 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 MICHAEL WELSH, MD?

High performer (top quartile)

NPI registry status

Active

Issued 07/14/2005

NPI 1609874486

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

413 71% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

94.11/100 11.010000000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Indiana

How Ophthalmology Physician compares to other specialties among Indiana providers

Indiana providers

Ophthalmology Physician share within Indiana

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

Medicare quality performance — MIPS

MICHAEL WELSH, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
94.11/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 94.11/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Ophthalmology Physician) — 94.11/100 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 WELSH, MD is a Ophthalmology Physician provider practicing in CARMEL, Indiana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1609874486. 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.

MICHAEL WELSH, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 11220 ILLINOIS ST STE 220, CARMEL, IN, 46032, with a listed phone of (317) 817-1976. NPI 1609874486 was issued on 07/14/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WELSH 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 413 prescription claims written by this provider, covering 244 Medicare beneficiaries and totaling roughly $28K in drug spend, split 16% brand-name and 84% generic by claim count, with an opioid prescribing rate of 4.4%. 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 94.11/100 for the 2023 performance year (Quality 88.2199), 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

11220 ILLINOIS ST STE 220
CARMEL, IN 46032

Provider Details

NPI 1609874486
Specialty Ophthalmology Physician
Credentials MD
Gender Male
NPI Issued 07/14/2005

CMS Quality Score (MIPS)

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

94.11
Final Score
Avg: 83.1
88.2199
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where MICHAEL WELSH, 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.

OPHTHALMIC PLASTIC SURGERY INC
CARMEL, IN

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 · Typical

MICHAEL WELSH, MD — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 413 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.

413
Total Claims
$28K
Total Drug Cost
244
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
462
Total Day Supply
8,628
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$22K
Generic Drug Cost
$6K
Opioid Claims
18 (4.4% rate)
Antibiotic Claims
24

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
1.22
Gender Split
57% female / 43% male
Age Distribution
<65: 15, 65-74: 100, 75-84: 91, 85+: 38

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Erythromycin
Erythromycin Base
228
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
45
Minocycline Hcl
17
Rybelsus
Semaglutide
12
Prednisolone Acetate
11

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

Ophthalmology Physician Overview

How MICHAEL WELSH, MD 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

MICHAEL WELSH, MD's 413 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Indiana

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

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

Frequently Asked Questions

What is MICHAEL WELSH, MD's specialty?
MICHAEL WELSH, MD specializes in Ophthalmology Physician and practices in CARMEL, Indiana. Credentials: MD.
How much does MICHAEL WELSH, MD prescribe under Medicare Part D?
In 2023, MICHAEL WELSH, MD wrote 413 Medicare Part D claims totaling $28K in drug costs for 244 beneficiaries.
What is MICHAEL WELSH, MD's Medicare quality score?
MICHAEL WELSH, MD has a CMS MIPS Final Score of 94.11/100 (Quality: 88.2199). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL WELSH, MD located?
MICHAEL WELSH, MD is located at 11220 ILLINOIS ST STE 220, CARMEL, IN, 46032. Phone: (317) 817-1976.
What is MICHAEL WELSH, MD's NPI number?
MICHAEL WELSH, MD's National Provider Identifier (NPI) is 1609874486, issued on 07/14/2005.
Does MICHAEL WELSH, MD prescribe more brand-name or generic drugs?
MICHAEL WELSH, MD's prescribing is 16% brand-name and 84% generic drugs by claim count, with $22K in brand drug costs.
Does MICHAEL WELSH, MD prescribe opioids?
Yes, MICHAEL WELSH, MD had 18 opioid claims in 2023 with an opioid prescribing rate of 4.4%.
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 MICHAEL WELSH, MD prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL WELSH, MD's most frequently prescribed drugs include Erythromycin, Neomycin-Polymyxin-Dexameth, Minocycline Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL WELSH, MD accept Medicare?
MICHAEL WELSH, MD appears in CMS Medicare data with 413 Part D claims and 244 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL WELSH, MD's credentials?
MICHAEL WELSH, MD's NPI is 1609874486 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