2026 NPPES data Ophthalmology Physician NPI 1164435079 MD
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MICHEL GELINAS, MD

Ophthalmology Physician in WOODRUFF, 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
992
Medicare Part D claims · 286 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
35%
generic claims · 65% 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
$190.44
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MICHEL GELINAS, MD reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 992 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
992
Part D claims, 2023
35%
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.

MICHEL GELINAS, MD'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

Board certification likely (heuristic — not verified)

MICHEL GELINAS, 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 MICHEL GELINAS, MD?

High performer (top quartile)

NPI registry status

Active

Issued 08/14/2006

NPI 1164435079

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

992 30% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Ophthalmology Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Ophthalmology Physician share within Wisconsin

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

Medicare quality performance — MIPS

MICHEL GELINAS, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

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

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

0%100%National avg83%99%
MIPS final score (Ophthalmology Physician) — 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).

MICHEL GELINAS, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 1020 3RD AVE, WOODRUFF, WI, 54568, with a listed phone of (715) 356-2262. NPI 1164435079 was issued on 08/14/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GELINAS 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 992 prescription claims written by this provider, covering 286 Medicare beneficiaries and totaling roughly $62K in drug spend, split 65% brand-name and 35% 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 95.256), 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

1020 3RD AVE
WOODRUFF, WI 54568

Provider Details

NPI 1164435079
Specialty Ophthalmology Physician
Credentials MD
Gender Male
NPI Issued 08/14/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
95.256
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MICHEL GELINAS, 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.

REDMAN AND GELINAS SC
WOODRUFF, WI

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 MICHEL GELINAS, MD. Source: openpaymentsdata.cms.gov.

Total received

$190

Largest payer

Ocular Therapeutix, 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 · Brand-heavy

MICHEL GELINAS, MD — brand share 65.0%
Specialty average (est.)

65% brand-name claims vs 35% generic, on 992 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.

992
Total Claims
$62K
Total Drug Cost
286
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,570
Total Day Supply
44,949
Brand vs Generic
65% brand / 35% generic
Brand Drug Cost
$51K
Generic Drug Cost
$11K

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
0.98
Gender Split
59% female / 41% male
Age Distribution
<65: 11, 65-74: 120, 75-84: 123, 85+: 32

Top Prescribed Drugs (Medicare Part D)

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

What MICHEL GELINAS, MD 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
Prednisolone Acetate
266
Ketorolac Tromethamine
249
Latanoprost
136
Ofloxacin
78
Timolol Maleate
45
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
31
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
28
Brimonidine Tartrate
25
Dorzolamide Hcl
15
Simbrinza
Brinzolamide/Brimonidine Tart
14

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

Ophthalmology Physician Overview

How MICHEL GELINAS, 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

MICHEL GELINAS, MD's 992 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Wisconsin

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

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

Frequently Asked Questions

What is MICHEL GELINAS, MD's specialty?
MICHEL GELINAS, MD specializes in Ophthalmology Physician and practices in WOODRUFF, Wisconsin. Credentials: MD.
How much does MICHEL GELINAS, MD prescribe under Medicare Part D?
In 2023, MICHEL GELINAS, MD wrote 992 Medicare Part D claims totaling $62K in drug costs for 286 beneficiaries.
What is MICHEL GELINAS, MD's Medicare quality score?
MICHEL GELINAS, MD has a CMS MIPS Final Score of 100/100 (Quality: 95.256). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHEL GELINAS, MD located?
MICHEL GELINAS, MD is located at 1020 3RD AVE, WOODRUFF, WI, 54568. Phone: (715) 356-2262.
What is MICHEL GELINAS, MD's NPI number?
MICHEL GELINAS, MD's National Provider Identifier (NPI) is 1164435079, issued on 08/14/2006.
Does MICHEL GELINAS, MD prescribe more brand-name or generic drugs?
MICHEL GELINAS, MD's prescribing is 65% brand-name and 35% generic drugs by claim count, with $51K 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 MICHEL GELINAS, MD prescribe most often?
Based on 2023 Medicare Part D data, MICHEL GELINAS, MD's most frequently prescribed drugs include Prednisolone Acetate, Ketorolac Tromethamine, Latanoprost. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHEL GELINAS, MD accept Medicare?
MICHEL GELINAS, MD appears in CMS Medicare data with 992 Part D claims and 286 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHEL GELINAS, MD's credentials?
MICHEL GELINAS, MD's NPI is 1164435079 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