2026 NPPES data Pediatric Optometrist NPI 1366000879 OD
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NICOLE SHEFFER, OD

Pediatric Optometrist in MAPLE GROVE, Minnesota. 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
213
Medicare Part D claims · 71 beneficiaries · Pediatric Optometrist avg: 184
Generic prescribing
72%
generic claims · 28% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.8055/100
▼ 3 pts below national avg 83.1 · [object Object]
Industry payments
$935.2
7 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NICOLE SHEFFER, OD is a Pediatric Optometrist ([object Object]) practicing in MAPLE GROVE, Minnesota with a Medicare Part D prescribing footprint of 213 claims across 71 beneficiaries — 28% brand-name prescribing . Their CMS MIPS Final Score of 79.8055/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $935.2 across 7 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NICOLE SHEFFER, OD reported a CMS MIPS final score of 79.8055 out of 100, below the 83.1 national average, and filed 213 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

NICOLE SHEFFER, OD at a glance

Near national average

NPI registry status

Active

Issued 05/30/2019

NPI 1366000879

Primary specialty

Pediatric Optometrist

Rare

316 US NPIs in this specialty

Medicare Part D claims

213 16% vs specialty avg

2023 prescription claims

Specialty avg: 184

MIPS final score

79.8055/100 3.2944999999999993% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Minnesota

How Pediatric Optometrist compares to other specialties among Minnesota providers

Minnesota providers

Pediatric Optometrist share within Minnesota

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

Medicare quality performance — MIPS

NICOLE SHEFFER, OD's 2023 MIPS final score plotted against the Pediatric Optometrist national average

Near national average
MIPS Final Score
79.8055/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Optometrist) — 79.8055/100 vs national avg 83.1

0%100%National avg83%79.8%
MIPS final score (Pediatric Optometrist) — 79.8055/100 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).

NICOLE SHEFFER, OD is a Pediatric Optometrist provider practicing in MAPLE GROVE, Minnesota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: OD. NPI: 1366000879. 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.

NICOLE SHEFFER, OD appears in the CMS NPPES registry as a Pediatric Optometrist provider holding OD credentials at 12000 ELM CREEK BLVD N STE 100, MAPLE GROVE, MN, 55369, with a listed phone of (763) 416-7600. NPI 1366000879 was issued on 05/30/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHEFFER 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 213 prescription claims written by this provider, covering 71 Medicare beneficiaries and totaling roughly $14K in drug spend, split 28% brand-name and 72% 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 79.8055/100 for the 2023 performance year (Quality 95.3713, Cost 48.147), compared with the national average of 83.1.

Pediatric Optometrist is a narrow specialty nationwide, with 316 enrolled providers across 43 states and an average of 184 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

12000 ELM CREEK BLVD N STE 100
MAPLE GROVE, MN 55369

Provider Details

NPI 1366000879
Specialty Pediatric Optometrist
Credentials OD
Gender Female
NPI Issued 05/30/2019

CMS Quality Score (MIPS)

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

79.8055
Final Score
Avg: 83.1
95.3713
Quality
48.147
Cost
87
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NICOLE SHEFFER, OD 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.

NORTHWEST EYE CLINIC LLC
MINNETONKA, MN

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 NICOLE SHEFFER, OD. Source: openpaymentsdata.cms.gov.

Total received

$935

Largest payer

CooperVision 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

NICOLE SHEFFER, OD — brand share 28.0%
Specialty average (est.)

28% brand-name claims vs 72% generic, on 213 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.

213
Total Claims
$14K
Total Drug Cost
71
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
395
Total Day Supply
11,067
Brand vs Generic
28% brand / 72% generic
Brand Drug Cost
$7K
Generic Drug Cost
$6K

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
0.98
Gender Split
66% female / 34% male

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
101
Timolol Maleate
17
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
11

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

Pediatric Optometrist Overview

How NICOLE SHEFFER, OD fits within the Pediatric Optometrist landscape nationally.

316
Pediatric Optometrist Providers in US
43
States with Pediatric Optometrist
184
Avg Claims per Provider

NICOLE SHEFFER, OD's 213 claims are above the specialty average of 184.

Nearby Pediatric Optometrist Providers in Minnesota

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

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

Frequently Asked Questions

What is NICOLE SHEFFER, OD's specialty?
NICOLE SHEFFER, OD specializes in Pediatric Optometrist and practices in MAPLE GROVE, Minnesota. Credentials: OD.
How much does NICOLE SHEFFER, OD prescribe under Medicare Part D?
In 2023, NICOLE SHEFFER, OD wrote 213 Medicare Part D claims totaling $14K in drug costs for 71 beneficiaries.
What is NICOLE SHEFFER, OD's Medicare quality score?
NICOLE SHEFFER, OD has a CMS MIPS Final Score of 79.8055/100 (Quality: 95.3713, Cost: 48.147). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NICOLE SHEFFER, OD located?
NICOLE SHEFFER, OD is located at 12000 ELM CREEK BLVD N STE 100, MAPLE GROVE, MN, 55369. Phone: (763) 416-7600.
What is NICOLE SHEFFER, OD's NPI number?
NICOLE SHEFFER, OD's National Provider Identifier (NPI) is 1366000879, issued on 05/30/2019.
Does NICOLE SHEFFER, OD prescribe more brand-name or generic drugs?
NICOLE SHEFFER, OD's prescribing is 28% brand-name and 72% generic drugs by claim count, with $7K in brand drug costs.
How many Pediatric Optometrist providers are there in the US?
There are 316 Pediatric Optometrist providers across 43 states in the US. The average Pediatric Optometrist provider writes 184 Medicare Part D claims per year.
What drugs does NICOLE SHEFFER, OD prescribe most often?
Based on 2023 Medicare Part D data, NICOLE SHEFFER, OD's most frequently prescribed drugs include Latanoprost, Timolol Maleate, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICOLE SHEFFER, OD accept Medicare?
NICOLE SHEFFER, OD appears in CMS Medicare data with 213 Part D claims and 71 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLE SHEFFER, OD's credentials?
NICOLE SHEFFER, OD's NPI is 1366000879 with credentials OD. 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