2026 NPPES data Ophthalmology Physician NPI 1952410680 MD PHD
Verify on CMS →

PATRICIA BURKE, MD PHD

Ophthalmology Physician in PARAMUS, New Jersey. 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
805
Medicare Part D claims · 225 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.9195/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$150.18
9 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PATRICIA BURKE, MD PHD reported a CMS MIPS final score of 90.9195/100 — above the 83.1 national average — and filed 805 Medicare Part D claims in 2023.

90.9195/100
MIPS score · +8 vs avg
805
Part D claims, 2023
70%
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.

PATRICIA BURKE, MD PHD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

91 Top 40% higher than 60% 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)

PATRICIA BURKE, MD PHD 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 PATRICIA BURKE, MD PHD?

High performer (top quartile)

NPI registry status

Active

Issued 08/29/2006

NPI 1952410680

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

805 43% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

90.9195/100 7.819500000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Ophthalmology Physician compares to other specialties among New Jersey providers

New Jersey providers

Ophthalmology Physician share within New Jersey

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

Medicare quality performance — MIPS

PATRICIA BURKE, MD PHD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
90.9195/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 90.9195/100 vs national avg 83.1

0%100%National avg83%90.9%
MIPS final score (Ophthalmology Physician) — 90.9195/100 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).

PATRICIA BURKE, MD PHD is a Ophthalmology Physician provider practicing in PARAMUS, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD PHD. NPI: 1952410680. 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.

PATRICIA BURKE, MD PHD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD PHD credentials at 1 SEARS DRIVE 4TH FL, PARAMUS, NJ, 07652, with a listed phone of (201) 599-0123. NPI 1952410680 was issued on 08/29/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BURKE 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 805 prescription claims written by this provider, covering 225 Medicare beneficiaries and totaling roughly $95K in drug spend, split 30% brand-name and 70% 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 90.9195/100 for the 2023 performance year (Quality 99.4303, Cost 70.776), 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

1 SEARS DRIVE 4TH FL
PARAMUS, NJ 07652

Provider Details

NPI 1952410680
Specialty Ophthalmology Physician
Credentials MD PHD
Gender Female
NPI Issued 08/29/2006

CMS Quality Score (MIPS)

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

90.9195
Final Score
Avg: 83.1
99.4303
Quality
70.776
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where PATRICIA BURKE, MD PHD 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.

ASSOCIATED RETINAL CONSULTANTS LLC
TEANECK, NJ

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 PATRICIA BURKE, MD PHD. Source: openpaymentsdata.cms.gov.

Total received

$150

Largest payer

Harrow Eye, LLC

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

PATRICIA BURKE, MD PHD — brand share 30.0%
Specialty average (est.)

30% brand-name claims vs 70% generic, on 805 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.

805
Total Claims
$95K
Total Drug Cost
225
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,335
Total Day Supply
36,231
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$65K
Generic Drug Cost
$29K

Patient Demographics

Average Patient Age
77.3 years
Avg HCC Risk Score
1.10
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
233
Timolol Maleate
138
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
63
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
53
Prednisolone Acetate
38
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
29
Brinzolamide
25
Brimonidine Tartrate
22
Lumigan
Bimatoprost
17
Rocklatan
Netarsudil Mesylat/Latanoprost
17

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

Ophthalmology Physician Overview

How PATRICIA BURKE, MD PHD 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

PATRICIA BURKE, MD PHD's 805 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as BURKE.

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

Frequently Asked Questions

What is PATRICIA BURKE, MD PHD's specialty?
PATRICIA BURKE, MD PHD specializes in Ophthalmology Physician and practices in PARAMUS, New Jersey. Credentials: MD PHD.
How much does PATRICIA BURKE, MD PHD prescribe under Medicare Part D?
In 2023, PATRICIA BURKE, MD PHD wrote 805 Medicare Part D claims totaling $95K in drug costs for 225 beneficiaries.
What is PATRICIA BURKE, MD PHD's Medicare quality score?
PATRICIA BURKE, MD PHD has a CMS MIPS Final Score of 90.9195/100 (Quality: 99.4303, Cost: 70.776). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PATRICIA BURKE, MD PHD located?
PATRICIA BURKE, MD PHD is located at 1 SEARS DRIVE 4TH FL, PARAMUS, NJ, 07652. Phone: (201) 599-0123.
What is PATRICIA BURKE, MD PHD's NPI number?
PATRICIA BURKE, MD PHD's National Provider Identifier (NPI) is 1952410680, issued on 08/29/2006.
Does PATRICIA BURKE, MD PHD prescribe more brand-name or generic drugs?
PATRICIA BURKE, MD PHD's prescribing is 30% brand-name and 70% generic drugs by claim count, with $65K 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 PATRICIA BURKE, MD PHD prescribe most often?
Based on 2023 Medicare Part D data, PATRICIA BURKE, MD PHD's most frequently prescribed drugs include Latanoprost, Timolol Maleate, Tobramycin-Dexamethasone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PATRICIA BURKE, MD PHD accept Medicare?
PATRICIA BURKE, MD PHD appears in CMS Medicare data with 805 Part D claims and 225 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PATRICIA BURKE, MD PHD's credentials?
PATRICIA BURKE, MD PHD's NPI is 1952410680 with credentials MD PHD. 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