2026 NPPES data Pediatric Optometrist NPI 1366487662 OD
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PATRICIA CARNIGLIA, OD

Pediatric Optometrist in RED BANK, 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
862
Medicare Part D claims · 415 beneficiaries · Pediatric Optometrist avg: 184
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.7847/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$17
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PATRICIA CARNIGLIA, OD is a Pediatric Optometrist ([object Object]) practicing in RED BANK, New Jersey with a Medicare Part D prescribing footprint of 862 claims across 415 beneficiaries — 23% brand-name prescribing . Their CMS MIPS Final Score of 89.7847/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $17 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PATRICIA CARNIGLIA, OD reported a CMS MIPS final score of 89.7847 out of 100, above the 83.1 national average, and filed 862 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

PATRICIA CARNIGLIA, OD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/19/2006

NPI 1366487662

Primary specialty

Pediatric Optometrist

Rare

316 US NPIs in this specialty

Medicare Part D claims

862 368% vs specialty avg

2023 prescription claims

Specialty avg: 184

MIPS final score

89.7847/100 6.6847000000000065% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Pediatric Optometrist compares to other specialties among New Jersey providers

New Jersey providers

Pediatric Optometrist share within New Jersey

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

Medicare quality performance — MIPS

PATRICIA CARNIGLIA, OD's 2023 MIPS final score plotted against the Pediatric Optometrist national average

High performer (top quartile)
MIPS Final Score
89.7847/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Optometrist) — 89.7847/100 vs national avg 83.1

0%100%National avg83%89.8%
MIPS final score (Pediatric Optometrist) — 89.7847/100 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 CARNIGLIA, OD is a Pediatric Optometrist provider practicing in RED BANK, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: OD. NPI: 1366487662. 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 CARNIGLIA, OD appears in the CMS NPPES registry as a Pediatric Optometrist provider holding OD credentials at 152 BROAD ST STE 2, RED BANK, NJ, 07701, with a listed phone of (732) 747-7725. NPI 1366487662 was issued on 06/19/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARNIGLIA 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 862 prescription claims written by this provider, covering 415 Medicare beneficiaries and totaling roughly $85K in drug spend, split 23% brand-name and 77% 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 89.7847/100 for the 2023 performance year (Quality 84.9003, Cost 81.0487), 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

152 BROAD ST STE 2
RED BANK, NJ 07701

Provider Details

NPI 1366487662
Specialty Pediatric Optometrist
Credentials OD
Gender Female
NPI Issued 06/19/2006

CMS Quality Score (MIPS)

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

89.7847
Final Score
Avg: 83.1
84.9003
Quality
81.0487
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PATRICIA CARNIGLIA, 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.

DEL NEGRO AND SENFT EYE ASSOCIATES, P.C.
NEPTUNE, 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 CARNIGLIA, OD. Source: openpaymentsdata.cms.gov.

Total received

$17

Largest payer

Bausch & Lomb Americas 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 · Typical

PATRICIA CARNIGLIA, OD — brand share 23.0%
Specialty average (est.)

23% brand-name claims vs 77% generic, on 862 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.

862
Total Claims
$85K
Total Drug Cost
415
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,338
Total Day Supply
35,714
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$67K
Generic Drug Cost
$18K

Patient Demographics

Average Patient Age
77.5 years
Avg HCC Risk Score
1.13
Gender Split
64% female / 36% 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
253
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
159
Timolol Maleate
66
Brimonidine Tartrate
65
Erythromycin
Erythromycin Base
55
Restasis
Cyclosporine
40
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
28
Prednisolone Acetate
28
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
24
Lumigan
Bimatoprost
17

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

Pediatric Optometrist Overview

How PATRICIA CARNIGLIA, OD fits within the Pediatric Optometrist landscape nationally.

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

PATRICIA CARNIGLIA, OD's 862 claims are above the specialty average of 184.

Nearby Pediatric Optometrist Providers in New Jersey

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

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

Frequently Asked Questions

What is PATRICIA CARNIGLIA, OD's specialty?
PATRICIA CARNIGLIA, OD specializes in Pediatric Optometrist and practices in RED BANK, New Jersey. Credentials: OD.
How much does PATRICIA CARNIGLIA, OD prescribe under Medicare Part D?
In 2023, PATRICIA CARNIGLIA, OD wrote 862 Medicare Part D claims totaling $85K in drug costs for 415 beneficiaries.
What is PATRICIA CARNIGLIA, OD's Medicare quality score?
PATRICIA CARNIGLIA, OD has a CMS MIPS Final Score of 89.7847/100 (Quality: 84.9003, Cost: 81.0487). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PATRICIA CARNIGLIA, OD located?
PATRICIA CARNIGLIA, OD is located at 152 BROAD ST STE 2, RED BANK, NJ, 07701. Phone: (732) 747-7725.
What is PATRICIA CARNIGLIA, OD's NPI number?
PATRICIA CARNIGLIA, OD's National Provider Identifier (NPI) is 1366487662, issued on 06/19/2006.
Does PATRICIA CARNIGLIA, OD prescribe more brand-name or generic drugs?
PATRICIA CARNIGLIA, OD's prescribing is 23% brand-name and 77% generic drugs by claim count, with $67K 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 PATRICIA CARNIGLIA, OD prescribe most often?
Based on 2023 Medicare Part D data, PATRICIA CARNIGLIA, OD's most frequently prescribed drugs include Latanoprost, Neomycin-Polymyxin-Dexameth, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PATRICIA CARNIGLIA, OD accept Medicare?
PATRICIA CARNIGLIA, OD appears in CMS Medicare data with 862 Part D claims and 415 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PATRICIA CARNIGLIA, OD's credentials?
PATRICIA CARNIGLIA, OD's NPI is 1366487662 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