2026 NPPES data Ophthalmology Physician NPI 1205997160 MD
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Paul Harton, MD

Ophthalmology Physician in Rome, Georgia.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 22,082 in Ophthalmology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 284 beneficiaries · Ophthalmology Physician avg: 1K
MIPS score
77.5/100
▼ 6 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Paul Harton, MD reported a CMS MIPS final score of 77.5/100 - below the 83.1 national average - and filed 1,243 Medicare Part D claims in 2023.

77.5/100
MIPS score · -6 vs avg
1K
Part D claims, 2023
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.

Paul Harton, MD's MIPS score vs every scored U.S. clinician

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

78 24th percentile higher than 24% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. 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

Where Paul Harton, MD sits

This provider among ophthalmology physician peers

Across the 9,866 ophthalmology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Paul Harton, MD writes more Part D claims than 53% of them and scores higher on MIPS quality than 31% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 82Paul Harton, MD-Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 31
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one ophthalmology physician peer from a representative sample of 60; the gold marker is Paul Harton, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Paul Harton, 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 Paul Harton, MD?

Below national average

NPI registry status

Active

Issued 12/13/2006

NPI 1205997160

Primary specialty

Ophthalmology Physician

Mid-sized

22,082 US NPIs in this specialty

Medicare Part D claims

1,243 12% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

77.5/100 5.6 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Ophthalmology Physician compares to other specialties among Georgia providers

Georgia providers
Behavior Technician - 7.3%Behavior Technician7.3%Pharmacist - 5.1%Pharmacist5.1%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Family Nurse Practitioner - 4.8%Family Nurse Practitioner4.8%Physical Therapist - 3.9%Physical Therapist3.9%Professional Counselor - 3.6%Professional Counselor3.6%Ophthalmology Physician - 0.3%Ophthalmology Physician0.3%
Largest specialties in Georgia (% of in-state providers)

Medicare quality performance, MIPS

Paul Harton, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
77.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) - 77.5/100 vs national avg 83.1

0%100%National avg83%77.5%
MIPS final score (Ophthalmology Physician) - 77.5/100 vs national avg 83.1
How MIPS and board certification work

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).

Paul Harton, MD appears in the CMS NPPES registry as an Ophthalmology Physician provider holding MD credentials at 550 REDMOND RD NW, Rome, GA, 30165, with a listed phone of (706) 233-8502. NPI 1205997160 was issued on 12/13/2006.

Medicare Part D records for calendar year 2023 show 1,243 prescription claims written by this provider, covering 284 Medicare beneficiaries and totaling roughly $95K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.5/100 for the 2023 performance year (Quality 60.9, Cost 64), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,082 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

550 REDMOND RD NW
Rome, GA 30165

Provider Details

NPI 1205997160
Specialty Ophthalmology Physician
Credentials MD
Gender Male
NPI Issued 12/13/2006

CMS Quality Score (MIPS)

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

77.4511
Final Score
Avg: 83.1
60.8695
Quality
63.9675
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Paul Harton, 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.

Harbin Clinic LLC
Rome, GA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,243
Total Claims
$95K
Total Drug Cost
284
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,198
Total Day Supply
62,572
Generic Drug Cost
$28K

Patient Demographics

Average Patient Age
76.4 years
Avg HCC Risk Score
1.46
Gender Split
52% female / 48% male

Top Prescribed Drugs (Medicare Part D)

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

What Paul Harton, 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
Latanoprost
479
Brimonidine Tartrate
168
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
133
Timolol Maleate
98
Prednisolone Acetate
73
Ketorolac Tromethamine
57
Rocklatan
Netarsudil Mesylat/Latanoprost
28
Dorzolamide Hcl
26
Travoprost
26
Lumigan
Bimatoprost
21

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

Ophthalmology Physician Overview

How Paul Harton, MD fits within the Ophthalmology Physician landscape nationally.

22,082
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

Paul Harton, MD's 1,243 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Georgia

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

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Georgia medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Ophthalmology Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Paul Harton, MD's specialty?
Paul Harton, MD specializes in Ophthalmology Physician and practices in Rome, Georgia. Credentials: MD.
How much does Paul Harton, MD prescribe under Medicare Part D?
In 2023, Paul Harton, MD wrote 1,243 Medicare Part D claims totaling $95K in drug costs for 284 beneficiaries.
What is Paul Harton, MD's Medicare quality score?
Paul Harton, MD has a CMS MIPS Final Score of 77.5/100 (Quality: 60.9, Cost: 64). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Paul Harton, MD located?
Paul Harton, MD is located at 550 REDMOND RD NW, Rome, GA, 30165. Phone: (706) 233-8502.
What is Paul Harton, MD's NPI number?
Paul Harton, MD's National Provider Identifier (NPI) is 1205997160, issued on 12/13/2006.
How many Ophthalmology Physician providers are there in the US?
There are 22,082 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 Paul Harton, MD prescribe most often?
Based on 2023 Medicare Part D data, Paul Harton, MD's most frequently prescribed drugs include Latanoprost, Brimonidine Tartrate, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Paul Harton, MD accept Medicare?
Paul Harton, MD appears in CMS Medicare data with 1,243 Part D claims and 284 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Paul Harton, MD's credentials?
Paul Harton, MD's NPI is 1205997160 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

View source datasets and methodology notes
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

Compiled from official public sources by the PlainDoctor editorial team.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.