2026 NPPES data Ophthalmology Physician NPI 1336134998 MD
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PAUL HERRELL, MD

Ophthalmology Physician in HOPKINSVILLE, Kentucky. 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
802
Medicare Part D claims · 221 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
47%
generic claims · 53% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$140.47
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PAUL HERRELL, MD reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 802 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
802
Part D claims, 2023
47%
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.

PAUL HERRELL, MD's MIPS score vs every scored U.S. clinician

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

75 15th percentile higher than 15% 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. 90–100: 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

Board certification likely (heuristic — not verified)

PAUL HERRELL, 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 HERRELL, MD?

Below national average

NPI registry status

Active

Issued 09/20/2005

NPI 1336134998

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

802 44% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Ophthalmology Physician compares to other specialties among Kentucky providers

Kentucky providers

Ophthalmology Physician share within Kentucky

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

Medicare quality performance — MIPS

PAUL HERRELL, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Ophthalmology Physician) — 75/100 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).

PAUL HERRELL, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 205 W 15TH ST, HOPKINSVILLE, KY, 42240, with a listed phone of (270) 886-2020. NPI 1336134998 was issued on 09/20/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HERRELL 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 802 prescription claims written by this provider, covering 221 Medicare beneficiaries and totaling roughly $222K in drug spend, split 53% brand-name and 47% 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 75/100 for the 2023 performance year, 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

205 W 15TH ST
HOPKINSVILLE, KY 42240

Provider Details

NPI 1336134998
Specialty Ophthalmology Physician
Credentials MD
Gender Male
NPI Issued 09/20/2005

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where PAUL HERRELL, 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.

PAUL K HERRELL PSC
HOPKINSVILLE, KY

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 PAUL HERRELL, MD. Source: openpaymentsdata.cms.gov.

Total received

$140

Largest payer

Alcon Vision 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 · Brand-heavy

PAUL HERRELL, MD — brand share 53.0%
Specialty average (est.)

53% brand-name claims vs 47% generic, on 802 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.

802
Total Claims
$222K
Total Drug Cost
221
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,342
Total Day Supply
38,322
Brand vs Generic
53% brand / 47% generic
Brand Drug Cost
$201K
Generic Drug Cost
$20K
Antibiotic Claims
21

Patient Demographics

Average Patient Age
78.0 years
Avg HCC Risk Score
1.25
Gender Split
56% female / 44% 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 HERRELL, 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
113
Timolol Maleate
61
Travoprost
52
Vyzulta
Latanoprostene Bunod
52
Brimonidine Tartrate
44
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
41
Combigan
Brimonidine Tartrate/Timolol
40
Xiidra
Lifitegrast
35
Lumigan
Bimatoprost
32
Simbrinza
Brinzolamide/Brimonidine Tart
30

* 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 HERRELL, 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

PAUL HERRELL, MD's 802 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Kentucky

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

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

Frequently Asked Questions

What is PAUL HERRELL, MD's specialty?
PAUL HERRELL, MD specializes in Ophthalmology Physician and practices in HOPKINSVILLE, Kentucky. Credentials: MD.
How much does PAUL HERRELL, MD prescribe under Medicare Part D?
In 2023, PAUL HERRELL, MD wrote 802 Medicare Part D claims totaling $222K in drug costs for 221 beneficiaries.
What is PAUL HERRELL, MD's Medicare quality score?
PAUL HERRELL, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAUL HERRELL, MD located?
PAUL HERRELL, MD is located at 205 W 15TH ST, HOPKINSVILLE, KY, 42240. Phone: (270) 886-2020.
What is PAUL HERRELL, MD's NPI number?
PAUL HERRELL, MD's National Provider Identifier (NPI) is 1336134998, issued on 09/20/2005.
Does PAUL HERRELL, MD prescribe more brand-name or generic drugs?
PAUL HERRELL, MD's prescribing is 53% brand-name and 47% generic drugs by claim count, with $201K 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 PAUL HERRELL, MD prescribe most often?
Based on 2023 Medicare Part D data, PAUL HERRELL, MD's most frequently prescribed drugs include Latanoprost, Timolol Maleate, Travoprost. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL HERRELL, MD accept Medicare?
PAUL HERRELL, MD appears in CMS Medicare data with 802 Part D claims and 221 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL HERRELL, MD's credentials?
PAUL HERRELL, MD's NPI is 1336134998 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