NPPES file of Aug 9, 2026

Randall Nacke, M.D.

Ophthalmology Physician · Crystal City, MO

Randall Nacke, M.D. is an ophthalmology physician with a practice address in Crystal City, Missouri, and NPI 1093828782, issued on Aug 16, 2006. Check the license on the Missouri Board of Registration for the Healing Arts; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1093828782
Name
Randall Nacke
Credential
M.D.
Primary taxonomy
Ophthalmology Physician 207W00000X
License number
TP10024907 TX
Self-reported in NPPES; status is on the state search
Practice location
1400 Hwy 61 South, Crystal City, MO 63019
Phone
(636) 937-8855
Enumerated
Aug 16, 2006
Record last updated
Feb 19, 2008 (not updated in 18 years: call before relying on the address or phone)
Fax
(636) 931-6561
Medicare enrollment
Enrolled (PECOS I20070622000449); accepts Medicare assignment
Medical or professional school
University Of Iowa, Rj & L Carver College Of Medicine, 2002
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1400 Hwy 61 South

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Geoffrey Nelle, PTPhysical Therapist1538482062

Verify Randall Nacke in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMissouri Board of Registration for the Healing ArtsCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Missouri license search

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19% more Medicare Part D claims than the average ophthalmology physician in 2024

1,812 Medicare Part D claims for 396 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 28% of claims.

  1. Randall Nacke1,812
  2. Specialty average1,518

Most prescribed

  1. Latanoprost786 claims
  2. Timolol Maleate179 claims
  3. Dorzolamide-Timolol136 claims
  4. Restasis97 claims
  5. Brimonidine Tartrate74 claims
  6. Erythromycin72 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 99.9 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score99.7
  2. Costout of 100 · 30%100.0
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $21.65

1 payment: food and beverage; the largest payer was Abbvie Inc. The 13,221 providers of this specialty with any payment received $4,535.02 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Randall Nacke$21.65
  2. Specialty average$4,535.02

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Premiere Eye Associates, P.C.Festus, MO

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Randall Nacke among 342 ophthalmology physician records in Missouri

Randall Nacke, M.D. is one of 342 ophthalmology physician records with a practice address in Missouri. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 24% of them.

  • NPI issued2006 · 24% of these records are older, 39% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 59% of these records are
  • Graduated2002 · median 1999 among the 202 with a school on file
  • Record last updated2008 · 67% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

1 ophthalmology physician record lists a practice address in Crystal City

They are 1 of the 60 NPPES records with a practice address in Crystal City, and 342 ophthalmology physician records in Missouri.

The 8 ophthalmology physician records with the nearest ZIP codes

  1. Whitney Brothers, M.D.Chesterfield, MO 630171760680391
  2. Adam Fedyk, M.D.Town Country, MO 630171356544209
  3. Nancy Holekamp, M.D.Chesterfield, MO 630171831197557
  4. Farheen N Kazi Raja, M.D.Chesterfield, MO 630171619175247
  5. Mujtaba Qazi, M.D.Chesterfield, MO 630171124010434
  6. Dennis Ryll, M.D.Chesterfield, MO 630171679917405
  7. Ibrahim Sayed-Ahmed, MD MSChesterfield, MO 630171487158556
  8. Steven Shields, M.D.Chesterfield, MO 630171548296452

Common questions

What is Randall Nacke, M.D.'s NPI number?

Randall Nacke, M.D.'s National Provider Identifier (NPI) is 1093828782, issued on Aug 16, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Randall Nacke, M.D. located?

The NPPES record lists a practice address at 1400 Hwy 61 South, Crystal City, MO, 63019. Phone: (636) 937-8855. Providers update this record themselves, so call before visiting.

How can I verify Randall Nacke, M.D.'s license?

Search the Missouri Board of Registration for the Healing Arts at https://www.fsmb.org/contact-a-state-medical-board/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Randall Nacke, M.D. prescribe under Medicare Part D?

In 2024, Randall Nacke, M.D. had 1,812 Medicare Part D claims for 396 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.

What is Randall Nacke, M.D.'s MIPS final score?

The 2023 MIPS final score is 99.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.