2026 NPPES data Optometrist NPI 1750365052 OD
Verify on CMS →

ROBERT GRAHAM, OD

Optometrist in OJAI, California. 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
170
Medicare Part D claims · 44 beneficiaries · Optometrist avg: 257
Generic prescribing
51%
generic claims · 49% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.1667/100
▲ 6 pts above national avg 83.1 · [object Object]

What the federal data shows

ROBERT GRAHAM, OD reported a CMS MIPS final score of 89.1667/100 — above the 83.1 national average — and filed 170 Medicare Part D claims in 2023.

89.1667/100
MIPS score · +6 vs avg
170
Part D claims, 2023
51%
generic prescribing

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.

ROBERT GRAHAM, OD's MIPS score vs every scored U.S. clinician

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

89 Top 42% higher than 58% 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%). This entry sits in this band. 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

What does the federal data show about ROBERT GRAHAM, OD?

High performer (top quartile)

NPI registry status

Active

Issued 12/01/2005

NPI 1750365052

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

170 34% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

89.1667/100 6.0667000000000115% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Optometrist compares to other specialties among California providers

California providers

Optometrist share within California

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

Medicare quality performance — MIPS

ROBERT GRAHAM, OD's 2023 MIPS final score plotted against the Optometrist national average

High performer (top quartile)
MIPS Final Score
89.1667/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 89.1667/100 vs national avg 83.1

0%100%National avg83%89.2%
MIPS final score (Optometrist) — 89.1667/100 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).

ROBERT GRAHAM, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 635 E OJAI AVE, OJAI, CA, 93023, with a listed phone of (805) 646-8510. NPI 1750365052 was issued on 12/01/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GRAHAM 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 170 prescription claims written by this provider, covering 44 Medicare beneficiaries and totaling roughly $38K in drug spend, split 49% brand-name and 51% 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 89.1667/100 for the 2023 performance year (Quality 78.3333), compared with the national average of 83.1.

Optometrist is a high-volume specialty nationwide, with 60,463 enrolled providers across 56 states and an average of 257 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

635 E OJAI AVE
OJAI, CA 93023

Provider Details

NPI 1750365052
Specialty Optometrist
Credentials OD
Gender Male
NPI Issued 12/01/2005

CMS Quality Score (MIPS)

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

89.1667
Final Score
Avg: 83.1
78.3333
Quality

Reporting: Individual

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to ROBERT GRAHAM, OD. To verify ROBERT GRAHAM, OD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

ROBERT GRAHAM, OD — brand share 49.0%
Specialty average (est.)

49% brand-name claims vs 51% generic, on 170 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.

170
Total Claims
$38K
Total Drug Cost
44
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
256
Total Day Supply
7,061
Brand vs Generic
49% brand / 51% generic
Brand Drug Cost
$36K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
76.8 years
Avg HCC Risk Score
0.92
Gender Split
59% female / 41% male

Top Prescribed Drugs (Medicare Part D)

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

What ROBERT GRAHAM, OD 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
Lumigan
Bimatoprost
46
Latanoprost
35
Erythromycin
Erythromycin Base
17
Brimonidine Tartrate
15
Cyclosporine
12
Dorzolamide Hcl
11

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

Optometrist Overview

How ROBERT GRAHAM, OD fits within the Optometrist landscape nationally.

60,463
Optometrist Providers in US
56
States with Optometrist
257
Avg Claims per Provider

ROBERT GRAHAM, OD's 170 claims are below the specialty average of 257.

Nearby Optometrist Providers in California

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

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

Frequently Asked Questions

What is ROBERT GRAHAM, OD's specialty?
ROBERT GRAHAM, OD specializes in Optometrist and practices in OJAI, California. Credentials: OD.
How much does ROBERT GRAHAM, OD prescribe under Medicare Part D?
In 2023, ROBERT GRAHAM, OD wrote 170 Medicare Part D claims totaling $38K in drug costs for 44 beneficiaries.
What is ROBERT GRAHAM, OD's Medicare quality score?
ROBERT GRAHAM, OD has a CMS MIPS Final Score of 89.1667/100 (Quality: 78.3333). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROBERT GRAHAM, OD located?
ROBERT GRAHAM, OD is located at 635 E OJAI AVE, OJAI, CA, 93023. Phone: (805) 646-8510.
What is ROBERT GRAHAM, OD's NPI number?
ROBERT GRAHAM, OD's National Provider Identifier (NPI) is 1750365052, issued on 12/01/2005.
Does ROBERT GRAHAM, OD prescribe more brand-name or generic drugs?
ROBERT GRAHAM, OD's prescribing is 49% brand-name and 51% generic drugs by claim count, with $36K in brand drug costs.
How many Optometrist providers are there in the US?
There are 60,463 Optometrist providers across 56 states in the US. The average Optometrist provider writes 257 Medicare Part D claims per year.
What drugs does ROBERT GRAHAM, OD prescribe most often?
Based on 2023 Medicare Part D data, ROBERT GRAHAM, OD's most frequently prescribed drugs include Lumigan, Latanoprost, Erythromycin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROBERT GRAHAM, OD accept Medicare?
ROBERT GRAHAM, OD appears in CMS Medicare data with 170 Part D claims and 44 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROBERT GRAHAM, OD's credentials?
ROBERT GRAHAM, OD's NPI is 1750365052 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