2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1376981894 MD
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ROBERT WELCH, MD

Retina Specialist (Ophthalmology) Physician in PROVO, Utah. 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
559
Medicare Part D claims · 137 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
Generic prescribing
64%
generic claims · 36% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.6594/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$26.06
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ROBERT WELCH, MD is a Retina Specialist (Ophthalmology) Physician ([object Object]) practicing in PROVO, Utah with a Medicare Part D prescribing footprint of 559 claims across 137 beneficiaries — 36% brand-name prescribing . Their CMS MIPS Final Score of 91.6594/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $26.06 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ROBERT WELCH, MD reported a CMS MIPS final score of 91.6594 out of 100, above the 83.1 national average, and filed 559 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ROBERT WELCH, 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).

ROBERT WELCH, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/06/2013

NPI 1376981894

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

559 0% vs specialty avg

2023 prescription claims

Specialty avg: 558

MIPS final score

91.6594/100 8.55940000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Utah

How Retina Specialist (Ophthalmology) Physician compares to other specialties among Utah providers

Utah providers

Retina Specialist (Ophthalmology) Physician share within Utah

1. Retina Specialist (Ophthalmology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Retina Specialist (Ophthalmology) Physician share within Utah

Medicare quality performance — MIPS

ROBERT WELCH, MD's 2023 MIPS final score plotted against the Retina Specialist (Ophthalmology) Physician national average

High performer (top quartile)
MIPS Final Score
91.6594/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Retina Specialist (Ophthalmology) Physician) — 91.6594/100 vs national avg 83.1

0%100%National avg83%91.7%
MIPS final score (Retina Specialist (Ophthalmology) Physician) — 91.6594/100 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 WELCH, MD is a Retina Specialist (Ophthalmology) Physician provider practicing in PROVO, Utah, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1376981894. 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.

ROBERT WELCH, MD appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding MD credentials at 1055 N 300 W STE 500, PROVO, UT, 84604, with a listed phone of (801) 357-7704. NPI 1376981894 was issued on 06/06/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WELCH 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 559 prescription claims written by this provider, covering 137 Medicare beneficiaries and totaling roughly $19K in drug spend, split 36% brand-name and 64% 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 91.6594/100 for the 2023 performance year (Quality 100, Cost 73.8647), compared with the national average of 83.1.

Retina Specialist (Ophthalmology) Physician is a narrow specialty nationwide, with 913 enrolled providers across 48 states and an average of 558 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

1055 N 300 W STE 500
PROVO, UT 84604

Provider Details

NPI 1376981894
Specialty Retina Specialist (Ophthalmology) Physician
Credentials MD
Gender Male
NPI Issued 06/06/2013

CMS Quality Score (MIPS)

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

91.6594
Final Score
Avg: 83.1
100
Quality
73.8647
Cost
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ROBERT WELCH, 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.

RETINA AND VITREOUS SURGEONS OF UTAH LLC
DRAPER, UT

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 ROBERT WELCH, MD. Source: openpaymentsdata.cms.gov.

Total received

$26

Largest payer

Genentech USA, 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 · Above average

ROBERT WELCH, MD — brand share 36.0%
Specialty average (est.)

36% brand-name claims vs 64% generic, on 559 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.

559
Total Claims
$19K
Total Drug Cost
137
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
807
Total Day Supply
21,230
Brand vs Generic
36% brand / 64% generic
Brand Drug Cost
$12K
Generic Drug Cost
$8K

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
1.53
Gender Split
56% female / 44% male
Age Distribution
<65: 15, 65-74: 63, 75-84: 43, 85+: 16

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisolone Acetate
158
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
72
Ketorolac Tromethamine
68
Ofloxacin
56
Latanoprost
40
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
28
Timolol Maleate
24
Cyclopentolate Hcl
23
Brimonidine Tartrate
20
Atropine Sulfate
11

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

Retina Specialist (Ophthalmology) Physician Overview

How ROBERT WELCH, MD fits within the Retina Specialist (Ophthalmology) Physician landscape nationally.

913
Retina Specialist (Ophthalmology) Physician Providers in US
48
States with Retina Specialist (Ophthalmology) Physician
558
Avg Claims per Provider

ROBERT WELCH, MD's 559 claims are above the specialty average of 558.

Nearby Retina Specialist (Ophthalmology) Physician Providers in Utah

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

Compare Retina Specialist (Ophthalmology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROBERT WELCH, MD's specialty?
ROBERT WELCH, MD specializes in Retina Specialist (Ophthalmology) Physician and practices in PROVO, Utah. Credentials: MD.
How much does ROBERT WELCH, MD prescribe under Medicare Part D?
In 2023, ROBERT WELCH, MD wrote 559 Medicare Part D claims totaling $19K in drug costs for 137 beneficiaries.
What is ROBERT WELCH, MD's Medicare quality score?
ROBERT WELCH, MD has a CMS MIPS Final Score of 91.6594/100 (Quality: 100, Cost: 73.8647). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROBERT WELCH, MD located?
ROBERT WELCH, MD is located at 1055 N 300 W STE 500, PROVO, UT, 84604. Phone: (801) 357-7704.
What is ROBERT WELCH, MD's NPI number?
ROBERT WELCH, MD's National Provider Identifier (NPI) is 1376981894, issued on 06/06/2013.
Does ROBERT WELCH, MD prescribe more brand-name or generic drugs?
ROBERT WELCH, MD's prescribing is 36% brand-name and 64% generic drugs by claim count, with $12K in brand drug costs.
How many Retina Specialist (Ophthalmology) Physician providers are there in the US?
There are 913 Retina Specialist (Ophthalmology) Physician providers across 48 states in the US. The average Retina Specialist (Ophthalmology) Physician provider writes 558 Medicare Part D claims per year.
What drugs does ROBERT WELCH, MD prescribe most often?
Based on 2023 Medicare Part D data, ROBERT WELCH, MD's most frequently prescribed drugs include Prednisolone Acetate, Dorzolamide-Timolol, Ketorolac Tromethamine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROBERT WELCH, MD accept Medicare?
ROBERT WELCH, MD appears in CMS Medicare data with 559 Part D claims and 137 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROBERT WELCH, MD's credentials?
ROBERT WELCH, MD's NPI is 1376981894 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