2026 NPPES data Ophthalmology Physician NPI 1225304918 M.D.
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RUSSELL SWAN, M.D.

Ophthalmology Physician in BOZEMAN, Montana. 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
392
Medicare Part D claims · 143 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
57%
generic claims · 43% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.2187/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$16.7K
19 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RUSSELL SWAN, M.D. is a Ophthalmology Physician ([object Object]) practicing in BOZEMAN, Montana with a Medicare Part D prescribing footprint of 392 claims across 143 beneficiaries — 43% brand-name prescribing . Their CMS MIPS Final Score of 90.2187/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $16.7K across 19 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RUSSELL SWAN, M.D. reported a CMS MIPS final score of 90.2187 out of 100, above the 83.1 national average, and filed 392 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)

RUSSELL SWAN, M.D. 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).

RUSSELL SWAN, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/27/2012

NPI 1225304918

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

392 72% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

90.2187/100 7.118700000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Montana

How Ophthalmology Physician compares to other specialties among Montana providers

Montana providers

Ophthalmology Physician share within Montana

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

Medicare quality performance — MIPS

RUSSELL SWAN, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
90.2187/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 90.2187/100 vs national avg 83.1

0%100%National avg83%90.2%
MIPS final score (Ophthalmology Physician) — 90.2187/100 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).

RUSSELL SWAN, M.D. is a Ophthalmology Physician provider practicing in BOZEMAN, Montana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1225304918. 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.

RUSSELL SWAN, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 1925 N 22ND AVE STE 201, BOZEMAN, MT, 59718, with a listed phone of (406) 219-0700. NPI 1225304918 was issued on 03/27/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SWAN 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 392 prescription claims written by this provider, covering 143 Medicare beneficiaries and totaling roughly $42K in drug spend, split 43% brand-name and 57% 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 90.2187/100 for the 2023 performance year (Quality 91.6332, Cost 77.429), 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

1925 N 22ND AVE STE 201
BOZEMAN, MT 59718

Provider Details

NPI 1225304918
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 03/27/2012

CMS Quality Score (MIPS)

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

90.2187
Final Score
Avg: 83.1
91.6332
Quality
77.429
Cost
98
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where RUSSELL SWAN, M.D. 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.

VANCE THOMPSON VISION CLINIC PROF LLC
BILLINGS, MT

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 RUSSELL SWAN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$16.7K

Largest payer

Glaukos Corporation

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

RUSSELL SWAN, M.D. — brand share 43.0%
Specialty average (est.)

43% brand-name claims vs 57% generic, on 392 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.

392
Total Claims
$42K
Total Drug Cost
143
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
610
Total Day Supply
16,482
Brand vs Generic
43% brand / 57% generic
Brand Drug Cost
$32K
Generic Drug Cost
$10K

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
0.92
Gender Split
64% female / 36% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Moxifloxacin
Moxifloxacin Hcl
124
Prednisolone Acetate
121
Ketorolac Tromethamine
79
Ilevro
Nepafenac
35
Difluprednate
14

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

Ophthalmology Physician Overview

How RUSSELL SWAN, M.D. 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

RUSSELL SWAN, M.D.'s 392 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Montana

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

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

Frequently Asked Questions

What is RUSSELL SWAN, M.D.'s specialty?
RUSSELL SWAN, M.D. specializes in Ophthalmology Physician and practices in BOZEMAN, Montana. Credentials: M.D..
How much does RUSSELL SWAN, M.D. prescribe under Medicare Part D?
In 2023, RUSSELL SWAN, M.D. wrote 392 Medicare Part D claims totaling $42K in drug costs for 143 beneficiaries.
What is RUSSELL SWAN, M.D.'s Medicare quality score?
RUSSELL SWAN, M.D. has a CMS MIPS Final Score of 90.2187/100 (Quality: 91.6332, Cost: 77.429). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RUSSELL SWAN, M.D. located?
RUSSELL SWAN, M.D. is located at 1925 N 22ND AVE STE 201, BOZEMAN, MT, 59718. Phone: (406) 219-0700.
What is RUSSELL SWAN, M.D.'s NPI number?
RUSSELL SWAN, M.D.'s National Provider Identifier (NPI) is 1225304918, issued on 03/27/2012.
Does RUSSELL SWAN, M.D. prescribe more brand-name or generic drugs?
RUSSELL SWAN, M.D.'s prescribing is 43% brand-name and 57% generic drugs by claim count, with $32K 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 RUSSELL SWAN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RUSSELL SWAN, M.D.'s most frequently prescribed drugs include Moxifloxacin, Prednisolone Acetate, Ketorolac Tromethamine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RUSSELL SWAN, M.D. accept Medicare?
RUSSELL SWAN, M.D. appears in CMS Medicare data with 392 Part D claims and 143 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RUSSELL SWAN, M.D.'s credentials?
RUSSELL SWAN, M.D.'s NPI is 1225304918 with credentials M.D.. 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