NPI registry status
Active
2026 NPPES data Optometrist NPI 1609841360 OD
Verify on CMS → Sammy Pelletier, OD
Optometrist in York, Maine.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 60,484 in Optometrist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
532
Medicare Part D claims · 83 beneficiaries · Optometrist avg: 257
Generic prescribing
58%
generic claims · 42% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sammy Pelletier, OD reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 532 Medicare Part D claims in 2023.
- 75/100
- MIPS score · -8 vs avg
- 532
- Part D claims, 2023
- 58%
- 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.
Sammy Pelletier, OD'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
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
Where Sammy Pelletier, OD sits
This provider among optometrist peers
Across the 6,527 optometrist providers who report both Medicare Part D prescribing and a MIPS quality score, Sammy Pelletier, OD writes more Part D claims than 65% of them and scores higher on MIPS quality than 21% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one optometrist peer from a representative sample of 60; the gold marker is Sammy Pelletier, OD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Sammy Pelletier, OD?
Below national averagePrimary specialty
Optometrist
Medicare Part D claims
532 107% vs specialty avg
MIPS final score
75/100 8.1 pts vs avg
Specialty distribution in Maine
How Optometrist compares to other specialties among Maine providers
Medicare quality performance, MIPS
Sammy Pelletier, OD's 2023 MIPS final score plotted against the Optometrist national average
- MIPS Final Score
- 75/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Optometrist) - 75/100 vs national avg 83.1
How MIPS and board certification work
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).
Sammy Pelletier, OD appears in the CMS NPPES registry as an Optometrist provider holding OD credentials at 764 ROUTE ONE, York, ME, 03909, with a listed phone of (207) 363-7555. NPI 1609841360 was issued on 02/17/2006.
Medicare Part D records for calendar year 2023 show 532 prescription claims written by this provider, covering 83 Medicare beneficiaries and totaling roughly $82K in drug spend, split 42% brand-name and 58% generic by claim count. 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.
Optometrist is a high-volume specialty nationwide, with 60,484 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
Provider Details
| NPI | 1609841360 |
|---|---|
| Specialty | Optometrist |
| Credentials | OD |
| Gender | Male |
| NPI Issued | 02/17/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
Avg: 83.1
Reporting: Individual
Brand vs generic prescribing mix · Above average
Sammy Pelletier, OD - brand share 42.0%
Optometrist average
42% brand-name claims vs 58% generic, on 532 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.
532
Total Claims
$82K
Total Drug Cost
83
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 755
- Total Day Supply
- 20,230
- Brand vs Generic
- 42% brand / 58% generic
- Brand Drug Cost
- $74K
- Generic Drug Cost
- $8K
Patient Demographics
- Average Patient Age
- 76.4 years
- Avg HCC Risk Score
- 0.86
- Gender Split
- 53% female / 47% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sammy Pelletier, OD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Latanoprost
Latanoprost
130 claims
- Timolol Maleate
Timolol Maleate
88 claims
- Rocklatan
Rocklatan
70 claims
- Simbrinza 41
Simbrinza
41 claims
- Lumigan 38
Lumigan
38 claims
- Brimonidine Tartrate 29
Brimonidine Tartrate
29 claims
- Moxifloxacin 18
Moxifloxacin
18 claims
- Dorzolamide Hcl 16
Dorzolamide Hcl
16 claims
| Drug | Claims |
|---|---|
| Latanoprost | 130 |
| Timolol Maleate | 88 |
| Rocklatan Netarsudil Mesylat/Latanoprost | 70 |
| Simbrinza Brinzolamide/Brimonidine Tart | 41 |
| Lumigan Bimatoprost | 38 |
| Brimonidine Tartrate | 29 |
| Moxifloxacin Moxifloxacin Hcl | 18 |
| Dorzolamide Hcl | 16 |
| Brimonidine Tartrate-Timolol Brimonidine Tartrate/Timolol | 15 |
| Dorzolamide-Timolol Dorzolamide/Timolol/Pf | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Optometrist Overview
How Sammy Pelletier, OD fits within the Optometrist landscape nationally.
60,484
Optometrist Providers in US
56
States with Optometrist
257
Avg Claims per Provider
Sammy Pelletier, OD's 532 claims are above the specialty average of 257.
Nearby Optometrist Providers in Maine
Other clinicians with the same primary specialty enrolled in Maine, drawn from the same CMS NPPES roster as Pelletier.
Dr. Amy Abbott
O.D.
South Portland, ME
Dr. Andre Achenbach
O.D.
Brunswick, ME
Dr. Rachel Achenbach
OD
Windham, ME
Dr. Nirupama Aggarwal
OD
Portland, ME
Dr. Paul Albert
O.D.
Ellsworth, ME
Compare Optometrist nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Maine medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Optometrist peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Maine
Frequently Asked Questions
What is Sammy Pelletier, OD's specialty? ▼
Sammy Pelletier, OD specializes in Optometrist and practices in York, Maine. Credentials: OD.
How much does Sammy Pelletier, OD prescribe under Medicare Part D? ▼
In 2023, Sammy Pelletier, OD wrote 532 Medicare Part D claims totaling $82K in drug costs for 83 beneficiaries.
What is Sammy Pelletier, OD's Medicare quality score? ▼
Sammy Pelletier, OD 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 Sammy Pelletier, OD located? ▼
Sammy Pelletier, OD is located at 764 ROUTE ONE, York, ME, 03909. Phone: (207) 363-7555.
What is Sammy Pelletier, OD's NPI number? ▼
Sammy Pelletier, OD's National Provider Identifier (NPI) is 1609841360, issued on 02/17/2006.
Does Sammy Pelletier, OD prescribe more brand-name or generic drugs? ▼
Sammy Pelletier, OD's prescribing is 42% brand-name and 58% generic drugs by claim count, with $74K in brand drug costs.
How many Optometrist providers are there in the US? ▼
There are 60,484 Optometrist providers across 56 states in the US. The average Optometrist provider writes 257 Medicare Part D claims per year.
What drugs does Sammy Pelletier, OD prescribe most often? ▼
Based on 2023 Medicare Part D data, Sammy Pelletier, OD's most frequently prescribed drugs include Latanoprost, Timolol Maleate, Rocklatan. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sammy Pelletier, OD accept Medicare? ▼
Sammy Pelletier, OD appears in CMS Medicare data with 532 Part D claims and 83 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sammy Pelletier, OD's credentials? ▼
Sammy Pelletier, OD's NPI is 1609841360 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.