2026 NPPES data Optometrist NPI 1023396355 O.D.
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SAMUEL HERBERT, O.D.

Optometrist in NAPA, 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
273
Medicare Part D claims · 88 beneficiaries · Optometrist avg: 257
Generic prescribing
44%
generic claims · 56% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.034/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$140.52
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SAMUEL HERBERT, O.D. reported a CMS MIPS final score of 82.034/100 — below the 83.1 national average — and filed 273 Medicare Part D claims in 2023.

82.034/100
MIPS score · -1 vs avg
273
Part D claims, 2023
44%
generic prescribing
$140.52
industry payments (Sunshine Act)

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.

SAMUEL HERBERT, O.D.'s MIPS score vs every scored U.S. clinician

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

82 39th percentile higher than 39% 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 SAMUEL HERBERT, O.D.?

Near national average

NPI registry status

Active

Issued 08/04/2011

NPI 1023396355

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

273 6% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

82.034/100 1.0659999999999883% pts

Above neutral 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

SAMUEL HERBERT, O.D.'s 2023 MIPS final score plotted against the Optometrist national average

Near national average
MIPS Final Score
82.034/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 82.034/100 vs national avg 83.1

0%100%National avg83%82%
MIPS final score (Optometrist) — 82.034/100 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).

SAMUEL HERBERT, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 1104 PEAR TREE LN, NAPA, CA, 94558, with a listed phone of (707) 252-5380. NPI 1023396355 was issued on 08/04/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HERBERT 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 273 prescription claims written by this provider, covering 88 Medicare beneficiaries and totaling roughly $71K in drug spend, split 56% brand-name and 44% 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 82.034/100 for the 2023 performance year (Quality 65.6353), 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

1104 PEAR TREE LN
NAPA, CA 94558

Provider Details

NPI 1023396355
Specialty Optometrist
Credentials O.D.
Gender Male
NPI Issued 08/04/2011

CMS Quality Score (MIPS)

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

82.034
Final Score
Avg: 83.1
65.6353
Quality
95
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where SAMUEL HERBERT, O.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.

NAPA VALLEY OPTOMETRIC GRP A PROF CORP
NAPA, CA

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 SAMUEL HERBERT, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$141

Largest payer

CooperVision 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.

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 SAMUEL HERBERT, O.D.. To verify SAMUEL HERBERT, O.D.'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 · Brand-heavy

SAMUEL HERBERT, O.D. — brand share 56.0%
Specialty average (est.)

56% brand-name claims vs 44% generic, on 273 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.

273
Total Claims
$71K
Total Drug Cost
88
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
450
Total Day Supply
12,310
Brand vs Generic
56% brand / 44% generic
Brand Drug Cost
$64K
Generic Drug Cost
$7K

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
1.03
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

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

What SAMUEL HERBERT, O.D. 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
Latanoprost
79
Timolol Maleate
25
Lumigan
Bimatoprost
21
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
16
Restasis
Cyclosporine
16
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
14
Prednisolone Acetate
14
Loteprednol Etabonate
12
Tafluprost
Tafluprost/Pf
12

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

Optometrist Overview

How SAMUEL HERBERT, O.D. fits within the Optometrist landscape nationally.

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

SAMUEL HERBERT, O.D.'s 273 claims are above 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 HERBERT.

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

Frequently Asked Questions

What is SAMUEL HERBERT, O.D.'s specialty?
SAMUEL HERBERT, O.D. specializes in Optometrist and practices in NAPA, California. Credentials: O.D..
How much does SAMUEL HERBERT, O.D. prescribe under Medicare Part D?
In 2023, SAMUEL HERBERT, O.D. wrote 273 Medicare Part D claims totaling $71K in drug costs for 88 beneficiaries.
What is SAMUEL HERBERT, O.D.'s Medicare quality score?
SAMUEL HERBERT, O.D. has a CMS MIPS Final Score of 82.034/100 (Quality: 65.6353). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SAMUEL HERBERT, O.D. located?
SAMUEL HERBERT, O.D. is located at 1104 PEAR TREE LN, NAPA, CA, 94558. Phone: (707) 252-5380.
What is SAMUEL HERBERT, O.D.'s NPI number?
SAMUEL HERBERT, O.D.'s National Provider Identifier (NPI) is 1023396355, issued on 08/04/2011.
Does SAMUEL HERBERT, O.D. prescribe more brand-name or generic drugs?
SAMUEL HERBERT, O.D.'s prescribing is 56% brand-name and 44% generic drugs by claim count, with $64K 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 SAMUEL HERBERT, O.D. prescribe most often?
Based on 2023 Medicare Part D data, SAMUEL HERBERT, O.D.'s most frequently prescribed drugs include Latanoprost, Timolol Maleate, Lumigan. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SAMUEL HERBERT, O.D. accept Medicare?
SAMUEL HERBERT, O.D. appears in CMS Medicare data with 273 Part D claims and 88 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SAMUEL HERBERT, O.D.'s credentials?
SAMUEL HERBERT, O.D.'s NPI is 1023396355 with credentials O.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