NPPES file of Aug 9, 2026

Sandra K. Dolphin, O.D.

Optometrist · St Croix Falls, WI

Sandra K. Dolphin, O.D. is an optometrist with a practice address in St Croix Falls, Wisconsin, and NPI 1205863693, issued on Jun 28, 2006. Check the license (Wisconsin 2589-035, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1205863693
Name
Sandra K. Dolphin
Credential
O.D.
Primary taxonomy
Optometrist 152W00000X
License number
2589-035 WI
Self-reported in NPPES; status is on the state search
Practice location
213 S Adams St, St Croix Falls, WI 54024
Phone
(715) 483-3259
Enumerated
Jun 28, 2006
Record last updated
Oct 3, 2011 (not updated in 15 years: call before relying on the address or phone)
Fax
(715) 483-5136
Medicaid ID
38623500 WI
Medicare enrollment
Enrolled (PECOS I20040817000587); accepts Medicare assignment
Medical or professional school
University Of Missouri St Louis - School Of Optometry, 1994
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Sandra K. Dolphin in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
    Search for license 2589-035
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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3.5 times the Medicare Part D claims of the average optometrist in 2024

975 Medicare Part D claims for 180 beneficiaries, against an average of 277 among the 33,128 providers of this specialty who prescribed in Part D. Brand-name drugs were 21% of claims.

  1. Sandra Dolphin975
  2. Specialty average277

Most prescribed

  1. Latanoprost442 claims
  2. Brimonidine Tartrate123 claims
  3. Timolol Maleate120 claims
  4. Dorzolamide Hcl88 claims
  5. Dorzolamide-Timolol76 claims
  6. Prednisolone Acetate17 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 80.2 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score60.4
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $19.18

1 payment: food and beverage; the largest payer was Alcon Vision LLC. The 34,453 providers of this specialty with any payment received $769.99 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Sandra Dolphin$19.18
  2. Specialty average$769.99

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. St Croix Falls Eye Associates IncSaint Croix Falls, WI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Sandra K. Dolphin among 1,161 optometrist records in Wisconsin

Sandra K. Dolphin, O.D. is one of 1,161 optometrist records with a practice address in Wisconsin. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 13% of them.

  • NPI issued2006 · 13% of these records are older, 50% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 65% of these records are
  • Graduated1994 · median 2008 among the 752 with a school on file
  • Record last updated2011 · 62% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

1 optometrist record lists a practice address in St Croix Falls

They are 1 of the 17 NPPES records with a practice address in St Croix Falls, and 1,161 optometrist records in Wisconsin.

The 8 optometrist records with the nearest ZIP codes

  1. Alexander Austing, ODSaint Croix Falls, WI 540241588233639
  2. Lawrence Tran, ODSaint Croix Falls, WI 540241730143967
  3. Bobbie Barsness, O.D.River Falls, WI 540221275799249
  4. Vincent Crispino, O.D.River Falls, WI 540221447305321
  5. Matthew Georgeson, O.D.River Falls, WI 540221467552299
  6. G Ginsberg, O.D.River Falls, WI 540221639256977
  7. Eric Hanson, O.D.River Falls, WI 540221679526958
  8. Julie Lee, ODRiver Falls, WI 540221093703118

Common questions

What is Sandra K. Dolphin, O.D.'s NPI number?

Sandra K. Dolphin, O.D.'s National Provider Identifier (NPI) is 1205863693, issued on Jun 28, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Sandra K. Dolphin, O.D. located?

The NPPES record lists a practice address at 213 S Adams St, St Croix Falls, WI, 54024. Phone: (715) 483-3259. Providers update this record themselves, so call before visiting.

How can I verify Sandra K. Dolphin, O.D.'s license?

NPPES lists Wisconsin license number 2589-035, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.

How much does Sandra K. Dolphin, O.D. prescribe under Medicare Part D?

In 2024, Sandra K. Dolphin, O.D. had 975 Medicare Part D claims for 180 beneficiaries; the average among optometrist prescribers was 277. Part D covers Medicare prescriptions only.

What is Sandra K. Dolphin, O.D.'s MIPS final score?

The 2023 MIPS final score is 80.2 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.