2026 NPPES data Optometrist NPI 1356411979 OD
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SHELBY BAKER, OD

Optometrist in BURLINGTON, New Jersey. 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
77
Medicare Part D claims · 38 beneficiaries · Optometrist avg: 257
Generic prescribing
32%
generic claims · 68% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.1261/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$443.73
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SHELBY BAKER, OD is a Optometrist ([object Object]) practicing in BURLINGTON, New Jersey with a Medicare Part D prescribing footprint of 77 claims across 38 beneficiaries — 68% brand-name prescribing . Their CMS MIPS Final Score of 78.1261/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $443.73 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SHELBY BAKER, OD reported a CMS MIPS final score of 78.1261 out of 100, below the 83.1 national average, and filed 77 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

SHELBY BAKER, OD at a glance

Near national average

NPI registry status

Active

Issued 11/09/2006

NPI 1356411979

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

77 70% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

78.1261/100 4.9739% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Jersey

How Optometrist compares to other specialties among New Jersey providers

New Jersey providers

Optometrist share within New Jersey

1. Optometrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Optometrist share within New Jersey

Medicare quality performance — MIPS

SHELBY BAKER, OD's 2023 MIPS final score plotted against the Optometrist national average

Near national average
MIPS Final Score
78.1261/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 78.1261/100 vs national avg 83.1

0%100%National avg83%78.1%
MIPS final score (Optometrist) — 78.1261/100 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).

SHELBY BAKER, OD is a Optometrist provider practicing in BURLINGTON, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: OD. NPI: 1356411979. 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.

SHELBY BAKER, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 17 W BROAD ST, BURLINGTON, NJ, 08016, with a listed phone of (609) 386-0352. NPI 1356411979 was issued on 11/09/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BAKER 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 77 prescription claims written by this provider, covering 38 Medicare beneficiaries and totaling roughly $37K in drug spend, split 68% brand-name and 32% 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 78.1261/100 for the 2023 performance year (Quality 100, Cost 27.087), 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

17 W BROAD ST
BURLINGTON, NJ 08016

Provider Details

NPI 1356411979
Specialty Optometrist
Credentials OD
Gender Male
NPI Issued 11/09/2006

CMS Quality Score (MIPS)

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

78.1261
Final Score
Avg: 83.1
100
Quality
27.087
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where SHELBY BAKER, OD 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.

BURLINGTON COUNTY EYE PHYSICIANS II
MOORESTOWN, NJ
THE EYE PROFESSIONALS LLC
MILLVILLE, NJ

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 SHELBY BAKER, OD. Source: openpaymentsdata.cms.gov.

Total received

$444

Largest payer

Alcon Vision LLC

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 · Brand-heavy

SHELBY BAKER, OD — brand share 68.0%
Specialty average (est.)

68% brand-name claims vs 32% generic, on 77 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.

77
Total Claims
$37K
Total Drug Cost
38
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
110
Total Day Supply
2,784
Brand vs Generic
68% brand / 32% generic
Brand Drug Cost
$34K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
74.8 years
Avg HCC Risk Score
1.15
Gender Split
68% female / 32% 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
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
15

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

Optometrist Overview

How SHELBY BAKER, OD fits within the Optometrist landscape nationally.

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

SHELBY BAKER, OD's 77 claims are below the specialty average of 257.

Nearby Optometrist Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as BAKER.

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

Frequently Asked Questions

What is SHELBY BAKER, OD's specialty?
SHELBY BAKER, OD specializes in Optometrist and practices in BURLINGTON, New Jersey. Credentials: OD.
How much does SHELBY BAKER, OD prescribe under Medicare Part D?
In 2023, SHELBY BAKER, OD wrote 77 Medicare Part D claims totaling $37K in drug costs for 38 beneficiaries.
What is SHELBY BAKER, OD's Medicare quality score?
SHELBY BAKER, OD has a CMS MIPS Final Score of 78.1261/100 (Quality: 100, Cost: 27.087). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHELBY BAKER, OD located?
SHELBY BAKER, OD is located at 17 W BROAD ST, BURLINGTON, NJ, 08016. Phone: (609) 386-0352.
What is SHELBY BAKER, OD's NPI number?
SHELBY BAKER, OD's National Provider Identifier (NPI) is 1356411979, issued on 11/09/2006.
Does SHELBY BAKER, OD prescribe more brand-name or generic drugs?
SHELBY BAKER, OD's prescribing is 68% brand-name and 32% generic drugs by claim count, with $34K 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 SHELBY BAKER, OD prescribe most often?
Based on 2023 Medicare Part D data, SHELBY BAKER, OD's most frequently prescribed drugs include Neomycin-Polymyxin-Dexameth. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHELBY BAKER, OD accept Medicare?
SHELBY BAKER, OD appears in CMS Medicare data with 77 Part D claims and 38 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHELBY BAKER, OD's credentials?
SHELBY BAKER, OD's NPI is 1356411979 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

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