2026 NPPES data Optometrist NPI 1043704794 O.D.
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TIFFANY GRAHAM, O.D.

Optometrist in WARWICK, Rhode Island. 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
79
Medicare Part D claims · 41 beneficiaries · Optometrist avg: 257
Generic prescribing
57%
generic claims · 43% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$182.77
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

TIFFANY GRAHAM, O.D. reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 79 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
79
Part D claims, 2023
57%
generic prescribing
$182.77
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.

TIFFANY GRAHAM, 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

100 Top 7% higher than 93% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 TIFFANY GRAHAM, O.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/17/2018

NPI 1043704794

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

79 69% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Rhode Island

How Optometrist compares to other specialties among Rhode Island providers

Rhode Island providers

Optometrist share within Rhode Island

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

Medicare quality performance — MIPS

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

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

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

0%100%National avg83%99%
MIPS final score (Optometrist) — 100/100 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).

TIFFANY GRAHAM, O.D. is a Optometrist provider practicing in WARWICK, Rhode Island, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O.D.. NPI: 1043704794. 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.

TIFFANY GRAHAM, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 566 TOLL GATE RD, WARWICK, RI, 02886, with a listed phone of (401) 738-4800. NPI 1043704794 was issued on 06/17/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GRAHAM 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 79 prescription claims written by this provider, covering 41 Medicare beneficiaries and totaling roughly $24K 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 100/100 for the 2023 performance year (Quality 100, Cost 96.958), 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

566 TOLL GATE RD
WARWICK, RI 02886

Provider Details

NPI 1043704794
Specialty Optometrist
Credentials O.D.
Gender Female
NPI Issued 06/17/2018

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Quality
96.958
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where TIFFANY GRAHAM, 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.

KOCH EYE ASSOCIATES LLP
WARWICK, RI

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 TIFFANY GRAHAM, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$183

Largest payer

Bausch & Lomb Americas 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.

Brand vs generic prescribing mix · Above average

TIFFANY GRAHAM, O.D. — brand share 43.0%
Specialty average (est.)

43% brand-name claims vs 57% generic, on 79 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.

79
Total Claims
$24K
Total Drug Cost
41
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
123
Total Day Supply
3,154
Brand vs Generic
43% brand / 57% generic
Brand Drug Cost
$23K
Generic Drug Cost
$994

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
1.35
Gender Split
66% female / 34% 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
17
Xiidra
Lifitegrast
15

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

Optometrist Overview

How TIFFANY GRAHAM, O.D. fits within the Optometrist landscape nationally.

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

TIFFANY GRAHAM, O.D.'s 79 claims are below the specialty average of 257.

Nearby Optometrist Providers in Rhode Island

Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as GRAHAM.

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

Frequently Asked Questions

What is TIFFANY GRAHAM, O.D.'s specialty?
TIFFANY GRAHAM, O.D. specializes in Optometrist and practices in WARWICK, Rhode Island. Credentials: O.D..
How much does TIFFANY GRAHAM, O.D. prescribe under Medicare Part D?
In 2023, TIFFANY GRAHAM, O.D. wrote 79 Medicare Part D claims totaling $24K in drug costs for 41 beneficiaries.
What is TIFFANY GRAHAM, O.D.'s Medicare quality score?
TIFFANY GRAHAM, O.D. has a CMS MIPS Final Score of 100/100 (Quality: 100, Cost: 96.958). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TIFFANY GRAHAM, O.D. located?
TIFFANY GRAHAM, O.D. is located at 566 TOLL GATE RD, WARWICK, RI, 02886. Phone: (401) 738-4800.
What is TIFFANY GRAHAM, O.D.'s NPI number?
TIFFANY GRAHAM, O.D.'s National Provider Identifier (NPI) is 1043704794, issued on 06/17/2018.
Does TIFFANY GRAHAM, O.D. prescribe more brand-name or generic drugs?
TIFFANY GRAHAM, O.D.'s prescribing is 43% brand-name and 57% generic drugs by claim count, with $23K 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 TIFFANY GRAHAM, O.D. prescribe most often?
Based on 2023 Medicare Part D data, TIFFANY GRAHAM, O.D.'s most frequently prescribed drugs include Neomycin-Polymyxin-Dexameth, Xiidra. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TIFFANY GRAHAM, O.D. accept Medicare?
TIFFANY GRAHAM, O.D. appears in CMS Medicare data with 79 Part D claims and 41 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TIFFANY GRAHAM, O.D.'s credentials?
TIFFANY GRAHAM, O.D.'s NPI is 1043704794 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