NPI registry status
Active
2026 NPPES data Optometrist NPI 1588942569 O.D.
Verify on CMS → Troy Fox, O.D.
Optometrist in Grand Rapids, Michigan.
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
3K
Medicare Part D claims · 683 beneficiaries · Optometrist avg: 257
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
88.6/100
▲ 6 pts above national avg 83.1 · Above neutral
Industry payments
$46.14
1 payments · CMS Open Payments (Sunshine Act)
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
Troy Fox, O.D. reported a CMS MIPS final score of 88.6/100 - above the 83.1 national average - and filed 2,770 Medicare Part D claims in 2023.
- 88.6/100
- MIPS score · +6 vs avg
- 3K
- Part D claims, 2023
- 76%
- generic prescribing
- $46.14
- 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.
Troy Fox, 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
89 Top 44% higher than 56% 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 Troy Fox, O.D. sits
This provider among optometrist peers
Across the 6,527 optometrist providers who report both Medicare Part D prescribing and a MIPS quality score, Troy Fox, O.D. writes more Part D claims than 98% of them and scores higher on MIPS quality than 58% - placing this provider in the high-volume, high-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 Troy Fox, O.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Troy Fox, O.D.?
High performer (top quartile)Primary specialty
Optometrist
Medicare Part D claims
2,770 11× vs specialty avg
MIPS final score
88.6/100 5.5 pts vs avg
Specialty distribution in Michigan
How Optometrist compares to other specialties among Michigan providers
Medicare quality performance, MIPS
Troy Fox, O.D.'s 2023 MIPS final score plotted against the Optometrist national average
- MIPS Final Score
- 88.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Optometrist) - 88.6/100 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).
Troy Fox, O.D. appears in the CMS NPPES registry as an Optometrist provider holding O.D. credentials at 1000 E PARIS AVE SE, Grand Rapids, MI, 49546, with a listed phone of (616) 949-2001. NPI 1588942569 was issued on 07/25/2011.
Medicare Part D records for calendar year 2023 show 2,770 prescription claims written by this provider, covering 683 Medicare beneficiaries and totaling roughly $270K in drug spend, split 24% brand-name and 76% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 88.6/100 for the 2023 performance year (Quality 94.7, Cost 69.2), 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 | 1588942569 |
|---|---|
| Specialty | Optometrist |
| Credentials | O.D. |
| Gender | Male |
| NPI Issued | 07/25/2011 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
88.6248
Final Score
Avg: 83.1
94.6753
Quality
69.1823
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Troy Fox, 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.
Verdier Eye Center PLC
Grand Rapids, MI
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 Troy Fox, O.D.. Source: openpaymentsdata.cms.gov.
Total received
$46
Largest payer
Sight Sciences, 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 - Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 - they are NOT specific to Troy Fox, O.D.. To verify Troy Fox, O.D.'s current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases
MI-BOM 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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Troy Fox, O.D. - brand share 24.0%
Optometrist average
24% brand-name claims vs 76% generic, on 2,770 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.
2,770
Total Claims
$270K
Total Drug Cost
683
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,259
- Total Day Supply
- 185,211
- Brand vs Generic
- 24% brand / 76% generic
- Brand Drug Cost
- $178K
- Generic Drug Cost
- $92K
Patient Demographics
- Average Patient Age
- 77.4 years
- Avg HCC Risk Score
- 1.09
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 19, 65-74: 240, 75-84: 278, 85+: 146
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Troy Fox, O.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Latanoprost
Latanoprost
893 claims
- Timolol Maleate
Timolol Maleate
533 claims
- Dorzolamide-Timolol
Dorzolamide-Timolol
427 claims
- Brimonidine Tartrate 166
Brimonidine Tartrate
166 claims
- Lumigan 118
Lumigan
118 claims
- Combigan 74
Combigan
74 claims
- Dorzolamide Hcl 56
Dorzolamide Hcl
56 claims
- Travoprost 52
Travoprost
52 claims
| Drug | Claims |
|---|---|
| Latanoprost | 893 |
| Timolol Maleate | 533 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 427 |
| Brimonidine Tartrate | 166 |
| Lumigan Bimatoprost | 118 |
| Combigan Brimonidine Tartrate/Timolol | 74 |
| Dorzolamide Hcl | 56 |
| Travoprost | 52 |
| Brimonidine Tartrate-Timolol Brimonidine Tartrate/Timolol | 44 |
| Prednisolone Acetate | 40 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Optometrist Overview
How Troy Fox, O.D. fits within the Optometrist landscape nationally.
60,484
Optometrist Providers in US
56
States with Optometrist
257
Avg Claims per Provider
Troy Fox, O.D.'s 2,770 claims are above the specialty average of 257.
Nearby Optometrist Providers in Michigan
Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as Fox.
Dr. Brooke Abbaya
OD
Troy, MI
Dr. Richard Abbott
O.D.
Traverse City, MI
Dr. John Abdella
O.D.
Flint, MI
Hussein Abdulameer
Ann Arbor, MI
Shaina Abraham
Ann Arbor, MI
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 Michigan 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.
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Frequently Asked Questions
What is Troy Fox, O.D.'s specialty? ▼
Troy Fox, O.D. specializes in Optometrist and practices in Grand Rapids, Michigan. Credentials: O.D..
How much does Troy Fox, O.D. prescribe under Medicare Part D? ▼
In 2023, Troy Fox, O.D. wrote 2,770 Medicare Part D claims totaling $270K in drug costs for 683 beneficiaries.
What is Troy Fox, O.D.'s Medicare quality score? ▼
Troy Fox, O.D. has a CMS MIPS Final Score of 88.6/100 (Quality: 94.7, Cost: 69.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Troy Fox, O.D. located? ▼
Troy Fox, O.D. is located at 1000 E PARIS AVE SE, Grand Rapids, MI, 49546. Phone: (616) 949-2001.
What is Troy Fox, O.D.'s NPI number? ▼
Troy Fox, O.D.'s National Provider Identifier (NPI) is 1588942569, issued on 07/25/2011.
Does Troy Fox, O.D. prescribe more brand-name or generic drugs? ▼
Troy Fox, O.D.'s prescribing is 24% brand-name and 76% generic drugs by claim count, with $178K 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 Troy Fox, O.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Troy Fox, O.D.'s most frequently prescribed drugs include Latanoprost, Timolol Maleate, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Troy Fox, O.D. accept Medicare? ▼
Troy Fox, O.D. appears in CMS Medicare data with 2,770 Part D claims and 683 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Troy Fox, O.D.'s credentials? ▼
Troy Fox, O.D.'s NPI is 1588942569 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
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.