2026 NPPES data Ophthalmology Physician NPI 1528053717 M.D.
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WILLIAM LIPHAM, M.D.

Ophthalmology Physician in BLOOMINGTON, Minnesota. 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
822
Medicare Part D claims · 314 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.2409/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$39.57
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

WILLIAM LIPHAM, M.D. reported a CMS MIPS final score of 85.2409/100 — above the 83.1 national average — and filed 822 Medicare Part D claims in 2023.

85.2409/100
MIPS score · +2 vs avg
822
Part D claims, 2023
88%
generic prescribing
Likely
board-certified (heuristic)

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.

WILLIAM LIPHAM, M.D.'s MIPS score vs every scored U.S. clinician

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

85 49th percentile higher than 49% 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

Board certification likely (heuristic — not verified)

WILLIAM LIPHAM, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about WILLIAM LIPHAM, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 09/14/2005

NPI 1528053717

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

822 42% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

85.2409/100 2.140900000000002% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Minnesota

How Ophthalmology Physician compares to other specialties among Minnesota providers

Minnesota providers

Ophthalmology Physician share within Minnesota

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Minnesota

Medicare quality performance — MIPS

WILLIAM LIPHAM, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
85.2409/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 85.2409/100 vs national avg 83.1

0%100%National avg83%85.2%
MIPS final score (Ophthalmology Physician) — 85.2409/100 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).

WILLIAM LIPHAM, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 9801 DUPONT AVE S, BLOOMINGTON, MN, 55431, with a listed phone of (952) 888-5800. NPI 1528053717 was issued on 09/14/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LIPHAM 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 822 prescription claims written by this provider, covering 314 Medicare beneficiaries and totaling roughly $15K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 27.5%. 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 85.2409/100 for the 2023 performance year (Quality 97.9147, Cost 52.8883), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

9801 DUPONT AVE S
BLOOMINGTON, MN 55431

Provider Details

NPI 1528053717
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 09/14/2005

CMS Quality Score (MIPS)

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

85.2409
Final Score
Avg: 83.1
97.9147
Quality
52.8883
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where WILLIAM LIPHAM, M.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.

MINNESOTA EYE CONSULTANTS, PA
BLOOMINGTON, MN

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 WILLIAM LIPHAM, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$40

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.

Brand vs generic prescribing mix · Typical

WILLIAM LIPHAM, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 822 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.

822
Total Claims
$15K
Total Drug Cost
314
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
855
Total Day Supply
10,023
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$6K
Generic Drug Cost
$9K
Opioid Claims
226 (27.5% rate)
Antibiotic Claims
31

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
0.96
Gender Split
54% female / 46% male

Top Prescribed Drugs (Medicare Part D)

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

What WILLIAM LIPHAM, M.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
Erythromycin
Erythromycin Base
305
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
217
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
125
Prednisolone Acetate
30
Celecoxib
22
Bacitracin-Polymyxin
Bacitracin/Polymyxin B Sulfate
19
Methylprednisolone
16
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
12
Bacitracin
11
Doxycycline Hyclate
11

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

Ophthalmology Physician Overview

How WILLIAM LIPHAM, M.D. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

WILLIAM LIPHAM, M.D.'s 822 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Minnesota

Other clinicians with the same primary specialty enrolled in Minnesota, drawn from the same CMS NPPES roster as LIPHAM.

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is WILLIAM LIPHAM, M.D.'s specialty?
WILLIAM LIPHAM, M.D. specializes in Ophthalmology Physician and practices in BLOOMINGTON, Minnesota. Credentials: M.D..
How much does WILLIAM LIPHAM, M.D. prescribe under Medicare Part D?
In 2023, WILLIAM LIPHAM, M.D. wrote 822 Medicare Part D claims totaling $15K in drug costs for 314 beneficiaries.
What is WILLIAM LIPHAM, M.D.'s Medicare quality score?
WILLIAM LIPHAM, M.D. has a CMS MIPS Final Score of 85.2409/100 (Quality: 97.9147, Cost: 52.8883). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is WILLIAM LIPHAM, M.D. located?
WILLIAM LIPHAM, M.D. is located at 9801 DUPONT AVE S, BLOOMINGTON, MN, 55431. Phone: (952) 888-5800.
What is WILLIAM LIPHAM, M.D.'s NPI number?
WILLIAM LIPHAM, M.D.'s National Provider Identifier (NPI) is 1528053717, issued on 09/14/2005.
Does WILLIAM LIPHAM, M.D. prescribe more brand-name or generic drugs?
WILLIAM LIPHAM, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $6K in brand drug costs.
Does WILLIAM LIPHAM, M.D. prescribe opioids?
Yes, WILLIAM LIPHAM, M.D. had 226 opioid claims in 2023 with an opioid prescribing rate of 27.5%.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does WILLIAM LIPHAM, M.D. prescribe most often?
Based on 2023 Medicare Part D data, WILLIAM LIPHAM, M.D.'s most frequently prescribed drugs include Erythromycin, Hydrocodone-Acetaminophen, Neomycin-Polymyxin-Dexameth. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does WILLIAM LIPHAM, M.D. accept Medicare?
WILLIAM LIPHAM, M.D. appears in CMS Medicare data with 822 Part D claims and 314 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify WILLIAM LIPHAM, M.D.'s credentials?
WILLIAM LIPHAM, M.D.'s NPI is 1528053717 with credentials M.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