Dr. Randall E. Nacke, MD
- Medicare services, 2024
- 1,534
- Medicare patients, 2024
- 715
- Part D claims, 2024
- 1,812
- MIPS score, 2024
- 89
- Industry payments
- $615
- Practice address
- 1400 Us-61, Crystal City, MO 63019
- Practice phone
- Call (636) 937-8855
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Insight Optical
Eye care practice · Crystal City, Missouri
Find Dr. Nacke's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Randall E. Nacke is an ophthalmologist in Crystal City, Missouri
Dr. Nacke practices at Insight Optical in Crystal City, Missouri.
Dr. Nacke's NPI, 1093828782, was assigned on August 16, 2006. Dr. Nacke graduated from University of Iowa, RJ & L Carver College of Medicine in 2002. Dr. Nacke holds Texas license TP10024907.
- NPI
- 1093828782NPI Registry (opens in a new tab)
- Medicare PAC ID
- 2567561194
- NPI enumeration date
- August 16, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (636) 937-8855
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 50
- Medical school graduation
- 2002
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Randall E. Nacke practices at Insight Optical in Crystal City, Missouri
Dr. Nacke's primary practice is Insight Optical, at 1400 Us-61, Crystal City, MO 63019. The practice phone is (636) 937-8855.
- Insight Optical1400 Us-61, Crystal City, MO 63019Phone(636) 937-8855
Source: Dmand AI Affiliation Data
Dr. Randall E. Nacke is affiliated with 1 site of care and 1 medical group
Dr. Nacke's primary practice is Insight Optical in Crystal City, Missouri. Dmand AI also links Dr. Nacke to 1 medical group, named with a free account.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Randall E. Nacke's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Nacke practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Insight Optical | Available with a free account |
| +1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Randall E. Nacke is one of 270 ophthalmologists in Missouri
Ophthalmology is Dr. Nacke's primary specialty in the NPI Registry, under taxonomy code 207W00000X. Dr. Nacke is licensed in Texas.
Specialties and state licenses
- Ophthalmology, TexasPrimary
Ophthalmologists near Dr. Nacke
Counts of ophthalmologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Randall E. Nacke billed Medicare for 1,534 services in 2024
CMS data shows 1,534 Medicare services from Dr. Nacke across 10 procedure codes in 2024, for 715 Medicare patients. Medicare paid $159,009 for them.
Dr. Nacke's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Tests and treatments
- 2023: 1,4462024: 1,3099%
- Surgery
- 2023: 2002024: 2105%
- Imaging
- 2023: 162024: 156%
Where Dr. Nacke's Medicare services took place, 2024
- In an office1,32486%
- In a facility21014%
Dr. Nacke compared with the Missouri median for ophthalmologists, 2024
- Dr. Nacke
- Missouri median
- Medicare services
- 1,534vs 1,582Close to median
- Medicare patients
- 715vs 63013% above
- Part D claims
- 1,731vs 7032.5 times
Medians across 286 ophthalmologists in Missouri with Dmand AI profiles that report each measure.
Dr. Nacke's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. Nacke?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Nacke and other ophthalmologists in Missouri.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Randall E. Nacke treated 715 Medicare patients in 2024, average age 77
CMS counts 715 Medicare patients who saw Dr. Nacke in 2024. The largest group is 75 to 84, with 297 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 3% are also on Medicaid. Their average risk score is 1.29, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Nacke's median patient age at 76, with 58% women.
Dr. Nacke's Medicare patients by age, 2024
Dr. Nacke's Medicare patients by sex, 2024
- Women41959%
- Men29641%
Chronic conditions among Dr. Nacke's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis49%
- Diabetes32%
- Ischemic heart disease31%
- Chronic kidney disease30%
- Anxiety22%
- Mood disorders22%
Share of Medicare patients with each condition. A patient can have several.
Dr. Nacke's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 76
Patient panel by sex, all payers
- Women58%
- Men41%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Randall E. Nacke wrote 1,812 Medicare Part D claims in 2024
In 2024, Dr. Nacke wrote 1,812 Medicare Part D claims for 396 patients. 72% of them were for generic drugs. CMS names the drug for 1,731 of them, across 18 drugs with 11 or more claims each, at $137,440 in total drug cost. In 2023, CMS named 1,715 claims across 19 drugs.
Dr. Nacke's Part D claims by kind of drug, 2024
- Generic1,308 claims72%
- Brand-name504 claims28%
Dr. Nacke's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 1,7152024: 1,7311%
Drugs named by CMS: 18 in 2024, 19 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Randall E. Nacke scored 89 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 89 out of 100 for Dr. Nacke for performance year 2024, reported as part of a group. Dr. Nacke accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 179 procedures of cataract surgery by Dr. Nacke, more than 82% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Dr. Nacke's MIPS scores, performance year 2024
- 89of 100Final score
- 92.6of 100Quality
- 96of 100Promoting Interoperability
- 40of 100Improvement Activities
- 75of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Nacke ranks in Medicare procedure volume
- Cataract surgery
- 82nd percentile179 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Removal or shaving of skin growth: 1 to 10 procedures (CMS shows small counts as a range)
Skin biopsy: 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. Randall E. Nacke received $615 in industry payments from 2016 to 2025
CMS Open Payments shows 20 general payments to Dr. Nacke from 11 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 97% of the total. Bausch Health Americas, Inc. paid the most, $197.
General payments to Dr. Nacke by program year, 2016 to 2025
General payments to Dr. Nacke by kind, 2016 to 2025
- Food and beverage$59597%
- Gifts$193%
Companies that paid Dr. Nacke the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Randall E. Nacke graduated from University of Iowa, RJ & L Carver College of Medicine
Dr. Nacke graduated from University of Iowa, RJ & L Carver College of Medicine in 2002.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. Randall E. Nacke's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Randall E. Nacke
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Randall E. Nacke's NPI number?
Dr. Randall E. Nacke's NPI number is 1093828782. It was assigned on August 16, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Randall E. Nacke?
Dr. Randall E. Nacke is an ophthalmologist in Crystal City, Missouri. The primary specialty in the NPI Registry is Ophthalmology Physician (taxonomy code 207W00000X).
Where does Dr. Randall E. Nacke practice?
Dr. Nacke practices at 1400 Us-61, Crystal City, MO 63019. Dr. Nacke's primary practice is Insight Optical in Crystal City, Missouri. Dmand AI also links Dr. Nacke to 1 medical group.
What is Dr. Randall E. Nacke's office phone number?
The practice phone on file for Dr. Nacke is (636) 937-8855.
What is Dr. Randall E. Nacke's medical license number?
Dr. Nacke holds Texas license TP10024907.
Does Dr. Randall E. Nacke accept Medicare?
Yes. CMS data shows Dr. Nacke billed Medicare for 1,534 services in 2024, and Dr. Nacke accepts Medicare assignment.
What is Dr. Randall E. Nacke's MIPS score?
Dr. Nacke's MIPS final score for performance year 2024 is 89 out of 100, reported as part of a group.
How many Medicare patients does Dr. Randall E. Nacke see?
CMS counts 715 Medicare patients who saw Dr. Nacke in 2024, with an average age of 77.
What services does Dr. Randall E. Nacke bill to Medicare?
In 2024, Dr. Nacke's most billed Medicare services were eye exam or test (92014), eye exam or test (92012) and eye exam or test (92136).
Where did Dr. Randall E. Nacke go to medical school?
Dr. Nacke graduated from University of Iowa, RJ & L Carver College of Medicine in 2002.
Show 3 more questionsShow fewer questions
What drugs does Dr. Randall E. Nacke prescribe most?
In 2024 Medicare Part D data, Dr. Nacke's most prescribed drugs by claims were Latanoprost, Timolol Maleate and Dorzolamide-Timolol.
Has Dr. Randall E. Nacke received payments from drug or device companies?
CMS Open Payments shows $615 in general payments to Dr. Nacke from 11 companies from 2016 to 2025. The largest total came from Bausch Health Americas, Inc.
How long has Dr. Randall E. Nacke been practicing?
Dr. Nacke graduated from medical school in 2002, 24 years ago.
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