NPPES file of Aug 9, 2026

Aditya Verma, MD

Retina Specialist (Ophthalmology) Physician · Louisville, KY

Aditya Verma, MD is a retina specialist (ophthalmology) physician with a practice address in Louisville, Kentucky, and NPI 1255054698, issued on Sep 21, 2022. Check the license (Kentucky FL069, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1255054698
Name
Aditya Verma
Credential
MD
Primary taxonomy
Retina Specialist (Ophthalmology) Physician 207WX0107X
License number
FL069 KY
Self-reported in NPPES; status is on the state search
Practice location
301 E Muhammad Ali Blvd, Louisville, KY 40202
Phone
(502) 588-0550
Enumerated
Sep 21, 2022
Record last updated
Oct 4, 2022
Fax
(502) 588-0553
Medicare enrollment
Enrolled (PECOS I20221005001865); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 301 E Muhammad Ali Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Judith Ambrus, M.D.Ophthalmology Physician1700817905
  2. Mohsen Bahmani Kashkouli, MDOphthalmic Plastic and Reconstructive Surgery Physician1760168066
  3. Sharmini Balakrishnan, M.D.Ophthalmology Physician1639306343
  4. Charles Barr, M.D.Ophthalmology Physician1770518409
  5. Charles Bruce, MDOphthalmology Physician1730145657
  6. Kelsey Chen, DOStudent in an Organized Health Care Education/Training Program1336834530

Verify Aditya Verma in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersKentucky Board of Medical Licensure
    Search for license FL069
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Kentucky license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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73% fewer Medicare Part D claims than the average retina specialist (ophthalmology) physician in 2024

166 Medicare Part D claims for 69 beneficiaries, against an average of 620 among the 1,449 providers of this specialty who prescribed in Part D. Brand-name drugs were 54% of claims.

  1. Aditya Verma166
  2. Specialty average620

Most prescribed

  1. Prednisolone Acetate58 claims
  2. Ketorolac Tromethamine23 claims
  3. Dorzolamide-Timolol21 claims
  4. Brimonidine Tartrate18 claims
  5. Timolol Maleate14 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 73.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score58.7
  2. Costout of 100 · 30%51.9
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $414.23

9 payments; by number, the most common kind was food and beverage; the largest payer was Regeneron Pharmaceuticals, Inc. The 1,253 providers of this specialty with any payment received $7,667.49 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Aditya Verma$414.23
  2. Specialty average$7,667.49

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. University OF Louisville Physicians IncLouisville, KY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Aditya Verma among 23 retina specialist (ophthalmology) physician records in Kentucky

Aditya Verma, MD is one of 23 retina specialist (ophthalmology) physician records with a practice address in Kentucky. 96% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 87% of them.

  • NPI issued2022 · 87% of these records are older, 9% newer
  • In a Medicare fileYes · 96% of these records are
  • In the CMS Doctors and Clinicians fileYes · 91% of these records are
  • Graduated2000 · median 2003 among the 21 with a school on file
  • Record last updated2022 · 65% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207WX0107X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Retina Specialist (Ophthalmology) Physician providers in Kentucky

There are 23 retina specialist (ophthalmology) physician records in Kentucky.

The 8 retina specialist (ophthalmology) physician records with the nearest ZIP codes

  1. Thomas Stone, M.D.Louisville, KY 402051528064219
  2. Aditya Bansal, MDLexington, KY 405081457137614
  3. Ana Bastos De CarvalhoLexington, KY 405081245763747
  4. Peter Blackburn, MDLexington, KY 405081336196815
  5. Leanne Clevenger, MDLexington, KY 405081245735414
  6. Claire Fraser, M.D., PH.D.Lexington, KY 405081063658003
  7. Eric Higgins, M.D.Lexington, KY 405081790814556
  8. Paul Pearson, MDLexington, KY 405081992745871

Common questions

What is Aditya Verma, MD's NPI number?

Aditya Verma, MD's National Provider Identifier (NPI) is 1255054698, issued on Sep 21, 2022. An NPI identifies a provider in billing; it is not a license.

Where is Aditya Verma, MD located?

The NPPES record lists a practice address at 301 E Muhammad Ali Blvd, Louisville, KY, 40202. Phone: (502) 588-0550. Providers update this record themselves, so call before visiting.

How can I verify Aditya Verma, MD's license?

NPPES lists Kentucky license number FL069, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Aditya Verma, MD prescribe under Medicare Part D?

In 2024, Aditya Verma, MD had 166 Medicare Part D claims for 69 beneficiaries; the average among retina specialist (ophthalmology) physician prescribers was 620. Part D covers Medicare prescriptions only.

What is Aditya Verma, MD's MIPS final score?

The 2023 MIPS final score is 73.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.