2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1255054698 MD
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ADITYA VERMA, MD

Retina Specialist (Ophthalmology) Physician in LOUISVILLE, Kentucky. 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
139
Medicare Part D claims · 59 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
Generic prescribing
42%
generic claims · 58% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.1977/100
▼ 10 pts below national avg 83.1 · [object Object]
Industry payments
$414.23
9 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ADITYA VERMA, MD reported a CMS MIPS final score of 73.1977/100 — below the 83.1 national average — and filed 139 Medicare Part D claims in 2023.

73.1977/100
MIPS score · -10 vs avg
139
Part D claims, 2023
42%
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.

ADITYA VERMA, MD's MIPS score vs every scored U.S. clinician

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

73 11th percentile higher than 11% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

ADITYA VERMA, MD 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 ADITYA VERMA, MD?

Below national average

NPI registry status

Active

Issued 09/21/2022

NPI 1255054698

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

139 75% vs specialty avg

2023 prescription claims

Specialty avg: 558

MIPS final score

73.1977/100 9.902299999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Kentucky

How Retina Specialist (Ophthalmology) Physician compares to other specialties among Kentucky providers

Kentucky providers

Retina Specialist (Ophthalmology) Physician share within Kentucky

1. Retina Specialist (Ophthalmology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Retina Specialist (Ophthalmology) Physician share within Kentucky

Medicare quality performance — MIPS

ADITYA VERMA, MD's 2023 MIPS final score plotted against the Retina Specialist (Ophthalmology) Physician national average

Below national average
MIPS Final Score
73.1977/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Retina Specialist (Ophthalmology) Physician) — 73.1977/100 vs national avg 83.1

0%100%National avg83%73.2%
MIPS final score (Retina Specialist (Ophthalmology) Physician) — 73.1977/100 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).

ADITYA VERMA, MD appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding MD credentials at 301 E MUHAMMAD ALI BLVD, LOUISVILLE, KY, 40202, with a listed phone of (502) 588-0550. NPI 1255054698 was issued on 09/21/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what VERMA 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 139 prescription claims written by this provider, covering 59 Medicare beneficiaries and totaling roughly $7K in drug spend, split 58% brand-name and 42% 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 73.1977/100 for the 2023 performance year (Quality 58.7401, Cost 51.919), compared with the national average of 83.1.

Retina Specialist (Ophthalmology) Physician is a narrow specialty nationwide, with 913 enrolled providers across 48 states and an average of 558 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

301 E MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202

Provider Details

NPI 1255054698
Specialty Retina Specialist (Ophthalmology) Physician
Credentials MD
Gender Male
NPI Issued 09/21/2022

CMS Quality Score (MIPS)

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

73.1977
Final Score
Avg: 83.1
58.7401
Quality
51.919
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ADITYA VERMA, MD 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.

UNIVERSITY OF LOUISVILLE PHYSICIANS INC
LOUISVILLE, KY

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 ADITYA VERMA, MD. Source: openpaymentsdata.cms.gov.

Total received

$414

Largest payer

Regeneron Pharmaceuticals, 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 · Brand-heavy

ADITYA VERMA, MD — brand share 58.0%
Specialty average (est.)

58% brand-name claims vs 42% generic, on 139 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.

139
Total Claims
$7K
Total Drug Cost
59
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
218
Total Day Supply
5,758
Brand vs Generic
58% brand / 42% generic
Brand Drug Cost
$6K
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
70.0 years
Avg HCC Risk Score
1.73
Gender Split
51% female / 49% male

Top Prescribed Drugs (Medicare Part D)

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

What ADITYA VERMA, MD 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
Prednisolone Acetate
43
Ketorolac Tromethamine
21
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
12

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

Retina Specialist (Ophthalmology) Physician Overview

How ADITYA VERMA, MD fits within the Retina Specialist (Ophthalmology) Physician landscape nationally.

913
Retina Specialist (Ophthalmology) Physician Providers in US
48
States with Retina Specialist (Ophthalmology) Physician
558
Avg Claims per Provider

ADITYA VERMA, MD's 139 claims are below the specialty average of 558.

Nearby Retina Specialist (Ophthalmology) Physician Providers in Kentucky

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

Compare Retina Specialist (Ophthalmology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ADITYA VERMA, MD's specialty?
ADITYA VERMA, MD specializes in Retina Specialist (Ophthalmology) Physician and practices in LOUISVILLE, Kentucky. Credentials: MD.
How much does ADITYA VERMA, MD prescribe under Medicare Part D?
In 2023, ADITYA VERMA, MD wrote 139 Medicare Part D claims totaling $7K in drug costs for 59 beneficiaries.
What is ADITYA VERMA, MD's Medicare quality score?
ADITYA VERMA, MD has a CMS MIPS Final Score of 73.1977/100 (Quality: 58.7401, Cost: 51.919). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ADITYA VERMA, MD located?
ADITYA VERMA, MD is located at 301 E MUHAMMAD ALI BLVD, LOUISVILLE, KY, 40202. Phone: (502) 588-0550.
What is ADITYA VERMA, MD's NPI number?
ADITYA VERMA, MD's National Provider Identifier (NPI) is 1255054698, issued on 09/21/2022.
Does ADITYA VERMA, MD prescribe more brand-name or generic drugs?
ADITYA VERMA, MD's prescribing is 58% brand-name and 42% generic drugs by claim count, with $6K in brand drug costs.
How many Retina Specialist (Ophthalmology) Physician providers are there in the US?
There are 913 Retina Specialist (Ophthalmology) Physician providers across 48 states in the US. The average Retina Specialist (Ophthalmology) Physician provider writes 558 Medicare Part D claims per year.
What drugs does ADITYA VERMA, MD prescribe most often?
Based on 2023 Medicare Part D data, ADITYA VERMA, MD's most frequently prescribed drugs include Prednisolone Acetate, Ketorolac Tromethamine, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ADITYA VERMA, MD accept Medicare?
ADITYA VERMA, MD appears in CMS Medicare data with 139 Part D claims and 59 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ADITYA VERMA, MD's credentials?
ADITYA VERMA, MD's NPI is 1255054698 with credentials MD. 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