2026 NPPES data Cornea and External Diseases Specialist Physician NPI 1104288547 MD
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ANDREW HOU, MD

Cornea and External Diseases Specialist Physician in SARASOTA, Florida. 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
1K
Medicare Part D claims · 276 beneficiaries · Cornea and External Diseases Specialist Physician avg: 1K
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$584.33
16 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ANDREW HOU, MD is a Cornea and External Diseases Specialist Physician ([object Object]) practicing in SARASOTA, Florida with a Medicare Part D prescribing footprint of 1K claims across 276 beneficiaries — 30% brand-name prescribing . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $584.33 across 16 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ANDREW HOU, MD reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 1,334 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ANDREW HOU, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ANDREW HOU, MD at a glance

Below national average

NPI registry status

Active

Issued 03/24/2016

NPI 1104288547

Primary specialty

Cornea and External Diseases Specialist Physician

Rare

294 US NPIs in this specialty

Medicare Part D claims

1,334 8% vs specialty avg

2023 prescription claims

Specialty avg: 1,232

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Cornea and External Diseases Specialist Physician compares to other specialties among Florida providers

Florida providers

Cornea and External Diseases Specialist Physician share within Florida

1. Cornea and External Diseases Specialist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cornea and External Diseases Specialist Physician share within Florida

Medicare quality performance — MIPS

ANDREW HOU, MD's 2023 MIPS final score plotted against the Cornea and External Diseases Specialist Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cornea and External Diseases Specialist Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Cornea and External Diseases Specialist Physician) — 75/100 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).

ANDREW HOU, MD is a Cornea and External Diseases Specialist Physician provider practicing in SARASOTA, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1104288547. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ANDREW HOU, MD appears in the CMS NPPES registry as a Cornea and External Diseases Specialist Physician provider holding MD credentials at 3920 BEE RIDGE RD UNIT 101, SARASOTA, FL, 34233, with a listed phone of (941) 226-8000. NPI 1104288547 was issued on 03/24/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HOU 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 1,334 prescription claims written by this provider, covering 276 Medicare beneficiaries and totaling roughly $79K in drug spend, split 30% brand-name and 70% 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Cornea and External Diseases Specialist Physician is a narrow specialty nationwide, with 294 enrolled providers across 43 states and an average of 1,232 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

3920 BEE RIDGE RD UNIT 101
SARASOTA, FL 34233

Provider Details

NPI 1104288547
Specialty Cornea and External Diseases Specialist Physician
Credentials MD
Gender Male
NPI Issued 03/24/2016

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

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 ANDREW HOU, MD. Source: openpaymentsdata.cms.gov.

Total received

$584

Largest payer

Amgen 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 — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to ANDREW HOU, MD. To verify ANDREW HOU, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

ANDREW HOU, MD — brand share 30.0%
Specialty average (est.)

30% brand-name claims vs 70% generic, on 1,334 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.

1,334
Total Claims
$79K
Total Drug Cost
276
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,927
Total Day Supply
50,553
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$53K
Generic Drug Cost
$26K
Antibiotic Claims
14

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
1.27
Gender Split
59% female / 41% male
Age Distribution
<65: 12, 65-74: 109, 75-84: 122, 85+: 33

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Moxifloxacin
Moxifloxacin Hcl
256
Latanoprost
254
Prednisolone Acetate
219
Ketorolac Tromethamine
151
Timolol Maleate
118
Brimonidine Tartrate
62
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
45
Alphagan P
Brimonidine Tartrate
37
Valacyclovir
Valacyclovir Hcl
24
Dorzolamide Hcl
22

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

Cornea and External Diseases Specialist Physician Overview

How ANDREW HOU, MD fits within the Cornea and External Diseases Specialist Physician landscape nationally.

294
Cornea and External Diseases Specialist Physician Providers in US
43
States with Cornea and External Diseases Specialist Physician
1,232
Avg Claims per Provider

ANDREW HOU, MD's 1,334 claims are above the specialty average of 1,232.

Nearby Cornea and External Diseases Specialist Physician Providers in Florida

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

Compare Cornea and External Diseases Specialist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREW HOU, MD's specialty?
ANDREW HOU, MD specializes in Cornea and External Diseases Specialist Physician and practices in SARASOTA, Florida. Credentials: MD.
How much does ANDREW HOU, MD prescribe under Medicare Part D?
In 2023, ANDREW HOU, MD wrote 1,334 Medicare Part D claims totaling $79K in drug costs for 276 beneficiaries.
What is ANDREW HOU, MD's Medicare quality score?
ANDREW HOU, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDREW HOU, MD located?
ANDREW HOU, MD is located at 3920 BEE RIDGE RD UNIT 101, SARASOTA, FL, 34233. Phone: (941) 226-8000.
What is ANDREW HOU, MD's NPI number?
ANDREW HOU, MD's National Provider Identifier (NPI) is 1104288547, issued on 03/24/2016.
Does ANDREW HOU, MD prescribe more brand-name or generic drugs?
ANDREW HOU, MD's prescribing is 30% brand-name and 70% generic drugs by claim count, with $53K in brand drug costs.
How many Cornea and External Diseases Specialist Physician providers are there in the US?
There are 294 Cornea and External Diseases Specialist Physician providers across 43 states in the US. The average Cornea and External Diseases Specialist Physician provider writes 1,232 Medicare Part D claims per year.
What drugs does ANDREW HOU, MD prescribe most often?
Based on 2023 Medicare Part D data, ANDREW HOU, MD's most frequently prescribed drugs include Moxifloxacin, Latanoprost, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREW HOU, MD accept Medicare?
ANDREW HOU, MD appears in CMS Medicare data with 1,334 Part D claims and 276 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW HOU, MD's credentials?
ANDREW HOU, MD's NPI is 1104288547 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