NPI registry status
Active
2026 NPPES data Ophthalmology Physician NPI 1902892201 MD
Verify on CMS → Andrew Michael, MD
Ophthalmology Physician in Henrico, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 22,082 in Ophthalmology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
7K
Medicare Part D claims · 2K beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.4/100
▼ 6 pts below national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Andrew Michael, MD reported a CMS MIPS final score of 77.4/100 - below the 83.1 national average - and filed 6,651 Medicare Part D claims in 2023.
- 77.4/100
- MIPS score · -6 vs avg
- 7K
- Part D claims, 2023
- 70%
- 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.
Andrew Michael, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
77 24th percentile higher than 24% of 477,587 scored providers
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
Where Andrew Michael, MD sits
This provider among ophthalmology physician peers
Across the 9,866 ophthalmology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Andrew Michael, MD writes more Part D claims than 98% of them and scores higher on MIPS quality than 31% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one ophthalmology physician peer from a representative sample of 60; the gold marker is Andrew Michael, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Andrew Michael, 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 Andrew Michael, MD?
Below national averagePrimary specialty
Ophthalmology Physician
Medicare Part D claims
6,651 368% vs specialty avg
MIPS final score
77.4/100 5.7 pts vs avg
Specialty distribution in Virginia
How Ophthalmology Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Andrew Michael, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average
- MIPS Final Score
- 77.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Ophthalmology Physician) - 77.4/100 vs national avg 83.1
How MIPS and board certification work
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 Michael, MD appears in the CMS NPPES registry as an Ophthalmology Physician provider holding MD credentials at 3855 GASKINS RD, Henrico, VA, 23233, with a listed phone of (804) 290-4278. NPI 1902892201 was issued on 09/22/2005.
Medicare Part D records for calendar year 2023 show 6,651 prescription claims written by this provider, covering 1,611 Medicare beneficiaries and totaling roughly $274K in drug spend, split 30% brand-name and 70% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.4/100 for the 2023 performance year (Quality 75.2, Cost 49.5), compared with the national average of 83.1.
Ophthalmology Physician is a mid-sized specialty nationwide, with 22,082 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
Provider Details
| NPI | 1902892201 |
|---|---|
| Specialty | Ophthalmology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 09/22/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
77.4365
Final Score
Avg: 83.1
75.2423
Quality
49.5461
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Andrew Michael, 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.
Virginia Eye Consultants Inc
Henrico, VA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Above average
Andrew Michael, MD - brand share 30.0%
Ophthalmology Physician average
30% brand-name claims vs 70% generic, on 6,651 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.
6,651
Total Claims
$274K
Total Drug Cost
1,611
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 9,230
- Total Day Supply
- 239,973
- Brand vs Generic
- 30% brand / 70% generic
- Brand Drug Cost
- $192K
- Generic Drug Cost
- $82K
Patient Demographics
- Average Patient Age
- 74.4 years
- Avg HCC Risk Score
- 1.13
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 63, 65-74: 786, 75-84: 633, 85+: 129
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Andrew Michael, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Ketorolac Trometha…
Ketorolac Tromethamine
1,445 claims
- Prednisolone Acetate
Prednisolone Acetate
1,327 claims
- Latanoprost
Latanoprost
1,107 claims
- Ofloxacin
Ofloxacin
1,070 claims
- Timolol Maleate 556
Timolol Maleate
556 claims
- Brimonidine Tartrate 317
Brimonidine Tartrate
317 claims
- Ciprofloxacin Hcl 292
Ciprofloxacin Hcl
292 claims
- Dorzolamide-Timolol 137
Dorzolamide-Timolol
137 claims
| Drug | Claims |
|---|---|
| Ketorolac Tromethamine | 1,445 |
| Prednisolone Acetate | 1,327 |
| Latanoprost | 1,107 |
| Ofloxacin | 1,070 |
| Timolol Maleate | 556 |
| Brimonidine Tartrate | 317 |
| Ciprofloxacin Hcl | 292 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 137 |
| Dorzolamide Hcl | 89 |
| Lumigan Bimatoprost | 84 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Ophthalmology Physician Overview
How Andrew Michael, MD fits within the Ophthalmology Physician landscape nationally.
22,082
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider
Andrew Michael, MD's 6,651 claims are above the specialty average of 1,420.
Nearby Ophthalmology Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Michael.
Dr. Benjamin Abramowitz
MD
Manassas, VA
Dr. Eric Adams
MD
Norfolk, VA
Dr. Rohit Adyanthaya
MD
Norfolk, VA
Dr. George Agritellis
M.D.
Winchester, VA
Dr. Sameer Ahmad
M.D.
Herndon, VA
Compare Ophthalmology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Ophthalmology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Andrew Michael, MD's specialty? ▼
Andrew Michael, MD specializes in Ophthalmology Physician and practices in Henrico, Virginia. Credentials: MD.
How much does Andrew Michael, MD prescribe under Medicare Part D? ▼
In 2023, Andrew Michael, MD wrote 6,651 Medicare Part D claims totaling $274K in drug costs for 1,611 beneficiaries.
What is Andrew Michael, MD's Medicare quality score? ▼
Andrew Michael, MD has a CMS MIPS Final Score of 77.4/100 (Quality: 75.2, Cost: 49.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Andrew Michael, MD located? ▼
Andrew Michael, MD is located at 3855 GASKINS RD, Henrico, VA, 23233. Phone: (804) 290-4278.
What is Andrew Michael, MD's NPI number? ▼
Andrew Michael, MD's National Provider Identifier (NPI) is 1902892201, issued on 09/22/2005.
Does Andrew Michael, MD prescribe more brand-name or generic drugs? ▼
Andrew Michael, MD's prescribing is 30% brand-name and 70% generic drugs by claim count, with $192K in brand drug costs.
How many Ophthalmology Physician providers are there in the US? ▼
There are 22,082 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 Andrew Michael, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Andrew Michael, MD's most frequently prescribed drugs include Ketorolac Tromethamine, Prednisolone Acetate, Latanoprost. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Andrew Michael, MD accept Medicare? ▼
Andrew Michael, MD appears in CMS Medicare data with 6,651 Part D claims and 1,611 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Andrew Michael, MD's credentials? ▼
Andrew Michael, MD's NPI is 1902892201 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.