2026 NPPES data Optometrist NPI 1265004402 OD
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ASHLEY ACOSTA, OD

Optometrist in MIAMI, 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
257
Medicare Part D claims · 124 beneficiaries · Optometrist avg: 257
Generic prescribing
61%
generic claims · 39% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$543.1
9 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ASHLEY ACOSTA, OD is a Optometrist ([object Object]) practicing in MIAMI, Florida with a Medicare Part D prescribing footprint of 257 claims across 124 beneficiaries — 39% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $543.1 across 9 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ASHLEY ACOSTA, OD reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 257 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ASHLEY ACOSTA, OD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/16/2021

NPI 1265004402

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

257 0% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Optometrist compares to other specialties among Florida providers

Florida providers

Optometrist share within Florida

1. Optometrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Optometrist share within Florida

Medicare quality performance — MIPS

ASHLEY ACOSTA, OD's 2023 MIPS final score plotted against the Optometrist national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Optometrist) — 100/100 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).

ASHLEY ACOSTA, OD is a Optometrist provider practicing in MIAMI, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: OD. NPI: 1265004402. 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.

ASHLEY ACOSTA, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 11501 SW 40TH ST, MIAMI, FL, 33165, with a listed phone of (305) 642-5366. NPI 1265004402 was issued on 07/16/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ACOSTA 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 257 prescription claims written by this provider, covering 124 Medicare beneficiaries and totaling roughly $30K in drug spend, split 39% brand-name and 61% 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 100/100 for the 2023 performance year (Quality 100, Cost 100), compared with the national average of 83.1.

Optometrist is a high-volume specialty nationwide, with 60,463 enrolled providers across 56 states and an average of 257 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

11501 SW 40TH ST
MIAMI, FL 33165

Provider Details

NPI 1265004402
Specialty Optometrist
Credentials OD
Gender Female
NPI Issued 07/16/2021

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Quality
100
Cost

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 ASHLEY ACOSTA, OD. Source: openpaymentsdata.cms.gov.

Total received

$543

Largest payer

TG Therapeutics, 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 ASHLEY ACOSTA, OD. To verify ASHLEY ACOSTA, OD'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

ASHLEY ACOSTA, OD — brand share 39.0%
Specialty average (est.)

39% brand-name claims vs 61% generic, on 257 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.

257
Total Claims
$30K
Total Drug Cost
124
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
398
Total Day Supply
10,852
Brand vs Generic
39% brand / 61% generic
Brand Drug Cost
$26K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
76.9 years
Avg HCC Risk Score
1.20
Gender Split
55% female / 45% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Latanoprost
54
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
44
Prednisolone Acetate
32
Ketorolac Tromethamine
24
Timolol Maleate
23
Lumigan
Bimatoprost
13

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

Optometrist Overview

How ASHLEY ACOSTA, OD fits within the Optometrist landscape nationally.

60,463
Optometrist Providers in US
56
States with Optometrist
257
Avg Claims per Provider

ASHLEY ACOSTA, OD's 257 claims are below the specialty average of 257.

Nearby Optometrist Providers in Florida

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

Compare Optometrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is ASHLEY ACOSTA, OD's specialty?
ASHLEY ACOSTA, OD specializes in Optometrist and practices in MIAMI, Florida. Credentials: OD.
How much does ASHLEY ACOSTA, OD prescribe under Medicare Part D?
In 2023, ASHLEY ACOSTA, OD wrote 257 Medicare Part D claims totaling $30K in drug costs for 124 beneficiaries.
What is ASHLEY ACOSTA, OD's Medicare quality score?
ASHLEY ACOSTA, OD has a CMS MIPS Final Score of 100/100 (Quality: 100, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ASHLEY ACOSTA, OD located?
ASHLEY ACOSTA, OD is located at 11501 SW 40TH ST, MIAMI, FL, 33165. Phone: (305) 642-5366.
What is ASHLEY ACOSTA, OD's NPI number?
ASHLEY ACOSTA, OD's National Provider Identifier (NPI) is 1265004402, issued on 07/16/2021.
Does ASHLEY ACOSTA, OD prescribe more brand-name or generic drugs?
ASHLEY ACOSTA, OD's prescribing is 39% brand-name and 61% generic drugs by claim count, with $26K in brand drug costs.
How many Optometrist providers are there in the US?
There are 60,463 Optometrist providers across 56 states in the US. The average Optometrist provider writes 257 Medicare Part D claims per year.
What drugs does ASHLEY ACOSTA, OD prescribe most often?
Based on 2023 Medicare Part D data, ASHLEY ACOSTA, OD's most frequently prescribed drugs include Latanoprost, Dorzolamide-Timolol, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ASHLEY ACOSTA, OD accept Medicare?
ASHLEY ACOSTA, OD appears in CMS Medicare data with 257 Part D claims and 124 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ASHLEY ACOSTA, OD's credentials?
ASHLEY ACOSTA, OD's NPI is 1265004402 with credentials OD. 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