2026 NPPES data Ophthalmic Plastic and Reconstructive Surgery Physician NPI 1922366251 MD,
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CAROLINE VARGASON, MD,

Ophthalmic Plastic and Reconstructive Surgery Physician in NAMPA, Idaho. 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
272
Medicare Part D claims · 172 beneficiaries · Ophthalmic Plastic and Reconstructive Surgery Physician avg: 624
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.5814/100
▲ 14 pts above national avg 83.1 · [object Object]

What the federal data shows

CAROLINE VARGASON, MD, reported a CMS MIPS final score of 97.5814/100 — above the 83.1 national average — and filed 272 Medicare Part D claims in 2023.

97.5814/100
MIPS score · +14 vs avg
272
Part D claims, 2023
89%
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.

CAROLINE VARGASON, MD,'s MIPS score vs every scored U.S. clinician

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

98 Top 15% higher than 85% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

CAROLINE VARGASON, 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).

What does the federal data show about CAROLINE VARGASON, MD,?

High performer (top quartile)

NPI registry status

Active

Issued 04/24/2012

NPI 1922366251

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery Physician

Rare

291 US NPIs in this specialty

Medicare Part D claims

272 56% vs specialty avg

2023 prescription claims

Specialty avg: 624

MIPS final score

97.5814/100 14.481400000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Idaho

How Ophthalmic Plastic and Reconstructive Surgery Physician compares to other specialties among Idaho providers

Idaho providers

Ophthalmic Plastic and Reconstructive Surgery Physician share within Idaho

1. Ophthalmic Plastic and Reconstructive Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmic Plastic and Reconstructive Surgery Physician share within Idaho

Medicare quality performance — MIPS

CAROLINE VARGASON, MD,'s 2023 MIPS final score plotted against the Ophthalmic Plastic and Reconstructive Surgery Physician national average

High performer (top quartile)
MIPS Final Score
97.5814/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmic Plastic and Reconstructive Surgery Physician) — 97.5814/100 vs national avg 83.1

0%100%National avg83%97.6%
MIPS final score (Ophthalmic Plastic and Reconstructive Surgery Physician) — 97.5814/100 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).

CAROLINE VARGASON, MD, appears in the CMS NPPES registry as a Ophthalmic Plastic and Reconstructive Surgery Physician provider holding MD, credentials at 1603 12TH AVE RD STE E, NAMPA, ID, 83686, with a listed phone of (208) 466-0255. NPI 1922366251 was issued on 04/24/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what VARGASON 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 272 prescription claims written by this provider, covering 172 Medicare beneficiaries and totaling roughly $8K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 4.8%. 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 97.5814/100 for the 2023 performance year (Quality 86.5348), compared with the national average of 83.1.

Ophthalmic Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 291 enrolled providers across 46 states and an average of 624 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

1603 12TH AVE RD STE E
NAMPA, ID 83686

Provider Details

NPI 1922366251
Specialty Ophthalmic Plastic and Reconstructive Surgery Physician
Credentials MD,
Gender Female
NPI Issued 04/24/2012

CMS Quality Score (MIPS)

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

97.5814
Final Score
Avg: 83.1
86.5348
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Brand vs generic prescribing mix · Typical

CAROLINE VARGASON, MD, — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 272 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.

272
Total Claims
$8K
Total Drug Cost
172
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
287
Total Day Supply
3,661
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$5K
Generic Drug Cost
$3K
Opioid Claims
13 (4.8% rate)
Antibiotic Claims
14

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
1.03
Gender Split
63% female / 37% male
Age Distribution
<65: 11, 65-74: 84, 75-84: 58, 85+: 19

Top Prescribed Drugs (Medicare Part D)

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

What CAROLINE VARGASON, 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
Erythromycin
Erythromycin Base
175
Methylprednisolone
23
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
22
Prednisolone Acetate
12

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

Ophthalmic Plastic and Reconstructive Surgery Physician Overview

How CAROLINE VARGASON, MD, fits within the Ophthalmic Plastic and Reconstructive Surgery Physician landscape nationally.

291
Ophthalmic Plastic and Reconstructive Surgery Physician Providers in US
46
States with Ophthalmic Plastic and Reconstructive Surgery Physician
624
Avg Claims per Provider

CAROLINE VARGASON, MD,'s 272 claims are below the specialty average of 624.

Nearby Ophthalmic Plastic and Reconstructive Surgery Physician Providers in Idaho

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

Compare Ophthalmic Plastic and Reconstructive Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CAROLINE VARGASON, MD,'s specialty?
CAROLINE VARGASON, MD, specializes in Ophthalmic Plastic and Reconstructive Surgery Physician and practices in NAMPA, Idaho. Credentials: MD,.
How much does CAROLINE VARGASON, MD, prescribe under Medicare Part D?
In 2023, CAROLINE VARGASON, MD, wrote 272 Medicare Part D claims totaling $8K in drug costs for 172 beneficiaries.
What is CAROLINE VARGASON, MD,'s Medicare quality score?
CAROLINE VARGASON, MD, has a CMS MIPS Final Score of 97.5814/100 (Quality: 86.5348). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CAROLINE VARGASON, MD, located?
CAROLINE VARGASON, MD, is located at 1603 12TH AVE RD STE E, NAMPA, ID, 83686. Phone: (208) 466-0255.
What is CAROLINE VARGASON, MD,'s NPI number?
CAROLINE VARGASON, MD,'s National Provider Identifier (NPI) is 1922366251, issued on 04/24/2012.
Does CAROLINE VARGASON, MD, prescribe more brand-name or generic drugs?
CAROLINE VARGASON, MD,'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $5K in brand drug costs.
Does CAROLINE VARGASON, MD, prescribe opioids?
Yes, CAROLINE VARGASON, MD, had 13 opioid claims in 2023 with an opioid prescribing rate of 4.8%.
How many Ophthalmic Plastic and Reconstructive Surgery Physician providers are there in the US?
There are 291 Ophthalmic Plastic and Reconstructive Surgery Physician providers across 46 states in the US. The average Ophthalmic Plastic and Reconstructive Surgery Physician provider writes 624 Medicare Part D claims per year.
What drugs does CAROLINE VARGASON, MD, prescribe most often?
Based on 2023 Medicare Part D data, CAROLINE VARGASON, MD,'s most frequently prescribed drugs include Erythromycin, Methylprednisolone, Neomycin-Polymyxin-Dexameth. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CAROLINE VARGASON, MD, accept Medicare?
CAROLINE VARGASON, MD, appears in CMS Medicare data with 272 Part D claims and 172 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CAROLINE VARGASON, MD,'s credentials?
CAROLINE VARGASON, MD,'s NPI is 1922366251 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