2026 NPPES data Ophthalmology Physician NPI 1225013980 MD
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Douglas Lewis, MD

Ophthalmology Physician in Austin, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 22,090 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
642
Medicare Part D claims · 221 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
71%
generic claims · 29% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.8/100
▲ 10 pts above national avg 83.1 · Exceptional
Industry payments
$368.66
10 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Douglas Lewis, MD reported a CMS MIPS final score of 92.8/100 - above the 83.1 national average - and filed 642 Medicare Part D claims in 2023.

92.8/100
MIPS score · +10 vs avg
642
Part D claims, 2023
71%
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.

Douglas Lewis, MD's MIPS score vs every scored U.S. clinician

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

93 Top 32% higher than 68% 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+: 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

Where Douglas Lewis, 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, Douglas Lewis, MD writes more Part D claims than 31% of them and scores higher on MIPS quality than 65% - placing this provider in the lower-volume, high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 82Douglas Lewis, MD-Part D claim volume, percentile in specialty: 31 · MIPS quality, percentile: 65
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 Douglas Lewis, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Douglas Lewis, 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 Douglas Lewis, MD?

High performer (top quartile)

NPI registry status

Active

Issued 12/14/2005

NPI 1225013980

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

642 55% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

92.8/100 9.7 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Ophthalmology Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician - 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program - 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Professional Counselor - 4.4%Professional Counselor4.4%Pharmacist - 4.4%Pharmacist4.4%Speech-Language Pathologist - 3.9%Speech-Language Pathologist3.9%Ophthalmology Physician - 0.3%Ophthalmology Physician0.3%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Douglas Lewis, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
92.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) - 92.8/100 vs national avg 83.1

0%100%National avg83%92.8%
MIPS final score (Ophthalmology Physician) - 92.8/100 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).

Douglas Lewis, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 1700 S MO PAC EXPY, Austin, TX, 78746, with a listed phone of (512) 327-7000. NPI 1225013980 was issued on 12/14/2005.

Medicare Part D records for calendar year 2023 show 642 prescription claims written by this provider, covering 221 Medicare beneficiaries and totaling roughly $102K in drug spend, split 29% brand-name and 71% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 92.8/100 for the 2023 performance year (Quality 87.7, Cost 89.2), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 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

1700 S MO PAC EXPY
Austin, TX 78746

Provider Details

NPI 1225013980
Specialty Ophthalmology Physician
Credentials MD
Gender Male
NPI Issued 12/14/2005

CMS Quality Score (MIPS)

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

92.8181
Final Score
Avg: 83.1
87.6807
Quality
89.213
Cost
99
Promoting Interoperability

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 Douglas Lewis, MD. Source: openpaymentsdata.cms.gov.

Total received

$369

Largest payer

ABBVIE 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 - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Douglas Lewis, MD. To verify Douglas Lewis, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

Douglas Lewis, MD - brand share 29.0%
Ophthalmology Physician average

29% brand-name claims vs 71% generic, on 642 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.

642
Total Claims
$102K
Total Drug Cost
221
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,094
Total Day Supply
29,176
Brand vs Generic
29% brand / 71% generic
Brand Drug Cost
$74K
Generic Drug Cost
$28K
Antibiotic Claims
45

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
1.09
Gender Split
62% female / 38% male
Age Distribution
<65: 15, 65-74: 98, 75-84: 84, 85+: 24

Top Prescribed Drugs (Medicare Part D)

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

What Douglas Lewis, 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
Latanoprost
197
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
66
Erythromycin
Erythromycin Base
57
Timolol Maleate
38
Restasis
Cyclosporine
37
Travoprost
36
Doxycycline Monohydrate
31
Cyclosporine
24
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
14
Dorzolamide Hcl
13

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

Ophthalmology Physician Overview

How Douglas Lewis, MD fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

Douglas Lewis, MD's 642 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Texas

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

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 Texas 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.

Frequently Asked Questions

What is Douglas Lewis, MD's specialty?
Douglas Lewis, MD specializes in Ophthalmology Physician and practices in Austin, Texas. Credentials: MD.
How much does Douglas Lewis, MD prescribe under Medicare Part D?
In 2023, Douglas Lewis, MD wrote 642 Medicare Part D claims totaling $102K in drug costs for 221 beneficiaries.
What is Douglas Lewis, MD's Medicare quality score?
Douglas Lewis, MD has a CMS MIPS Final Score of 92.8/100 (Quality: 87.7, Cost: 89.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Douglas Lewis, MD located?
Douglas Lewis, MD is located at 1700 S MO PAC EXPY, Austin, TX, 78746. Phone: (512) 327-7000.
What is Douglas Lewis, MD's NPI number?
Douglas Lewis, MD's National Provider Identifier (NPI) is 1225013980, issued on 12/14/2005.
Does Douglas Lewis, MD prescribe more brand-name or generic drugs?
Douglas Lewis, MD's prescribing is 29% brand-name and 71% generic drugs by claim count, with $74K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 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 Douglas Lewis, MD prescribe most often?
Based on 2023 Medicare Part D data, Douglas Lewis, MD's most frequently prescribed drugs include Latanoprost, Neomycin-Polymyxin-Dexameth, Erythromycin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Douglas Lewis, MD accept Medicare?
Douglas Lewis, MD appears in CMS Medicare data with 642 Part D claims and 221 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Douglas Lewis, MD's credentials?
Douglas Lewis, MD's NPI is 1225013980 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.