2026 NPPES data Pediatric Ophthalmology and Strabismus Specialist Physician NPI 1811946668 M.D.
Verify on CMS →

EDWIN WORTHAM V, M.D.

Pediatric Ophthalmology and Strabismus Specialist Physician in RICHMOND, Virginia. 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
14
Medicare Part D claims · Pediatric Ophthalmology and Strabismus Specialist Physician avg: 266

What the federal data shows

EDWIN WORTHAM V, M.D. filed 14 Medicare Part D claims in 2023 as a Pediatric Ophthalmology and Strabismus Specialist Physician in RICHMOND, Virginia.

14
Part D claims, 2023

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.

EDWIN WORTHAM V, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

14 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

EDWIN WORTHAM V, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about EDWIN WORTHAM V, M.D.?

Quality data not reported

NPI registry status

Active

Issued 05/09/2006

NPI 1811946668

Primary specialty

Pediatric Ophthalmology and Strabismus Specialist Physician

Rare

242 US NPIs in this specialty

Medicare Part D claims

14 95% vs specialty avg

2023 prescription claims

Specialty avg: 266

Specialty distribution in Virginia

How Pediatric Ophthalmology and Strabismus Specialist Physician compares to other specialties among Virginia providers

Virginia providers

Pediatric Ophthalmology and Strabismus Specialist Physician share within Virginia

1. Pediatric Ophthalmology and Strabismus Specialist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Ophthalmology and Strabismus Specialist Physician share within Virginia

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Ophthalmology and Strabismus Specialist Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Ophthalmology and Strabismus Specialist Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Ophthalmology and Strabismus Specialist Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Ophthalmology and Strabismus Specialist Physician) — ABMS / AOA estimate

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).

EDWIN WORTHAM V, M.D. appears in the CMS NPPES registry as a Pediatric Ophthalmology and Strabismus Specialist Physician provider holding M.D. credentials at 8720 STONY POINT PKWY STE 135, RICHMOND, VA, 23235, with a listed phone of (804) 272-8040. NPI 1811946668 was issued on 05/09/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WORTHAM V 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 14 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $4K in drug spend. 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.

Pediatric Ophthalmology and Strabismus Specialist Physician is a narrow specialty nationwide, with 242 enrolled providers across 40 states and an average of 266 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

8720 STONY POINT PKWY STE 135
RICHMOND, VA 23235

Provider Details

NPI 1811946668
Specialty Pediatric Ophthalmology and Strabismus Specialist Physician
Credentials M.D.
Gender Male
NPI Issued 05/09/2006

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

14
Total Claims
$4K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
38
Total Day Supply
1,119

Patient Demographics

Average Patient Age
71.0 years
Avg HCC Risk Score
0.42

Pediatric Ophthalmology and Strabismus Specialist Physician Overview

How EDWIN WORTHAM V, M.D. fits within the Pediatric Ophthalmology and Strabismus Specialist Physician landscape nationally.

242
Pediatric Ophthalmology and Strabismus Specialist Physician Providers in US
40
States with Pediatric Ophthalmology and Strabismus Specialist Physician
266
Avg Claims per Provider

EDWIN WORTHAM V, M.D.'s 14 claims are below the specialty average of 266.

Nearby Pediatric Ophthalmology and Strabismus Specialist Physician Providers in Virginia

Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as WORTHAM V.

Compare Pediatric Ophthalmology and Strabismus Specialist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EDWIN WORTHAM V, M.D.'s specialty?
EDWIN WORTHAM V, M.D. specializes in Pediatric Ophthalmology and Strabismus Specialist Physician and practices in RICHMOND, Virginia. Credentials: M.D..
How much does EDWIN WORTHAM V, M.D. prescribe under Medicare Part D?
In 2023, EDWIN WORTHAM V, M.D. wrote 14 Medicare Part D claims totaling $4K in drug costs for N/A beneficiaries.
Where is EDWIN WORTHAM V, M.D. located?
EDWIN WORTHAM V, M.D. is located at 8720 STONY POINT PKWY STE 135, RICHMOND, VA, 23235. Phone: (804) 272-8040.
What is EDWIN WORTHAM V, M.D.'s NPI number?
EDWIN WORTHAM V, M.D.'s National Provider Identifier (NPI) is 1811946668, issued on 05/09/2006.
How many Pediatric Ophthalmology and Strabismus Specialist Physician providers are there in the US?
There are 242 Pediatric Ophthalmology and Strabismus Specialist Physician providers across 40 states in the US. The average Pediatric Ophthalmology and Strabismus Specialist Physician provider writes 266 Medicare Part D claims per year.
Does EDWIN WORTHAM V, M.D. accept Medicare?
EDWIN WORTHAM V, M.D. appears in CMS Medicare data with 14 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDWIN WORTHAM V, M.D.'s credentials?
EDWIN WORTHAM V, M.D.'s NPI is 1811946668 with credentials M.D.. 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.
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