NPI registry status
Active
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.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 245 in Pediatric Ophthalmology and Strabismus Specialist 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
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
- ≥0th
- pct by Part D claim volume (lower-bound band)
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.
CMS NPPES provider registry desk
NPI 1811946668 · Pediatric Ophthalmology and Strabismus Specialist Physician
NPI-10 · ENUM-LEGACY · TAX-TRACE · RX-TRACE · BOOK-THIN · PHOTO-ENUM
- NPI-10 1811946668
- ENUM-LEGACY 2006
- TAX-TRACE 245
- RX-TRACE 14
- BOOK-THIN 16 in Virginia
- PHOTO-ENUM Brad Simons · 2006
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 0% of 1,370,886 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
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 reportedPrimary specialty
Pediatric Ophthalmology and Strabismus Specialist Physician
Medicare Part D claims
14 95% vs specialty avg
Specialty distribution in Virginia
How Pediatric Ophthalmology and Strabismus Specialist Physician compares to other specialties among Virginia providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pediatric Ophthalmology and Strabismus Specialist Physician. Verify directly:
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).
Practice Address
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
More Pediatric Ophthalmology and Strabismus Specialist Physician in VA →
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Pediatric Ophthalmology and Strabismus Specialist Physician Overview
How Edwin Wortham V, M.D. fits within the Pediatric Ophthalmology and Strabismus Specialist Physician landscape nationally.
245
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.
Nationwide Pediatric Ophthalmology and Strabismus Specialist Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Wortham V, both outside Virginia so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 16 Pediatric Ophthalmology and Strabismus Specialist Physician providers enrolled in Virginia, 5 are shown here.
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 245 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
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.
- 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
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.