2026 NPPES data Ophthalmology Physician NPI 1073612156 M.D.
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FRANCIS FIGUEROA, M.D.

Ophthalmology Physician in CRANSTON, Rhode Island. 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
1K
Medicare Part D claims · 393 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
73%
generic claims · 27% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
What the federal data reveals: FRANCIS FIGUEROA, M.D. is a Ophthalmology Physician ([object Object]) practicing in CRANSTON, Rhode Island with a Medicare Part D prescribing footprint of 1K claims across 393 beneficiaries — 27% brand-name prescribing . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: FRANCIS FIGUEROA, M.D. reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 1,199 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

FRANCIS FIGUEROA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

FRANCIS FIGUEROA, M.D. at a glance

Below national average

NPI registry status

Active

Issued 09/22/2006

NPI 1073612156

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

1,199 16% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Rhode Island

How Ophthalmology Physician compares to other specialties among Rhode Island providers

Rhode Island providers

Ophthalmology Physician share within Rhode Island

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Rhode Island

Medicare quality performance — MIPS

FRANCIS FIGUEROA, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 0/100 vs national avg 83.1

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

FRANCIS FIGUEROA, M.D. is a Ophthalmology Physician provider practicing in CRANSTON, Rhode Island, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1073612156. 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.

FRANCIS FIGUEROA, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 975 PONTIAC AVE, CRANSTON, RI, 02920, with a listed phone of (401) 942-2626. NPI 1073612156 was issued on 09/22/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FIGUEROA 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 1,199 prescription claims written by this provider, covering 393 Medicare beneficiaries and totaling roughly $77K in drug spend, split 27% brand-name and 73% 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 0/100 for the 2023 performance year (Quality 0), 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

975 PONTIAC AVE
CRANSTON, RI 02920

Provider Details

NPI 1073612156
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 09/22/2006

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where FRANCIS FIGUEROA, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

STATE OF RHODE ISLAND
CRANSTON, RI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

FRANCIS FIGUEROA, M.D. — brand share 27.0%
Specialty average (est.)

27% brand-name claims vs 73% generic, on 1,199 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.

1,199
Total Claims
$77K
Total Drug Cost
393
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,528
Total Day Supply
71,660
Brand vs Generic
27% brand / 73% generic
Brand Drug Cost
$44K
Generic Drug Cost
$33K
Antibiotic Claims
23

Patient Demographics

Average Patient Age
76.8 years
Avg HCC Risk Score
1.05
Gender Split
65% female / 35% male
Age Distribution
<65: 13, 65-74: 149, 75-84: 158, 85+: 73

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
553
Prednisolone Acetate
133
Timolol Maleate
119
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
74
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
62
Erythromycin
Erythromycin Base
42
Lumigan
Bimatoprost
37
Dorzolamide Hcl
36
Cephalexin
18
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
17

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

Ophthalmology Physician Overview

How FRANCIS FIGUEROA, M.D. 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

FRANCIS FIGUEROA, M.D.'s 1,199 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Rhode Island

Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as FIGUEROA.

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is FRANCIS FIGUEROA, M.D.'s specialty?
FRANCIS FIGUEROA, M.D. specializes in Ophthalmology Physician and practices in CRANSTON, Rhode Island. Credentials: M.D..
How much does FRANCIS FIGUEROA, M.D. prescribe under Medicare Part D?
In 2023, FRANCIS FIGUEROA, M.D. wrote 1,199 Medicare Part D claims totaling $77K in drug costs for 393 beneficiaries.
What is FRANCIS FIGUEROA, M.D.'s Medicare quality score?
FRANCIS FIGUEROA, M.D. has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is FRANCIS FIGUEROA, M.D. located?
FRANCIS FIGUEROA, M.D. is located at 975 PONTIAC AVE, CRANSTON, RI, 02920. Phone: (401) 942-2626.
What is FRANCIS FIGUEROA, M.D.'s NPI number?
FRANCIS FIGUEROA, M.D.'s National Provider Identifier (NPI) is 1073612156, issued on 09/22/2006.
Does FRANCIS FIGUEROA, M.D. prescribe more brand-name or generic drugs?
FRANCIS FIGUEROA, M.D.'s prescribing is 27% brand-name and 73% generic drugs by claim count, with $44K 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 FRANCIS FIGUEROA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, FRANCIS FIGUEROA, M.D.'s most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does FRANCIS FIGUEROA, M.D. accept Medicare?
FRANCIS FIGUEROA, M.D. appears in CMS Medicare data with 1,199 Part D claims and 393 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify FRANCIS FIGUEROA, M.D.'s credentials?
FRANCIS FIGUEROA, M.D.'s NPI is 1073612156 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.
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