2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1922039346 M.D.
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HEIKKI KOSTAMAA, M.D.

Retina Specialist (Ophthalmology) Physician in NASHVILLE, Tennessee. 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
470
Medicare Part D claims · 140 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
Generic prescribing
42%
generic claims · 58% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$370.37
11 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

HEIKKI KOSTAMAA, M.D. reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 470 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
470
Part D claims, 2023
42%
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.

HEIKKI KOSTAMAA, M.D.'s MIPS score vs every scored U.S. clinician

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

75 15th percentile higher than 15% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

HEIKKI KOSTAMAA, M.D. 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 HEIKKI KOSTAMAA, M.D.?

Below national average

NPI registry status

Active

Issued 07/05/2006

NPI 1922039346

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

470 16% vs specialty avg

2023 prescription claims

Specialty avg: 558

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Tennessee

How Retina Specialist (Ophthalmology) Physician compares to other specialties among Tennessee providers

Tennessee providers

Retina Specialist (Ophthalmology) Physician share within Tennessee

1. Retina Specialist (Ophthalmology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Retina Specialist (Ophthalmology) Physician share within Tennessee

Medicare quality performance — MIPS

HEIKKI KOSTAMAA, M.D.'s 2023 MIPS final score plotted against the Retina Specialist (Ophthalmology) Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Retina Specialist (Ophthalmology) Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Retina Specialist (Ophthalmology) Physician) — 75/100 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).

HEIKKI KOSTAMAA, M.D. appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding M.D. credentials at 28 WHITE BRIDGE PIKE, NASHVILLE, TN, 37205, with a listed phone of (615) 327-2001. NPI 1922039346 was issued on 07/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KOSTAMAA 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 470 prescription claims written by this provider, covering 140 Medicare beneficiaries and totaling roughly $54K in drug spend, split 58% brand-name and 42% 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Retina Specialist (Ophthalmology) Physician is a narrow specialty nationwide, with 913 enrolled providers across 48 states and an average of 558 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

28 WHITE BRIDGE PIKE
NASHVILLE, TN 37205

Provider Details

NPI 1922039346
Specialty Retina Specialist (Ophthalmology) Physician
Credentials M.D.
Gender Male
NPI Issued 07/05/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Individual

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 HEIKKI KOSTAMAA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$370

Largest payer

Apellis Pharmaceuticals, 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.

Brand vs generic prescribing mix · Brand-heavy

HEIKKI KOSTAMAA, M.D. — brand share 58.0%
Specialty average (est.)

58% brand-name claims vs 42% generic, on 470 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.

470
Total Claims
$54K
Total Drug Cost
140
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
744
Total Day Supply
20,290
Brand vs Generic
58% brand / 42% generic
Brand Drug Cost
$44K
Generic Drug Cost
$10K

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
1.20
Gender Split
49% female / 51% male
Age Distribution
<65: 12, 65-74: 64, 75-84: 51, 85+: 13

Top Prescribed Drugs (Medicare Part D)

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

What HEIKKI KOSTAMAA, M.D. 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
Prednisolone Acetate
135
Latanoprost
72
Ketorolac Tromethamine
42
Ciprofloxacin Hcl
34
Timolol Maleate
30
Lumigan
Bimatoprost
28
Brimonidine Tartrate
20
Brimonidine Tartrate-Timolol
Brimonidine Tartrate/Timolol
12
Combigan
Brimonidine Tartrate/Timolol
11
Difluprednate
11

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

Retina Specialist (Ophthalmology) Physician Overview

How HEIKKI KOSTAMAA, M.D. fits within the Retina Specialist (Ophthalmology) Physician landscape nationally.

913
Retina Specialist (Ophthalmology) Physician Providers in US
48
States with Retina Specialist (Ophthalmology) Physician
558
Avg Claims per Provider

HEIKKI KOSTAMAA, M.D.'s 470 claims are below the specialty average of 558.

Nearby Retina Specialist (Ophthalmology) Physician Providers in Tennessee

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

Compare Retina Specialist (Ophthalmology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HEIKKI KOSTAMAA, M.D.'s specialty?
HEIKKI KOSTAMAA, M.D. specializes in Retina Specialist (Ophthalmology) Physician and practices in NASHVILLE, Tennessee. Credentials: M.D..
How much does HEIKKI KOSTAMAA, M.D. prescribe under Medicare Part D?
In 2023, HEIKKI KOSTAMAA, M.D. wrote 470 Medicare Part D claims totaling $54K in drug costs for 140 beneficiaries.
What is HEIKKI KOSTAMAA, M.D.'s Medicare quality score?
HEIKKI KOSTAMAA, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HEIKKI KOSTAMAA, M.D. located?
HEIKKI KOSTAMAA, M.D. is located at 28 WHITE BRIDGE PIKE, NASHVILLE, TN, 37205. Phone: (615) 327-2001.
What is HEIKKI KOSTAMAA, M.D.'s NPI number?
HEIKKI KOSTAMAA, M.D.'s National Provider Identifier (NPI) is 1922039346, issued on 07/05/2006.
Does HEIKKI KOSTAMAA, M.D. prescribe more brand-name or generic drugs?
HEIKKI KOSTAMAA, M.D.'s prescribing is 58% brand-name and 42% generic drugs by claim count, with $44K in brand drug costs.
How many Retina Specialist (Ophthalmology) Physician providers are there in the US?
There are 913 Retina Specialist (Ophthalmology) Physician providers across 48 states in the US. The average Retina Specialist (Ophthalmology) Physician provider writes 558 Medicare Part D claims per year.
What drugs does HEIKKI KOSTAMAA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, HEIKKI KOSTAMAA, M.D.'s most frequently prescribed drugs include Prednisolone Acetate, Latanoprost, Ketorolac Tromethamine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HEIKKI KOSTAMAA, M.D. accept Medicare?
HEIKKI KOSTAMAA, M.D. appears in CMS Medicare data with 470 Part D claims and 140 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HEIKKI KOSTAMAA, M.D.'s credentials?
HEIKKI KOSTAMAA, M.D.'s NPI is 1922039346 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