2026 NPPES data Ophthalmology Physician NPI 1053370734 M.D.
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HELGA PIZIO, M.D.

Ophthalmology Physician in LAS VEGAS, Nevada. 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
3K
Medicare Part D claims · 670 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
69%
generic claims · 31% 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
$142.56
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

HELGA PIZIO, M.D. reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 2,511 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
3K
Part D claims, 2023
69%
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.

HELGA PIZIO, 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)

HELGA PIZIO, 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 HELGA PIZIO, M.D.?

Below national average

NPI registry status

Active

Issued 03/21/2006

NPI 1053370734

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

2,511 77% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Nevada

How Ophthalmology Physician compares to other specialties among Nevada providers

Nevada providers

Ophthalmology Physician share within Nevada

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

Medicare quality performance — MIPS

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

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

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

0%100%National avg83%75%
MIPS final score (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).

HELGA PIZIO, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 2020 WELLNESS WAY STE 402, LAS VEGAS, NV, 89106, with a listed phone of (702) 485-5000. NPI 1053370734 was issued on 03/21/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PIZIO 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 2,511 prescription claims written by this provider, covering 670 Medicare beneficiaries and totaling roughly $129K in drug spend, split 31% brand-name and 69% 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.

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

2020 WELLNESS WAY STE 402
LAS VEGAS, NV 89106

Provider Details

NPI 1053370734
Specialty Ophthalmology Physician
Credentials M.D.
Gender Female
NPI Issued 03/21/2006

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 HELGA PIZIO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$143

Largest payer

RxSight 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 · Above average

HELGA PIZIO, M.D. — brand share 31.0%
Specialty average (est.)

31% brand-name claims vs 69% generic, on 2,511 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.

2,511
Total Claims
$129K
Total Drug Cost
670
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,881
Total Day Supply
68,398
Brand vs Generic
31% brand / 69% generic
Brand Drug Cost
$85K
Generic Drug Cost
$44K
Antibiotic Claims
12

Patient Demographics

Average Patient Age
74.3 years
Avg HCC Risk Score
0.95
Gender Split
63% female / 37% male
Age Distribution
<65: 13, 65-74: 350, 75-84: 274, 85+: 33

Top Prescribed Drugs (Medicare Part D)

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

What HELGA PIZIO, 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
Moxifloxacin
Moxifloxacin Hcl
812
Prednisolone Acetate
688
Ketorolac Tromethamine
676
Erythromycin
Erythromycin Base
117
Latanoprost
52
Restasis
Cyclosporine
34
Flurbiprofen Sodium
30
Timolol Maleate
16

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

Ophthalmology Physician Overview

How HELGA PIZIO, 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

HELGA PIZIO, M.D.'s 2,511 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Nevada

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

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

Frequently Asked Questions

What is HELGA PIZIO, M.D.'s specialty?
HELGA PIZIO, M.D. specializes in Ophthalmology Physician and practices in LAS VEGAS, Nevada. Credentials: M.D..
How much does HELGA PIZIO, M.D. prescribe under Medicare Part D?
In 2023, HELGA PIZIO, M.D. wrote 2,511 Medicare Part D claims totaling $129K in drug costs for 670 beneficiaries.
What is HELGA PIZIO, M.D.'s Medicare quality score?
HELGA PIZIO, 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 HELGA PIZIO, M.D. located?
HELGA PIZIO, M.D. is located at 2020 WELLNESS WAY STE 402, LAS VEGAS, NV, 89106. Phone: (702) 485-5000.
What is HELGA PIZIO, M.D.'s NPI number?
HELGA PIZIO, M.D.'s National Provider Identifier (NPI) is 1053370734, issued on 03/21/2006.
Does HELGA PIZIO, M.D. prescribe more brand-name or generic drugs?
HELGA PIZIO, M.D.'s prescribing is 31% brand-name and 69% generic drugs by claim count, with $85K 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 HELGA PIZIO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, HELGA PIZIO, M.D.'s most frequently prescribed drugs include Moxifloxacin, Prednisolone Acetate, Ketorolac Tromethamine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HELGA PIZIO, M.D. accept Medicare?
HELGA PIZIO, M.D. appears in CMS Medicare data with 2,511 Part D claims and 670 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HELGA PIZIO, M.D.'s credentials?
HELGA PIZIO, M.D.'s NPI is 1053370734 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