LARRY NICHOLSON, O.D.
Optometrist in HUNTINGDON, Tennessee. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
LARRY NICHOLSON, O.D. reported a CMS MIPS final score of 0/100 — below the 83.1 national average — and filed 1,548 Medicare Part D claims in 2023.
- 0/100
- MIPS score · -83 vs avg
- 2K
- Part D claims, 2023
- 55%
- generic prescribing
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.
LARRY NICHOLSON, O.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
0 0th percentile higher than 0% of 477,587 scored providers
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
What does the federal data show about LARRY NICHOLSON, O.D.?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Tennessee
How Optometrist compares to other specialties among Tennessee providers
Optometrist share within Tennessee
Optometrist is one of the more visible NUCC categories in Tennessee
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
LARRY NICHOLSON, O.D.'s 2023 MIPS final score plotted against the Optometrist national average
- MIPS Final Score
- 0/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Optometrist) — 0/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Optometrist US NPIs
0/100 MIPS final score — 83.1 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Optometrist. Quality dim: 0.
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).
LARRY NICHOLSON, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 19870 MAIN E ST, HUNTINGDON, TN, 38344, with a listed phone of (731) 986-4400. NPI 1053313338 was issued on 06/01/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NICHOLSON 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 1,548 prescription claims written by this provider, covering 474 Medicare beneficiaries and totaling roughly $174K in drug spend, split 45% brand-name and 55% 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.
Optometrist is a high-volume specialty nationwide, with 60,463 enrolled providers across 56 states and an average of 257 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
Provider Details
| NPI | 1053313338 |
|---|---|
| Specialty | Optometrist |
| Credentials | O.D. |
| Gender | Male |
| NPI Issued | 06/01/2005 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm LARRY NICHOLSON, O.D.'s current license status, disciplinary history, and board certifications with the Tennessee Board of Medical Examiners in Tennessee before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Individual
Hospital and facility affiliations
Facilities where LARRY NICHOLSON, O.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.
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
45% brand-name claims vs 55% generic, on 1,548 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.
Prescribing Breakdown
- 30-Day Fills
- 2,124
- Total Day Supply
- 53,787
- Brand vs Generic
- 45% brand / 55% generic
- Brand Drug Cost
- $152K
- Generic Drug Cost
- $22K
- Antibiotic Claims
- 48
Patient Demographics
- Average Patient Age
- 72.6 years
- Avg HCC Risk Score
- 1.39
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 76, 65-74: 185, 75-84: 159, 85+: 54
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What LARRY NICHOLSON, O.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Latanoprost
Latanoprost
387 claims
- Prednisolone Acetate
Prednisolone Acetate
238 claims
- Neomycin-Polymyxin…
Neomycin-Polymyxin-Dexameth
162 claims
- Lumigan 86
Lumigan
86 claims
- Timolol Maleate 86
Timolol Maleate
86 claims
- Erythromycin 81
Erythromycin
81 claims
- Brimonidine Tartrate 74
Brimonidine Tartrate
74 claims
- Restasis 74
Restasis
74 claims
| Drug | Claims |
|---|---|
| Latanoprost | 387 |
| Prednisolone Acetate | 238 |
| Neomycin-Polymyxin-Dexameth Neomycin/Polymyxin B/Dexametha | 162 |
| Lumigan Bimatoprost | 86 |
| Timolol Maleate | 86 |
| Erythromycin Erythromycin Base | 81 |
| Brimonidine Tartrate | 74 |
| Restasis Cyclosporine | 74 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 54 |
| Tobramycin-Dexamethasone Tobramycin/Dexamethasone | 39 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Optometrist Overview
How LARRY NICHOLSON, O.D. fits within the Optometrist landscape nationally.
LARRY NICHOLSON, O.D.'s 1,548 claims are above the specialty average of 257.
Nearby Optometrist Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as NICHOLSON.
Compare Optometrist nationally: see state-by-state distribution →
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Frequently Asked Questions
What is LARRY NICHOLSON, O.D.'s specialty? ▼
How much does LARRY NICHOLSON, O.D. prescribe under Medicare Part D? ▼
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What is LARRY NICHOLSON, O.D.'s NPI number? ▼
Does LARRY NICHOLSON, O.D. prescribe more brand-name or generic drugs? ▼
How many Optometrist providers are there in the US? ▼
What drugs does LARRY NICHOLSON, O.D. prescribe most often? ▼
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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