2026 NPPES data Ophthalmology Physician NPI 1013901024 M.D.
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MARK FLUGMAN, M.D.

Ophthalmology Physician in ROCKVILLE CENTRE, New York. 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 · 259 beneficiaries · Ophthalmology Physician avg: 1K
MIPS score
78.0985/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$44.46
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MARK FLUGMAN, M.D. reported a CMS MIPS final score of 78.0985/100 — below the 83.1 national average — and filed 1,244 Medicare Part D claims in 2023.

78.0985/100
MIPS score · -5 vs avg
1K
Part D claims, 2023
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.

MARK FLUGMAN, 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

78 27th percentile higher than 27% 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)

MARK FLUGMAN, 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 MARK FLUGMAN, M.D.?

Below national average

NPI registry status

Active

Issued 09/06/2005

NPI 1013901024

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

1,244 12% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

78.0985/100 5.001499999999993% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Ophthalmology Physician compares to other specialties among New York providers

New York providers

Ophthalmology Physician share within New York

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

Medicare quality performance — MIPS

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

Below national average
MIPS Final Score
78.0985/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 78.0985/100 vs national avg 83.1

0%100%National avg83%78.1%
MIPS final score (Ophthalmology Physician) — 78.0985/100 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).

MARK FLUGMAN, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 176 N VILLAGE AVE, ROCKVILLE CENTRE, NY, 11570, with a listed phone of (516) 766-6400. NPI 1013901024 was issued on 09/06/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FLUGMAN 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 1,244 prescription claims written by this provider, covering 259 Medicare beneficiaries and totaling roughly $148K in drug spend. 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 78.0985/100 for the 2023 performance year (Quality 100, Cost 26.995), 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

176 N VILLAGE AVE
ROCKVILLE CENTRE, NY 11570

Provider Details

NPI 1013901024
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 09/06/2005

CMS Quality Score (MIPS)

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

78.0985
Final Score
Avg: 83.1
100
Quality
26.995
Cost

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 MARK FLUGMAN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$44

Largest payer

ABBVIE 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.

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to MARK FLUGMAN, M.D.. To verify MARK FLUGMAN, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,244
Total Claims
$148K
Total Drug Cost
259
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,394
Total Day Supply
67,688
Generic Drug Cost
$43K
Antibiotic Claims
50

Patient Demographics

Average Patient Age
77.8 years
Avg HCC Risk Score
1.05
Gender Split
63% female / 37% male

Top Prescribed Drugs (Medicare Part D)

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

What MARK FLUGMAN, 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
Latanoprost
236
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
147
Timolol Maleate
126
Lumigan
Bimatoprost
75
Ofloxacin
70
Dorzolamide Hcl
69
Prednisolone Acetate
63
Diclofenac Sodium
55
Travoprost
50
Dexamethasone Sodium Phosphate
45

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

Ophthalmology Physician Overview

How MARK FLUGMAN, 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

MARK FLUGMAN, M.D.'s 1,244 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as FLUGMAN.

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

Frequently Asked Questions

What is MARK FLUGMAN, M.D.'s specialty?
MARK FLUGMAN, M.D. specializes in Ophthalmology Physician and practices in ROCKVILLE CENTRE, New York. Credentials: M.D..
How much does MARK FLUGMAN, M.D. prescribe under Medicare Part D?
In 2023, MARK FLUGMAN, M.D. wrote 1,244 Medicare Part D claims totaling $148K in drug costs for 259 beneficiaries.
What is MARK FLUGMAN, M.D.'s Medicare quality score?
MARK FLUGMAN, M.D. has a CMS MIPS Final Score of 78.0985/100 (Quality: 100, Cost: 26.995). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARK FLUGMAN, M.D. located?
MARK FLUGMAN, M.D. is located at 176 N VILLAGE AVE, ROCKVILLE CENTRE, NY, 11570. Phone: (516) 766-6400.
What is MARK FLUGMAN, M.D.'s NPI number?
MARK FLUGMAN, M.D.'s National Provider Identifier (NPI) is 1013901024, issued on 09/06/2005.
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 MARK FLUGMAN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MARK FLUGMAN, M.D.'s most frequently prescribed drugs include Latanoprost, Dorzolamide-Timolol, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK FLUGMAN, M.D. accept Medicare?
MARK FLUGMAN, M.D. appears in CMS Medicare data with 1,244 Part D claims and 259 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK FLUGMAN, M.D.'s credentials?
MARK FLUGMAN, M.D.'s NPI is 1013901024 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