2026 NPPES data Cornea and External Diseases Specialist Physician NPI 1194257873 M.D.
Verify on CMS →

NICOLE LANZA, M.D.

Cornea and External Diseases Specialist Physician in PROVIDENCE, 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
2K
Medicare Part D claims · 339 beneficiaries · Cornea and External Diseases Specialist Physician avg: 1K
Generic prescribing
71%
generic claims · 29% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$149.77
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NICOLE LANZA, M.D. is a Cornea and External Diseases Specialist Physician ([object Object]) practicing in PROVIDENCE, Rhode Island with a Medicare Part D prescribing footprint of 2K claims across 339 beneficiaries — 29% brand-name prescribing . Industry payments of $149.77 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NICOLE LANZA, M.D. filed 1,610 Medicare Part D claims in 2023 across PROVIDENCE, Rhode Island. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

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

NICOLE LANZA, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 03/31/2017

NPI 1194257873

Primary specialty

Cornea and External Diseases Specialist Physician

Rare

294 US NPIs in this specialty

Medicare Part D claims

1,610 31% vs specialty avg

2023 prescription claims

Specialty avg: 1,232

Specialty distribution in Rhode Island

How Cornea and External Diseases Specialist Physician compares to other specialties among Rhode Island providers

Rhode Island providers

Cornea and External Diseases Specialist Physician share within Rhode Island

1. Cornea and External Diseases Specialist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cornea and External Diseases Specialist Physician share within Rhode Island

Specialty board-certification context

Estimated specialty board-certified rate — Cornea and External Diseases Specialist Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Cornea and External Diseases Specialist Physician ABMS/AOA estimate

Est. board-certified rate (Cornea and External Diseases Specialist Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Cornea and External Diseases Specialist Physician) — ABMS / AOA estimate

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).

NICOLE LANZA, M.D. is a Cornea and External Diseases Specialist Physician provider practicing in PROVIDENCE, Rhode Island, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1194257873. 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.

NICOLE LANZA, M.D. appears in the CMS NPPES registry as a Cornea and External Diseases Specialist Physician provider holding M.D. credentials at 1 HOPPIN ST STE 202, PROVIDENCE, RI, 02903, with a listed phone of (401) 444-6551. NPI 1194257873 was issued on 03/31/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LANZA 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 1,610 prescription claims written by this provider, covering 339 Medicare beneficiaries and totaling roughly $210K in drug spend, split 29% brand-name and 71% 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.

Cornea and External Diseases Specialist Physician is a narrow specialty nationwide, with 294 enrolled providers across 43 states and an average of 1,232 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

1 HOPPIN ST STE 202
PROVIDENCE, RI 02903

Provider Details

NPI 1194257873
Specialty Cornea and External Diseases Specialist Physician
Credentials M.D.
Gender Female
NPI Issued 03/31/2017

Hospital and facility affiliations

Facilities where NICOLE LANZA, 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.

LIFESPAN PHYSICIAN GROUP INC
PROVIDENCE, 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).

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 NICOLE LANZA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$150

Largest payer

Johnson & Johnson Surgical Vision, 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

NICOLE LANZA, M.D. — brand share 29.0%
Specialty average (est.)

29% brand-name claims vs 71% generic, on 1,610 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.

1,610
Total Claims
$210K
Total Drug Cost
339
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,011
Total Day Supply
87,511
Brand vs Generic
29% brand / 71% generic
Brand Drug Cost
$170K
Generic Drug Cost
$40K
Antibiotic Claims
14

Patient Demographics

Average Patient Age
74.3 years
Avg HCC Risk Score
1.23
Gender Split
59% female / 41% male
Age Distribution
<65: 23, 65-74: 151, 75-84: 129, 85+: 36

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
525
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
255
Brimonidine Tartrate
180
Timolol Maleate
136
Dorzolamide Hcl
54
Prednisolone Acetate
54
Rhopressa
Netarsudil Mesylate
49
Lumigan
Bimatoprost
43
Azelastine Hcl
32
Combigan
Brimonidine Tartrate/Timolol
29

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

Cornea and External Diseases Specialist Physician Overview

How NICOLE LANZA, M.D. fits within the Cornea and External Diseases Specialist Physician landscape nationally.

294
Cornea and External Diseases Specialist Physician Providers in US
43
States with Cornea and External Diseases Specialist Physician
1,232
Avg Claims per Provider

NICOLE LANZA, M.D.'s 1,610 claims are above the specialty average of 1,232.

Nearby Cornea and External Diseases Specialist Physician Providers in Rhode Island

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

Compare Cornea and External Diseases Specialist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NICOLE LANZA, M.D.'s specialty?
NICOLE LANZA, M.D. specializes in Cornea and External Diseases Specialist Physician and practices in PROVIDENCE, Rhode Island. Credentials: M.D..
How much does NICOLE LANZA, M.D. prescribe under Medicare Part D?
In 2023, NICOLE LANZA, M.D. wrote 1,610 Medicare Part D claims totaling $210K in drug costs for 339 beneficiaries.
Where is NICOLE LANZA, M.D. located?
NICOLE LANZA, M.D. is located at 1 HOPPIN ST STE 202, PROVIDENCE, RI, 02903. Phone: (401) 444-6551.
What is NICOLE LANZA, M.D.'s NPI number?
NICOLE LANZA, M.D.'s National Provider Identifier (NPI) is 1194257873, issued on 03/31/2017.
Does NICOLE LANZA, M.D. prescribe more brand-name or generic drugs?
NICOLE LANZA, M.D.'s prescribing is 29% brand-name and 71% generic drugs by claim count, with $170K in brand drug costs.
How many Cornea and External Diseases Specialist Physician providers are there in the US?
There are 294 Cornea and External Diseases Specialist Physician providers across 43 states in the US. The average Cornea and External Diseases Specialist Physician provider writes 1,232 Medicare Part D claims per year.
What drugs does NICOLE LANZA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, NICOLE LANZA, M.D.'s most frequently prescribed drugs include Latanoprost, Dorzolamide-Timolol, Brimonidine Tartrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICOLE LANZA, M.D. accept Medicare?
NICOLE LANZA, M.D. appears in CMS Medicare data with 1,610 Part D claims and 339 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLE LANZA, M.D.'s credentials?
NICOLE LANZA, M.D.'s NPI is 1194257873 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.
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