2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1861012858 MD
Verify on CMS →

NICOLE SOMANI, MD

Retina Specialist (Ophthalmology) Physician in IOWA CITY, Iowa. 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
66
Medicare Part D claims · 22 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
Generic prescribing
53%
generic claims · 47% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$503.47
6 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NICOLE SOMANI, MD is a Retina Specialist (Ophthalmology) Physician ([object Object]) practicing in IOWA CITY, Iowa with a Medicare Part D prescribing footprint of 66 claims across 22 beneficiaries — 47% brand-name prescribing . Industry payments of $503.47 across 6 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NICOLE SOMANI, MD filed 66 Medicare Part D claims in 2023 across IOWA CITY, Iowa. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

NICOLE SOMANI, MD 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 SOMANI, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 04/20/2020

NPI 1861012858

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

66 88% vs specialty avg

2023 prescription claims

Specialty avg: 558

Specialty distribution in Iowa

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

Iowa providers

Retina Specialist (Ophthalmology) Physician share within Iowa

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

Specialty board-certification context

Estimated specialty board-certified rate — Retina Specialist (Ophthalmology) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Retina Specialist (Ophthalmology) Physician ABMS/AOA estimate

Est. board-certified rate (Retina Specialist (Ophthalmology) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Retina Specialist (Ophthalmology) 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 SOMANI, MD is a Retina Specialist (Ophthalmology) Physician provider practicing in IOWA CITY, Iowa, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1861012858. 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 SOMANI, MD appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding MD credentials at 200 HAWKINS DR UNIT 10915, IOWA CITY, IA, 52242, with a listed phone of (319) 356-3705. NPI 1861012858 was issued on 04/20/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SOMANI 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 66 prescription claims written by this provider, covering 22 Medicare beneficiaries and totaling roughly $9K in drug spend, split 47% brand-name and 53% 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.

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

200 HAWKINS DR UNIT 10915
IOWA CITY, IA 52242

Provider Details

NPI 1861012858
Specialty Retina Specialist (Ophthalmology) Physician
Credentials MD
Gender Female
NPI Issued 04/20/2020

Hospital and facility affiliations

Facilities where NICOLE SOMANI, MD 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.

STATE UNIVERSITY OF IOWA
IOWA CITY, IA

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 SOMANI, MD. Source: openpaymentsdata.cms.gov.

Total received

$503

Largest payer

Alcon Vision LLC

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 SOMANI, MD — brand share 47.0%
Specialty average (est.)

47% brand-name claims vs 53% generic, on 66 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.

66
Total Claims
$9K
Total Drug Cost
22
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
95
Total Day Supply
2,412
Brand vs Generic
47% brand / 53% generic
Brand Drug Cost
$6K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
69.3 years
Avg HCC Risk Score
1.52

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
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 NICOLE SOMANI, MD 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

NICOLE SOMANI, MD's 66 claims are below the specialty average of 558.

Nearby Retina Specialist (Ophthalmology) Physician Providers in Iowa

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

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

Frequently Asked Questions

What is NICOLE SOMANI, MD's specialty?
NICOLE SOMANI, MD specializes in Retina Specialist (Ophthalmology) Physician and practices in IOWA CITY, Iowa. Credentials: MD.
How much does NICOLE SOMANI, MD prescribe under Medicare Part D?
In 2023, NICOLE SOMANI, MD wrote 66 Medicare Part D claims totaling $9K in drug costs for 22 beneficiaries.
Where is NICOLE SOMANI, MD located?
NICOLE SOMANI, MD is located at 200 HAWKINS DR UNIT 10915, IOWA CITY, IA, 52242. Phone: (319) 356-3705.
What is NICOLE SOMANI, MD's NPI number?
NICOLE SOMANI, MD's National Provider Identifier (NPI) is 1861012858, issued on 04/20/2020.
Does NICOLE SOMANI, MD prescribe more brand-name or generic drugs?
NICOLE SOMANI, MD's prescribing is 47% brand-name and 53% generic drugs by claim count, with $6K 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 NICOLE SOMANI, MD prescribe most often?
Based on 2023 Medicare Part D data, NICOLE SOMANI, MD's most frequently prescribed drugs include Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICOLE SOMANI, MD accept Medicare?
NICOLE SOMANI, MD appears in CMS Medicare data with 66 Part D claims and 22 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLE SOMANI, MD's credentials?
NICOLE SOMANI, MD's NPI is 1861012858 with credentials MD. 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