2026 NPPES data Glaucoma Specialist (Ophthalmology) Physician NPI 1568625192 M.D.
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NIKOLA RAGUSA, M.D.

Glaucoma Specialist (Ophthalmology) Physician in BRONX, 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
4K
Medicare Part D claims · 901 beneficiaries · Glaucoma Specialist (Ophthalmology) Physician avg: 3K
Generic prescribing
68%
generic claims · 32% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.526/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$2.3K
33 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NIKOLA RAGUSA, M.D. is a Glaucoma Specialist (Ophthalmology) Physician ([object Object]) practicing in BRONX, New York with a Medicare Part D prescribing footprint of 4K claims across 901 beneficiaries — 32% brand-name prescribing . Their CMS MIPS Final Score of 94.526/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $2.3K across 33 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NIKOLA RAGUSA, M.D. reported a CMS MIPS final score of 94.526 out of 100, above the 83.1 national average, and filed 4,249 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

NIKOLA RAGUSA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

NIKOLA RAGUSA, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/03/2008

NPI 1568625192

Primary specialty

Glaucoma Specialist (Ophthalmology) Physician

Rare

354 US NPIs in this specialty

Medicare Part D claims

4,249 43% vs specialty avg

2023 prescription claims

Specialty avg: 2,962

MIPS final score

94.526/100 11.426000000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Glaucoma Specialist (Ophthalmology) Physician compares to other specialties among New York providers

New York providers

Glaucoma Specialist (Ophthalmology) Physician share within New York

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

Medicare quality performance — MIPS

NIKOLA RAGUSA, M.D.'s 2023 MIPS final score plotted against the Glaucoma Specialist (Ophthalmology) Physician national average

High performer (top quartile)
MIPS Final Score
94.526/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Glaucoma Specialist (Ophthalmology) Physician) — 94.526/100 vs national avg 83.1

0%100%National avg83%94.5%
MIPS final score (Glaucoma Specialist (Ophthalmology) Physician) — 94.526/100 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).

NIKOLA RAGUSA, M.D. is a Glaucoma Specialist (Ophthalmology) Physician provider practicing in BRONX, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1568625192. 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.

NIKOLA RAGUSA, M.D. appears in the CMS NPPES registry as a Glaucoma Specialist (Ophthalmology) Physician provider holding M.D. credentials at 1625 SAINT PETERS AVE, BRONX, NY, 10461, with a listed phone of (718) 823-9227. NPI 1568625192 was issued on 07/03/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RAGUSA 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 4,249 prescription claims written by this provider, covering 901 Medicare beneficiaries and totaling roughly $655K in drug spend, split 32% brand-name and 68% 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 94.526/100 for the 2023 performance year (Quality 82.5927), compared with the national average of 83.1.

Glaucoma Specialist (Ophthalmology) Physician is a narrow specialty nationwide, with 354 enrolled providers across 42 states and an average of 2,962 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

1625 SAINT PETERS AVE
BRONX, NY 10461

Provider Details

NPI 1568625192
Specialty Glaucoma Specialist (Ophthalmology) Physician
Credentials M.D.
Gender Male
NPI Issued 07/03/2008

CMS Quality Score (MIPS)

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

94.526
Final Score
Avg: 83.1
82.5927
Quality
97
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NIKOLA RAGUSA, 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.

GOTHAM EYE MEDICAL P.C.
BRONX, NY
MICHAEL A PISACANO MD PC
BRONX, NY

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 NIKOLA RAGUSA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$2.3K

Largest payer

NEW WORLD MEDICAL,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 NIKOLA RAGUSA, M.D.. To verify NIKOLA RAGUSA, 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.

Brand vs generic prescribing mix · Above average

NIKOLA RAGUSA, M.D. — brand share 32.0%
Specialty average (est.)

32% brand-name claims vs 68% generic, on 4,249 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.

4,249
Total Claims
$655K
Total Drug Cost
901
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,407
Total Day Supply
215,142
Brand vs Generic
32% brand / 68% generic
Brand Drug Cost
$561K
Generic Drug Cost
$94K
Antibiotic Claims
20

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.38
Gender Split
57% female / 43% male
Age Distribution
<65: 67, 65-74: 439, 75-84: 286, 85+: 109

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
1,399
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
377
Prednisolone Acetate
329
Brimonidine Tartrate
310
Ketorolac Tromethamine
230
Xiidra
Lifitegrast
208
Olopatadine Hcl
205
Ofloxacin
199
Rhopressa
Netarsudil Mesylate
107
Dorzolamide Hcl
102

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

Glaucoma Specialist (Ophthalmology) Physician Overview

How NIKOLA RAGUSA, M.D. fits within the Glaucoma Specialist (Ophthalmology) Physician landscape nationally.

354
Glaucoma Specialist (Ophthalmology) Physician Providers in US
42
States with Glaucoma Specialist (Ophthalmology) Physician
2,962
Avg Claims per Provider

NIKOLA RAGUSA, M.D.'s 4,249 claims are above the specialty average of 2,962.

Nearby Glaucoma Specialist (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 RAGUSA.

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

Frequently Asked Questions

What is NIKOLA RAGUSA, M.D.'s specialty?
NIKOLA RAGUSA, M.D. specializes in Glaucoma Specialist (Ophthalmology) Physician and practices in BRONX, New York. Credentials: M.D..
How much does NIKOLA RAGUSA, M.D. prescribe under Medicare Part D?
In 2023, NIKOLA RAGUSA, M.D. wrote 4,249 Medicare Part D claims totaling $655K in drug costs for 901 beneficiaries.
What is NIKOLA RAGUSA, M.D.'s Medicare quality score?
NIKOLA RAGUSA, M.D. has a CMS MIPS Final Score of 94.526/100 (Quality: 82.5927). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NIKOLA RAGUSA, M.D. located?
NIKOLA RAGUSA, M.D. is located at 1625 SAINT PETERS AVE, BRONX, NY, 10461. Phone: (718) 823-9227.
What is NIKOLA RAGUSA, M.D.'s NPI number?
NIKOLA RAGUSA, M.D.'s National Provider Identifier (NPI) is 1568625192, issued on 07/03/2008.
Does NIKOLA RAGUSA, M.D. prescribe more brand-name or generic drugs?
NIKOLA RAGUSA, M.D.'s prescribing is 32% brand-name and 68% generic drugs by claim count, with $561K in brand drug costs.
How many Glaucoma Specialist (Ophthalmology) Physician providers are there in the US?
There are 354 Glaucoma Specialist (Ophthalmology) Physician providers across 42 states in the US. The average Glaucoma Specialist (Ophthalmology) Physician provider writes 2,962 Medicare Part D claims per year.
What drugs does NIKOLA RAGUSA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, NIKOLA RAGUSA, M.D.'s most frequently prescribed drugs include Latanoprost, Dorzolamide-Timolol, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NIKOLA RAGUSA, M.D. accept Medicare?
NIKOLA RAGUSA, M.D. appears in CMS Medicare data with 4,249 Part D claims and 901 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NIKOLA RAGUSA, M.D.'s credentials?
NIKOLA RAGUSA, M.D.'s NPI is 1568625192 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