2026 NPPES data Ophthalmology Physician NPI 1487623310 MD
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PAUL FROULA, MD

Ophthalmology Physician in KNOXVILLE, Tennessee. 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 · 496 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
67%
generic claims · 33% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
47.9647/100
▼ 35 pts below national avg 83.1 · [object Object]
Industry payments
$551.37
26 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PAUL FROULA, MD reported a CMS MIPS final score of 47.9647/100 — below the 83.1 national average — and filed 1,847 Medicare Part D claims in 2023.

47.9647/100
MIPS score · -35 vs avg
2K
Part D claims, 2023
67%
generic prescribing
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.

PAUL FROULA, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

48 4th percentile higher than 4% 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%). This entry sits in this band. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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)

PAUL FROULA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 PAUL FROULA, MD?

Below national average

NPI registry status

Active

Issued 03/14/2006

NPI 1487623310

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

1,847 30% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

47.9647/100 35.135299999999994% pts

Below average band

vs 83.1 national avg

Specialty distribution in Tennessee

How Ophthalmology Physician compares to other specialties among Tennessee providers

Tennessee providers

Ophthalmology Physician share within Tennessee

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

Medicare quality performance — MIPS

PAUL FROULA, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
47.9647/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 47.9647/100 vs national avg 83.1

0%100%National avg83%48%
MIPS final score (Ophthalmology Physician) — 47.9647/100 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).

PAUL FROULA, MD is a Ophthalmology Physician provider practicing in KNOXVILLE, Tennessee, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1487623310. 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.

PAUL FROULA, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 1932 ALCOA HWY STE 255, KNOXVILLE, TN, 37920, with a listed phone of (865) 244-2030. NPI 1487623310 was issued on 03/14/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FROULA 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 1,847 prescription claims written by this provider, covering 496 Medicare beneficiaries and totaling roughly $392K in drug spend, split 33% brand-name and 67% 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 47.9647/100 for the 2023 performance year (Quality 90.8795, Cost 19.003), 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

1932 ALCOA HWY STE 255
KNOXVILLE, TN 37920

Provider Details

NPI 1487623310
Specialty Ophthalmology Physician
Credentials MD
Gender Male
NPI Issued 03/14/2006

CMS Quality Score (MIPS)

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

47.9647
Final Score
Avg: 83.1
90.8795
Quality
19.003
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PAUL FROULA, 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.

UNIVERSITY EYE SPECIALISTS, P.C.
KNOXVILLE, TN

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 PAUL FROULA, MD. Source: openpaymentsdata.cms.gov.

Total received

$551

Largest payer

Tarsus Pharmaceuticals, 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

PAUL FROULA, MD — brand share 33.0%
Specialty average (est.)

33% brand-name claims vs 67% generic, on 1,847 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.

1,847
Total Claims
$392K
Total Drug Cost
496
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,466
Total Day Supply
96,337
Brand vs Generic
33% brand / 67% generic
Brand Drug Cost
$360K
Generic Drug Cost
$32K
Antibiotic Claims
19

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
1.17
Gender Split
63% female / 37% male
Age Distribution
<65: 18, 65-74: 201, 75-84: 217, 85+: 60

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
616
Prednisolone Acetate
249
Timolol Maleate
218
Ofloxacin
179
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
107
Dorzolamide Hcl
74
Restasis
Cyclosporine
55
Brimonidine Tartrate
46
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
40
Ketorolac Tromethamine
31

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

Ophthalmology Physician Overview

How PAUL FROULA, MD 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

PAUL FROULA, MD's 1,847 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Tennessee

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

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

Frequently Asked Questions

What is PAUL FROULA, MD's specialty?
PAUL FROULA, MD specializes in Ophthalmology Physician and practices in KNOXVILLE, Tennessee. Credentials: MD.
How much does PAUL FROULA, MD prescribe under Medicare Part D?
In 2023, PAUL FROULA, MD wrote 1,847 Medicare Part D claims totaling $392K in drug costs for 496 beneficiaries.
What is PAUL FROULA, MD's Medicare quality score?
PAUL FROULA, MD has a CMS MIPS Final Score of 47.9647/100 (Quality: 90.8795, Cost: 19.003). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAUL FROULA, MD located?
PAUL FROULA, MD is located at 1932 ALCOA HWY STE 255, KNOXVILLE, TN, 37920. Phone: (865) 244-2030.
What is PAUL FROULA, MD's NPI number?
PAUL FROULA, MD's National Provider Identifier (NPI) is 1487623310, issued on 03/14/2006.
Does PAUL FROULA, MD prescribe more brand-name or generic drugs?
PAUL FROULA, MD's prescribing is 33% brand-name and 67% generic drugs by claim count, with $360K in brand drug costs.
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 PAUL FROULA, MD prescribe most often?
Based on 2023 Medicare Part D data, PAUL FROULA, MD's most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL FROULA, MD accept Medicare?
PAUL FROULA, MD appears in CMS Medicare data with 1,847 Part D claims and 496 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL FROULA, MD's credentials?
PAUL FROULA, MD's NPI is 1487623310 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.
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