2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1063492940 MD
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PREMA ABRAHAM, MD

Retina Specialist (Ophthalmology) Physician in RAPID CITY, South Dakota. 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
727
Medicare Part D claims · 233 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
Generic prescribing
55%
generic claims · 45% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.3997/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$684.5
23 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PREMA ABRAHAM, MD is a Retina Specialist (Ophthalmology) Physician ([object Object]) practicing in RAPID CITY, South Dakota with a Medicare Part D prescribing footprint of 727 claims across 233 beneficiaries — 45% brand-name prescribing . Their CMS MIPS Final Score of 75.3997/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $684.5 across 23 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PREMA ABRAHAM, MD reported a CMS MIPS final score of 75.3997 out of 100, below the 83.1 national average, and filed 727 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)

PREMA ABRAHAM, 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).

PREMA ABRAHAM, MD at a glance

Below national average

NPI registry status

Active

Issued 01/18/2006

NPI 1063492940

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

727 30% vs specialty avg

2023 prescription claims

Specialty avg: 558

MIPS final score

75.3997/100 7.700299999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in South Dakota

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

South Dakota providers

Retina Specialist (Ophthalmology) Physician share within South Dakota

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

Medicare quality performance — MIPS

PREMA ABRAHAM, MD's 2023 MIPS final score plotted against the Retina Specialist (Ophthalmology) Physician national average

Below national average
MIPS Final Score
75.3997/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Retina Specialist (Ophthalmology) Physician) — 75.3997/100 vs national avg 83.1

0%100%National avg83%75.4%
MIPS final score (Retina Specialist (Ophthalmology) Physician) — 75.3997/100 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).

PREMA ABRAHAM, MD is a Retina Specialist (Ophthalmology) Physician provider practicing in RAPID CITY, South Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1063492940. 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.

PREMA ABRAHAM, MD appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding MD credentials at 2800 3RD ST, RAPID CITY, SD, 57701, with a listed phone of (605) 341-2000. NPI 1063492940 was issued on 01/18/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ABRAHAM 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 727 prescription claims written by this provider, covering 233 Medicare beneficiaries and totaling roughly $29K in drug spend, split 45% brand-name and 55% 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 75.3997/100 for the 2023 performance year (Quality 100, Cost 17.999), compared with the national average of 83.1.

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

2800 3RD ST
RAPID CITY, SD 57701

Provider Details

NPI 1063492940
Specialty Retina Specialist (Ophthalmology) Physician
Credentials MD
Gender Female
NPI Issued 01/18/2006

CMS Quality Score (MIPS)

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

75.3997
Final Score
Avg: 83.1
100
Quality
17.999
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PREMA ABRAHAM, 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.

BLACK HILLS REGIONAL EYE INSTITUTE LLP
RAPID CITY, SD

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 PREMA ABRAHAM, MD. Source: openpaymentsdata.cms.gov.

Total received

$684

Largest payer

Alimera Sciences, 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

PREMA ABRAHAM, MD — brand share 45.0%
Specialty average (est.)

45% brand-name claims vs 55% generic, on 727 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.

727
Total Claims
$29K
Total Drug Cost
233
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
818
Total Day Supply
19,527
Brand vs Generic
45% brand / 55% generic
Brand Drug Cost
$17K
Generic Drug Cost
$12K

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.13
Gender Split
53% female / 47% male
Age Distribution
<65: 14, 65-74: 144, 75-84: 62, 85+: 13

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisolone Acetate
273
Ofloxacin
188
Atropine Sulfate
82
Ketorolac Tromethamine
41
Acetazolamide Er
Acetazolamide
37
Acetazolamide
23
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
15
Brimonidine Tartrate-Timolol
Brimonidine Tartrate/Timolol
12
Difluprednate
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 PREMA ABRAHAM, 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

PREMA ABRAHAM, MD's 727 claims are above the specialty average of 558.

Nearby Retina Specialist (Ophthalmology) Physician Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as ABRAHAM.

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

Frequently Asked Questions

What is PREMA ABRAHAM, MD's specialty?
PREMA ABRAHAM, MD specializes in Retina Specialist (Ophthalmology) Physician and practices in RAPID CITY, South Dakota. Credentials: MD.
How much does PREMA ABRAHAM, MD prescribe under Medicare Part D?
In 2023, PREMA ABRAHAM, MD wrote 727 Medicare Part D claims totaling $29K in drug costs for 233 beneficiaries.
What is PREMA ABRAHAM, MD's Medicare quality score?
PREMA ABRAHAM, MD has a CMS MIPS Final Score of 75.3997/100 (Quality: 100, Cost: 17.999). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PREMA ABRAHAM, MD located?
PREMA ABRAHAM, MD is located at 2800 3RD ST, RAPID CITY, SD, 57701. Phone: (605) 341-2000.
What is PREMA ABRAHAM, MD's NPI number?
PREMA ABRAHAM, MD's National Provider Identifier (NPI) is 1063492940, issued on 01/18/2006.
Does PREMA ABRAHAM, MD prescribe more brand-name or generic drugs?
PREMA ABRAHAM, MD's prescribing is 45% brand-name and 55% generic drugs by claim count, with $17K 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 PREMA ABRAHAM, MD prescribe most often?
Based on 2023 Medicare Part D data, PREMA ABRAHAM, MD's most frequently prescribed drugs include Prednisolone Acetate, Ofloxacin, Atropine Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PREMA ABRAHAM, MD accept Medicare?
PREMA ABRAHAM, MD appears in CMS Medicare data with 727 Part D claims and 233 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PREMA ABRAHAM, MD's credentials?
PREMA ABRAHAM, MD's NPI is 1063492940 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