NPI registry status
Active
2026 NPPES data Optometrist NPI 1508800178 OD
Verify on CMS → Richard Ayuso, OD
Optometrist in Jacksonville, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 60,484 in Optometrist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
743
Medicare Part D claims · 311 beneficiaries · Optometrist avg: 257
Generic prescribing
51%
generic claims · 49% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.6/100
▲ 7 pts above national avg 83.1 · Exceptional
Industry payments
$305.13
6 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Richard Ayuso, OD reported a CMS MIPS final score of 90.6/100 - above the 83.1 national average - and filed 743 Medicare Part D claims in 2023.
- 90.6/100
- MIPS score · +7 vs avg
- 743
- Part D claims, 2023
- 51%
- generic prescribing
- $305.13
- industry payments (Sunshine Act)
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.
Richard Ayuso, OD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
91 Top 40% higher than 60% of 477,587 scored providers
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
Where Richard Ayuso, OD sits
This provider among optometrist peers
Across the 6,527 optometrist providers who report both Medicare Part D prescribing and a MIPS quality score, Richard Ayuso, OD writes more Part D claims than 77% of them and scores higher on MIPS quality than 63% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one optometrist peer from a representative sample of 60; the gold marker is Richard Ayuso, OD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Richard Ayuso, OD?
High performer (top quartile)Primary specialty
Optometrist
Medicare Part D claims
743 189% vs specialty avg
MIPS final score
90.6/100 7.5 pts vs avg
Specialty distribution in North Carolina
How Optometrist compares to other specialties among North Carolina providers
Medicare quality performance, MIPS
Richard Ayuso, OD's 2023 MIPS final score plotted against the Optometrist national average
- MIPS Final Score
- 90.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Optometrist) - 90.6/100 vs national avg 83.1
How MIPS and board certification work
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).
Richard Ayuso, OD appears in the CMS NPPES registry as an Optometrist provider holding OD credentials at 315A WESTERN BLVD, Jacksonville, NC, 28546, with a listed phone of (910) 353-1011. NPI 1508800178 was issued on 06/15/2006.
Medicare Part D records for calendar year 2023 show 743 prescription claims written by this provider, covering 311 Medicare beneficiaries and totaling roughly $280K in drug spend, split 49% brand-name and 51% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.6/100 for the 2023 performance year (Quality 100, Cost 68.6), compared with the national average of 83.1.
Optometrist is a high-volume specialty nationwide, with 60,484 enrolled providers across 56 states and an average of 257 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
Provider Details
| NPI | 1508800178 |
|---|---|
| Specialty | Optometrist |
| Credentials | OD |
| Gender | Male |
| NPI Issued | 06/15/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.5764
Final Score
Avg: 83.1
100
Quality
68.588
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Richard Ayuso, OD 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.
Wilmington Eye, P.A.
Wilmington, NC
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 Richard Ayuso, OD. Source: openpaymentsdata.cms.gov.
Total received
$305
Largest payer
Bausch & Lomb Americas 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
Richard Ayuso, OD - brand share 49.0%
Optometrist average
49% brand-name claims vs 51% generic, on 743 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.
743
Total Claims
$280K
Total Drug Cost
311
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,160
- Total Day Supply
- 29,787
- Brand vs Generic
- 49% brand / 51% generic
- Brand Drug Cost
- $264K
- Generic Drug Cost
- $15K
- Antibiotic Claims
- 26
Patient Demographics
- Average Patient Age
- 73.8 years
- Avg HCC Risk Score
- 1.37
- Gender Split
- 72% female / 28% male
- Age Distribution
- <65: 34, 65-74: 128, 75-84: 106, 85+: 43
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Richard Ayuso, OD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Latanoprost
Latanoprost
123 claims
- Restasis
Restasis
122 claims
- Moxifloxacin
Moxifloxacin
62 claims
- Tobramycin-Dexamet… 39
Tobramycin-Dexamethasone
39 claims
- Combigan 38
Combigan
38 claims
- Cyclosporine 33
Cyclosporine
33 claims
- Timolol Maleate 30
Timolol Maleate
30 claims
- Lumigan 29
Lumigan
29 claims
| Drug | Claims |
|---|---|
| Latanoprost | 123 |
| Restasis Cyclosporine | 122 |
| Moxifloxacin Moxifloxacin Hcl | 62 |
| Tobramycin-Dexamethasone Tobramycin/Dexamethasone | 39 |
| Combigan Brimonidine Tartrate/Timolol | 38 |
| Cyclosporine | 33 |
| Timolol Maleate | 30 |
| Lumigan Bimatoprost | 29 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 25 |
| Erythromycin Erythromycin Base | 25 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Optometrist Overview
How Richard Ayuso, OD fits within the Optometrist landscape nationally.
60,484
Optometrist Providers in US
56
States with Optometrist
257
Avg Claims per Provider
Richard Ayuso, OD's 743 claims are above the specialty average of 257.
Nearby Optometrist Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Ayuso.
Dr. Charlotte Ablott
OD
Salisbury, NC
Dr. Eric Ablott
OD
Randleman, NC
Dr. John Adams
OD
Lumberton, NC
Dr. Rick Adams
OD
Rocky Mount, NC
Dr. William Adams
O.D.
Benson, NC
Compare Optometrist nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the North Carolina medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Optometrist peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore North Carolina
Frequently Asked Questions
What is Richard Ayuso, OD's specialty? ▼
Richard Ayuso, OD specializes in Optometrist and practices in Jacksonville, North Carolina. Credentials: OD.
How much does Richard Ayuso, OD prescribe under Medicare Part D? ▼
In 2023, Richard Ayuso, OD wrote 743 Medicare Part D claims totaling $280K in drug costs for 311 beneficiaries.
What is Richard Ayuso, OD's Medicare quality score? ▼
Richard Ayuso, OD has a CMS MIPS Final Score of 90.6/100 (Quality: 100, Cost: 68.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Richard Ayuso, OD located? ▼
Richard Ayuso, OD is located at 315A WESTERN BLVD, Jacksonville, NC, 28546. Phone: (910) 353-1011.
What is Richard Ayuso, OD's NPI number? ▼
Richard Ayuso, OD's National Provider Identifier (NPI) is 1508800178, issued on 06/15/2006.
Does Richard Ayuso, OD prescribe more brand-name or generic drugs? ▼
Richard Ayuso, OD's prescribing is 49% brand-name and 51% generic drugs by claim count, with $264K in brand drug costs.
How many Optometrist providers are there in the US? ▼
There are 60,484 Optometrist providers across 56 states in the US. The average Optometrist provider writes 257 Medicare Part D claims per year.
What drugs does Richard Ayuso, OD prescribe most often? ▼
Based on 2023 Medicare Part D data, Richard Ayuso, OD's most frequently prescribed drugs include Latanoprost, Restasis, Moxifloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Richard Ayuso, OD accept Medicare? ▼
Richard Ayuso, OD appears in CMS Medicare data with 743 Part D claims and 311 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Richard Ayuso, OD's credentials? ▼
Richard Ayuso, OD's NPI is 1508800178 with credentials OD. 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.