2026 NPPES data Optometrist NPI 1508800178 OD
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RICHARD AYUSO, OD

Optometrist in JACKSONVILLE, North Carolina. 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
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
90.5764/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$305.13
6 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RICHARD AYUSO, OD is a Optometrist ([object Object]) practicing in JACKSONVILLE, North Carolina with a Medicare Part D prescribing footprint of 743 claims across 311 beneficiaries — 49% brand-name prescribing . Their CMS MIPS Final Score of 90.5764/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $305.13 across 6 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RICHARD AYUSO, OD reported a CMS MIPS final score of 90.5764 out of 100, above the 83.1 national average, and filed 743 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

RICHARD AYUSO, OD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/15/2006

NPI 1508800178

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

743 189% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

90.5764/100 7.476400000000012% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Optometrist compares to other specialties among North Carolina providers

North Carolina providers

Optometrist share within North Carolina

1. Optometrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Optometrist share within North Carolina

Medicare quality performance — MIPS

RICHARD AYUSO, OD's 2023 MIPS final score plotted against the Optometrist national average

High performer (top quartile)
MIPS Final Score
90.5764/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 90.5764/100 vs national avg 83.1

0%100%National avg83%90.6%
MIPS final score (Optometrist) — 90.5764/100 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).

RICHARD AYUSO, OD is a Optometrist provider practicing in JACKSONVILLE, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: OD. NPI: 1508800178. 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.

RICHARD AYUSO, OD appears in the CMS NPPES registry as a 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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AYUSO 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 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. 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 90.5764/100 for the 2023 performance year (Quality 100, Cost 68.588), compared with the national average of 83.1.

Optometrist is a high-volume specialty nationwide, with 60,463 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

315A WESTERN BLVD
JACKSONVILLE, NC 28546

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%
Specialty average (est.)

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.

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.

60,463
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.

Compare Optometrist nationally: see state-by-state distribution →

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 90.5764/100 (Quality: 100, Cost: 68.588). 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 60,463 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

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