2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1801892146 M.D.
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RICHARD BREAZEALE, M.D.

Retina Specialist (Ophthalmology) Physician in HIXSON, 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
279
Medicare Part D claims · 86 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
Generic prescribing
63%
generic claims · 37% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.3197/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$19.83
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RICHARD BREAZEALE, M.D. reported a CMS MIPS final score of 96.3197/100 — above the 83.1 national average — and filed 279 Medicare Part D claims in 2023.

96.3197/100
MIPS score · +13 vs avg
279
Part D claims, 2023
63%
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.

RICHARD BREAZEALE, M.D.'s MIPS score vs every scored U.S. clinician

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

96 Top 17% higher than 83% 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%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

RICHARD BREAZEALE, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 RICHARD BREAZEALE, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/22/2005

NPI 1801892146

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

279 50% vs specialty avg

2023 prescription claims

Specialty avg: 558

MIPS final score

96.3197/100 13.219700000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Tennessee

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

Tennessee providers

Retina Specialist (Ophthalmology) Physician share within Tennessee

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

Medicare quality performance — MIPS

RICHARD BREAZEALE, M.D.'s 2023 MIPS final score plotted against the Retina Specialist (Ophthalmology) Physician national average

High performer (top quartile)
MIPS Final Score
96.3197/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Retina Specialist (Ophthalmology) Physician) — 96.3197/100 vs national avg 83.1

0%100%National avg83%96.3%
MIPS final score (Retina Specialist (Ophthalmology) Physician) — 96.3197/100 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 BREAZEALE, M.D. appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding M.D. credentials at 1605 WILLIAMS RD, HIXSON, TN, 37343, with a listed phone of (423) 756-1512. NPI 1801892146 was issued on 06/22/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BREAZEALE 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 279 prescription claims written by this provider, covering 86 Medicare beneficiaries and totaling roughly $20K in drug spend, split 37% brand-name and 63% 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 96.3197/100 for the 2023 performance year (Quality 97.1267), 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

1605 WILLIAMS RD
HIXSON, TN 37343

Provider Details

NPI 1801892146
Specialty Retina Specialist (Ophthalmology) Physician
Credentials M.D.
Gender Male
NPI Issued 06/22/2005

CMS Quality Score (MIPS)

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

96.3197
Final Score
Avg: 83.1
97.1267
Quality
93
Promoting Interoperability

Reporting: Group practice

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 BREAZEALE, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$20

Largest payer

Regeneron Healthcare Solutions, Inc.

Most common payment type

Education

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 BREAZEALE, M.D. — brand share 37.0%
Specialty average (est.)

37% brand-name claims vs 63% generic, on 279 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.

279
Total Claims
$20K
Total Drug Cost
86
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
456
Total Day Supply
12,808
Brand vs Generic
37% brand / 63% generic
Brand Drug Cost
$15K
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.53
Gender Split
51% female / 49% male
Age Distribution
<65: 11, 65-74: 36, 75-84: 27, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

What RICHARD BREAZEALE, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Prednisolone Acetate
63
Ketorolac Tromethamine
40
Atropine Sulfate
39
Polymyxin B Sul-Trimethoprim
Polymyxin B Sulf/Trimethoprim
28
Brimonidine Tartrate
20
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
20

* 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 RICHARD BREAZEALE, M.D. 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

RICHARD BREAZEALE, M.D.'s 279 claims are below the specialty average of 558.

Nearby Retina Specialist (Ophthalmology) Physician Providers in Tennessee

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

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

Frequently Asked Questions

What is RICHARD BREAZEALE, M.D.'s specialty?
RICHARD BREAZEALE, M.D. specializes in Retina Specialist (Ophthalmology) Physician and practices in HIXSON, Tennessee. Credentials: M.D..
How much does RICHARD BREAZEALE, M.D. prescribe under Medicare Part D?
In 2023, RICHARD BREAZEALE, M.D. wrote 279 Medicare Part D claims totaling $20K in drug costs for 86 beneficiaries.
What is RICHARD BREAZEALE, M.D.'s Medicare quality score?
RICHARD BREAZEALE, M.D. has a CMS MIPS Final Score of 96.3197/100 (Quality: 97.1267). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RICHARD BREAZEALE, M.D. located?
RICHARD BREAZEALE, M.D. is located at 1605 WILLIAMS RD, HIXSON, TN, 37343. Phone: (423) 756-1512.
What is RICHARD BREAZEALE, M.D.'s NPI number?
RICHARD BREAZEALE, M.D.'s National Provider Identifier (NPI) is 1801892146, issued on 06/22/2005.
Does RICHARD BREAZEALE, M.D. prescribe more brand-name or generic drugs?
RICHARD BREAZEALE, M.D.'s prescribing is 37% brand-name and 63% generic drugs by claim count, with $15K 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 RICHARD BREAZEALE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RICHARD BREAZEALE, M.D.'s most frequently prescribed drugs include Prednisolone Acetate, Ketorolac Tromethamine, Atropine Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RICHARD BREAZEALE, M.D. accept Medicare?
RICHARD BREAZEALE, M.D. appears in CMS Medicare data with 279 Part D claims and 86 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RICHARD BREAZEALE, M.D.'s credentials?
RICHARD BREAZEALE, M.D.'s NPI is 1801892146 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