2026 NPPES data Ophthalmology Physician NPI 1871509570
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ROBERT AVERY

Ophthalmology Physician in ALBUQUERQUE, New Mexico. 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
1K
Medicare Part D claims · 323 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
64%
generic claims · 36% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.1802/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$1.7K
7 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ROBERT AVERY is a Ophthalmology Physician ([object Object]) practicing in ALBUQUERQUE, New Mexico with a Medicare Part D prescribing footprint of 1K claims across 323 beneficiaries — 36% brand-name prescribing . Their CMS MIPS Final Score of 85.1802/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.7K across 7 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ROBERT AVERY reported a CMS MIPS final score of 85.1802 out of 100, above the 83.1 national average, and filed 1,439 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)

ROBERT AVERY 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).

ROBERT AVERY at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/01/2006

NPI 1871509570

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

1,439 1% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

85.1802/100 2.080200000000005% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Mexico

How Ophthalmology Physician compares to other specialties among New Mexico providers

New Mexico providers

Ophthalmology Physician share within New Mexico

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

Medicare quality performance — MIPS

ROBERT AVERY's 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
85.1802/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 85.1802/100 vs national avg 83.1

0%100%National avg83%85.2%
MIPS final score (Ophthalmology Physician) — 85.1802/100 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).

ROBERT AVERY is a Ophthalmology Physician provider practicing in ALBUQUERQUE, New Mexico, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1871509570. 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.

ROBERT AVERY appears in the CMS NPPES registry as a Ophthalmology Physician provider at 2211 LOMAS BLVD NE FL 1, ALBUQUERQUE, NM, 87106, with a listed phone of (505) 272-2553. NPI 1871509570 was issued on 08/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AVERY 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 1,439 prescription claims written by this provider, covering 323 Medicare beneficiaries and totaling roughly $109K in drug spend, split 36% brand-name and 64% 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 85.1802/100 for the 2023 performance year (Quality 81.0056, Cost 57.0846), 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

2211 LOMAS BLVD NE FL 1
ALBUQUERQUE, NM 87106

Provider Details

NPI 1871509570
Specialty Ophthalmology Physician
Gender Male
NPI Issued 08/01/2006

CMS Quality Score (MIPS)

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

85.1802
Final Score
Avg: 83.1
81.0056
Quality
57.0846
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ROBERT AVERY 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.

UNM MEDICAL GROUP INC
ALBUQUERQUE, NM

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 ROBERT AVERY. Source: openpaymentsdata.cms.gov.

Total received

$1.7K

Largest payer

Alcon Vision LLC

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

ROBERT AVERY — brand share 36.0%
Specialty average (est.)

36% brand-name claims vs 64% generic, on 1,439 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.

1,439
Total Claims
$109K
Total Drug Cost
323
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,542
Total Day Supply
72,409
Brand vs Generic
36% brand / 64% generic
Brand Drug Cost
$81K
Generic Drug Cost
$28K
Antibiotic Claims
14

Patient Demographics

Average Patient Age
75.1 years
Avg HCC Risk Score
1.38
Gender Split
64% female / 36% male
Age Distribution
<65: 23, 65-74: 129, 75-84: 134, 85+: 37

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
394
Prednisolone Acetate
252
Timolol Maleate
167
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
152
Brimonidine Tartrate
97
Dorzolamide Hcl
69
Erythromycin
Erythromycin Base
57
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
49
Travoprost
41
Rhopressa
Netarsudil Mesylate
27

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

Ophthalmology Physician Overview

How ROBERT AVERY 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

ROBERT AVERY's 1,439 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in New Mexico

Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as AVERY.

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

Frequently Asked Questions

What is ROBERT AVERY's specialty?
ROBERT AVERY specializes in Ophthalmology Physician and practices in ALBUQUERQUE, New Mexico.
How much does ROBERT AVERY prescribe under Medicare Part D?
In 2023, ROBERT AVERY wrote 1,439 Medicare Part D claims totaling $109K in drug costs for 323 beneficiaries.
What is ROBERT AVERY's Medicare quality score?
ROBERT AVERY has a CMS MIPS Final Score of 85.1802/100 (Quality: 81.0056, Cost: 57.0846). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROBERT AVERY located?
ROBERT AVERY is located at 2211 LOMAS BLVD NE FL 1, ALBUQUERQUE, NM, 87106. Phone: (505) 272-2553.
What is ROBERT AVERY's NPI number?
ROBERT AVERY's National Provider Identifier (NPI) is 1871509570, issued on 08/01/2006.
Does ROBERT AVERY prescribe more brand-name or generic drugs?
ROBERT AVERY's prescribing is 36% brand-name and 64% generic drugs by claim count, with $81K 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 ROBERT AVERY prescribe most often?
Based on 2023 Medicare Part D data, ROBERT AVERY'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 ROBERT AVERY accept Medicare?
ROBERT AVERY appears in CMS Medicare data with 1,439 Part D claims and 323 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROBERT AVERY's credentials?
ROBERT AVERY's NPI is 1871509570. 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