2026 NPPES data Ophthalmology Physician NPI 1194215319 MD
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ROMA PEGANY, MD

Ophthalmology Physician in PORTLAND, Oregon. 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 · 361 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
54%
generic claims · 46% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.83/100
▲ 15 pts above national avg 83.1 · [object Object]

What the federal data shows

ROMA PEGANY, MD reported a CMS MIPS final score of 97.83/100 — above the 83.1 national average — and filed 1,302 Medicare Part D claims in 2023.

97.83/100
MIPS score · +15 vs avg
1K
Part D claims, 2023
54%
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.

ROMA PEGANY, MD's MIPS score vs every scored U.S. clinician

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

98 Top 15% higher than 85% 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)

ROMA PEGANY, 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).

What does the federal data show about ROMA PEGANY, MD?

High performer (top quartile)

NPI registry status

Active

Issued 05/14/2018

NPI 1194215319

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

1,302 8% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

97.83/100 14.730000000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Oregon

How Ophthalmology Physician compares to other specialties among Oregon providers

Oregon providers

Ophthalmology Physician share within Oregon

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

Medicare quality performance — MIPS

ROMA PEGANY, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
97.83/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 97.83/100 vs national avg 83.1

0%100%National avg83%97.8%
MIPS final score (Ophthalmology Physician) — 97.83/100 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).

ROMA PEGANY, MD is a Ophthalmology Physician provider practicing in PORTLAND, Oregon, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1194215319. 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.

ROMA PEGANY, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR, 97239, with a listed phone of (503) 494-3000. NPI 1194215319 was issued on 05/14/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PEGANY 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 1,302 prescription claims written by this provider, covering 361 Medicare beneficiaries and totaling roughly $923K in drug spend, split 46% brand-name and 54% generic by claim count, with an opioid prescribing rate of 1.1%. 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 97.83/100 for the 2023 performance year (Quality 80.9759), 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

3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

Provider Details

NPI 1194215319
Specialty Ophthalmology Physician
Credentials MD
Gender Female
NPI Issued 05/14/2018

CMS Quality Score (MIPS)

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

97.83
Final Score
Avg: 83.1
80.9759
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where ROMA PEGANY, 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.

UNIVERSITY PROFESSIONAL SERVICES
VANCOUVER, WA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

ROMA PEGANY, MD — brand share 46.0%
Specialty average (est.)

46% brand-name claims vs 54% generic, on 1,302 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.

1,302
Total Claims
$923K
Total Drug Cost
361
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,150
Total Day Supply
57,395
Brand vs Generic
46% brand / 54% generic
Brand Drug Cost
$886K
Generic Drug Cost
$37K
Opioid Claims
14 (1.1% rate)
Antibiotic Claims
72

Patient Demographics

Average Patient Age
73.7 years
Avg HCC Risk Score
1.21
Gender Split
59% female / 41% male
Age Distribution
<65: 38, 65-74: 145, 75-84: 130, 85+: 48

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
292
Fluorometholone
150
Ofloxacin
101
Valacyclovir
Valacyclovir Hcl
54
Acyclovir
52
Brimonidine Tartrate
52
Ketorolac Tromethamine
50
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
44
Erythromycin
Erythromycin Base
43
Restasis
Cyclosporine
43

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

Ophthalmology Physician Overview

How ROMA PEGANY, MD 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

ROMA PEGANY, MD's 1,302 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Oregon

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

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

Frequently Asked Questions

What is ROMA PEGANY, MD's specialty?
ROMA PEGANY, MD specializes in Ophthalmology Physician and practices in PORTLAND, Oregon. Credentials: MD.
How much does ROMA PEGANY, MD prescribe under Medicare Part D?
In 2023, ROMA PEGANY, MD wrote 1,302 Medicare Part D claims totaling $923K in drug costs for 361 beneficiaries.
What is ROMA PEGANY, MD's Medicare quality score?
ROMA PEGANY, MD has a CMS MIPS Final Score of 97.83/100 (Quality: 80.9759). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROMA PEGANY, MD located?
ROMA PEGANY, MD is located at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR, 97239. Phone: (503) 494-3000.
What is ROMA PEGANY, MD's NPI number?
ROMA PEGANY, MD's National Provider Identifier (NPI) is 1194215319, issued on 05/14/2018.
Does ROMA PEGANY, MD prescribe more brand-name or generic drugs?
ROMA PEGANY, MD's prescribing is 46% brand-name and 54% generic drugs by claim count, with $886K in brand drug costs.
Does ROMA PEGANY, MD prescribe opioids?
Yes, ROMA PEGANY, MD had 14 opioid claims in 2023 with an opioid prescribing rate of 1.1%.
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 ROMA PEGANY, MD prescribe most often?
Based on 2023 Medicare Part D data, ROMA PEGANY, MD's most frequently prescribed drugs include Prednisolone Acetate, Fluorometholone, Ofloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROMA PEGANY, MD accept Medicare?
ROMA PEGANY, MD appears in CMS Medicare data with 1,302 Part D claims and 361 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROMA PEGANY, MD's credentials?
ROMA PEGANY, MD's NPI is 1194215319 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