2026 NPPES data Ophthalmology Physician NPI 1265726905 MD
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ROMULO ALBUQUERQUE, MD

Ophthalmology Physician in LEXINGTON, Kentucky. 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
378
Medicare Part D claims · 164 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
53%
generic claims · 47% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
72.3422/100
▼ 11 pts below national avg 83.1 · [object Object]
Industry payments
$3.9K
40 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ROMULO ALBUQUERQUE, MD is a Ophthalmology Physician ([object Object]) practicing in LEXINGTON, Kentucky with a Medicare Part D prescribing footprint of 378 claims across 164 beneficiaries — 47% brand-name prescribing . Their CMS MIPS Final Score of 72.3422/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $3.9K across 40 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ROMULO ALBUQUERQUE, MD reported a CMS MIPS final score of 72.3422 out of 100, below the 83.1 national average, and filed 378 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)

ROMULO ALBUQUERQUE, 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).

ROMULO ALBUQUERQUE, MD at a glance

Below national average

NPI registry status

Active

Issued 05/29/2011

NPI 1265726905

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

378 73% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

72.3422/100 10.757799999999989% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Kentucky

How Ophthalmology Physician compares to other specialties among Kentucky providers

Kentucky providers

Ophthalmology Physician share within Kentucky

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

Medicare quality performance — MIPS

ROMULO ALBUQUERQUE, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
72.3422/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 72.3422/100 vs national avg 83.1

0%100%National avg83%72.3%
MIPS final score (Ophthalmology Physician) — 72.3422/100 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).

ROMULO ALBUQUERQUE, MD is a Ophthalmology Physician provider practicing in LEXINGTON, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1265726905. 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.

ROMULO ALBUQUERQUE, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at UNIVERSITY OF KENTUCKY & AFFILIATES, LEXINGTON, KY, 40536, with a listed phone of (859) 257-1363. NPI 1265726905 was issued on 05/29/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALBUQUERQUE 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 378 prescription claims written by this provider, covering 164 Medicare beneficiaries and totaling roughly $15K in drug spend, split 47% brand-name and 53% 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 72.3422/100 for the 2023 performance year (Quality 95.3311, Cost 19.143), 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

UNIVERSITY OF KENTUCKY & AFFILIATES
LEXINGTON, KY 40536

Provider Details

NPI 1265726905
Specialty Ophthalmology Physician
Credentials MD
Gender Male
NPI Issued 05/29/2011

CMS Quality Score (MIPS)

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

72.3422
Final Score
Avg: 83.1
95.3311
Quality
19.143
Cost
92
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ROMULO ALBUQUERQUE, 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.

VISTAR EYE CENTER, INC
ROANOKE, VA

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 ROMULO ALBUQUERQUE, MD. Source: openpaymentsdata.cms.gov.

Total received

$3.9K

Largest payer

Glaukos Corporation

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

ROMULO ALBUQUERQUE, MD — brand share 47.0%
Specialty average (est.)

47% brand-name claims vs 53% generic, on 378 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.

378
Total Claims
$15K
Total Drug Cost
164
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
484
Total Day Supply
11,883
Brand vs Generic
47% brand / 53% generic
Brand Drug Cost
$9K
Generic Drug Cost
$6K

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
1.17
Gender Split
49% female / 51% male
Age Distribution
<65: 16, 65-74: 76, 75-84: 57, 85+: 15

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
133
Ofloxacin
73
Timolol Maleate
29
Latanoprost
24
Brimonidine Tartrate
21
Difluprednate
14
Erythromycin
Erythromycin Base
14
Atropine Sulfate
12
Combigan
Brimonidine Tartrate/Timolol
11

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

Ophthalmology Physician Overview

How ROMULO ALBUQUERQUE, 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

ROMULO ALBUQUERQUE, MD's 378 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Kentucky

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

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

Frequently Asked Questions

What is ROMULO ALBUQUERQUE, MD's specialty?
ROMULO ALBUQUERQUE, MD specializes in Ophthalmology Physician and practices in LEXINGTON, Kentucky. Credentials: MD.
How much does ROMULO ALBUQUERQUE, MD prescribe under Medicare Part D?
In 2023, ROMULO ALBUQUERQUE, MD wrote 378 Medicare Part D claims totaling $15K in drug costs for 164 beneficiaries.
What is ROMULO ALBUQUERQUE, MD's Medicare quality score?
ROMULO ALBUQUERQUE, MD has a CMS MIPS Final Score of 72.3422/100 (Quality: 95.3311, Cost: 19.143). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROMULO ALBUQUERQUE, MD located?
ROMULO ALBUQUERQUE, MD is located at UNIVERSITY OF KENTUCKY & AFFILIATES, LEXINGTON, KY, 40536. Phone: (859) 257-1363.
What is ROMULO ALBUQUERQUE, MD's NPI number?
ROMULO ALBUQUERQUE, MD's National Provider Identifier (NPI) is 1265726905, issued on 05/29/2011.
Does ROMULO ALBUQUERQUE, MD prescribe more brand-name or generic drugs?
ROMULO ALBUQUERQUE, MD's prescribing is 47% brand-name and 53% generic drugs by claim count, with $9K 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 ROMULO ALBUQUERQUE, MD prescribe most often?
Based on 2023 Medicare Part D data, ROMULO ALBUQUERQUE, MD's most frequently prescribed drugs include Prednisolone Acetate, Ofloxacin, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROMULO ALBUQUERQUE, MD accept Medicare?
ROMULO ALBUQUERQUE, MD appears in CMS Medicare data with 378 Part D claims and 164 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROMULO ALBUQUERQUE, MD's credentials?
ROMULO ALBUQUERQUE, MD's NPI is 1265726905 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