RUMEI YUAN, MD PHD
Ophthalmology Physician in FLUSHING, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
RUMEI YUAN, MD PHD filed 4,693 Medicare Part D claims in 2023 as a Ophthalmology Physician in FLUSHING, New York, prescribing 29% generic.
- 5K
- Part D claims, 2023
- 29%
- 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.
RUMEI YUAN, MD PHD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
4,693 Top 7% higher than 93% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
RUMEI YUAN, MD PHD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 RUMEI YUAN, MD PHD?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in New York
How Ophthalmology Physician compares to other specialties among New York providers
Ophthalmology Physician share within New York
Ophthalmology Physician is one of the more visible NUCC categories in New York
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Ophthalmology Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Ophthalmology Physician ABMS/AOA estimate
Est. board-certified rate (Ophthalmology Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Ophthalmology Physician US NPIs
Specialty board-certified rate — Ophthalmology Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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).
RUMEI YUAN, MD PHD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD PHD credentials at 4235 MAIN ST, FLUSHING, NY, 11355, with a listed phone of (718) 886-8318. NPI 1194821603 was issued on 09/15/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what YUAN 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 4,693 prescription claims written by this provider, covering 946 Medicare beneficiaries and totaling roughly $2.6 million in drug spend, split 71% brand-name and 29% 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.
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
Provider Details
| NPI | 1194821603 |
|---|---|
| Specialty | Ophthalmology Physician |
| Credentials | MD PHD |
| Gender | Female |
| NPI Issued | 09/15/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm RUMEI YUAN, MD PHD's current license status, disciplinary history, and board certifications with the New York State Education Department, Office of the Professions in New York before relying on this page for a clinical or care decision.
How we sourced this profile
Hospital and facility affiliations
Facilities where RUMEI YUAN, MD PHD 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.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context — New York NYSBPMC 2023 annual report
Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to RUMEI YUAN, MD PHD. To verify RUMEI YUAN, MD PHD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Brand-heavy
71% brand-name claims vs 29% generic, on 4,693 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.
Prescribing Breakdown
- 30-Day Fills
- 7,313
- Total Day Supply
- 212,232
- Brand vs Generic
- 71% brand / 29% generic
- Brand Drug Cost
- $2.5M
- Generic Drug Cost
- $94K
Patient Demographics
- Average Patient Age
- 75.8 years
- Avg HCC Risk Score
- 1.21
- Gender Split
- 69% female / 31% male
- Age Distribution
- <65: 11, 65-74: 436, 75-84: 375, 85+: 124
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What RUMEI YUAN, MD PHD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Restasis
Restasis
1,329 claims
- Bepotastine Besilate 450
Bepotastine Besilate
450 claims
- Besivance 362
Besivance
362 claims
- Prolensa 351
Prolensa
351 claims
- Azelastine Hcl 332
Azelastine Hcl
332 claims
- Prednisolone Acetate 316
Prednisolone Acetate
316 claims
- Latanoprost 285
Latanoprost
285 claims
- Difluprednate 189
Difluprednate
189 claims
| Drug | Claims |
|---|---|
| Restasis Cyclosporine | 1,329 |
| Bepotastine Besilate | 450 |
| Besivance Besifloxacin Hcl | 362 |
| Prolensa Bromfenac Sodium | 351 |
| Azelastine Hcl | 332 |
| Prednisolone Acetate | 316 |
| Latanoprost | 285 |
| Difluprednate | 189 |
| Lumigan Bimatoprost | 169 |
| Timolol Maleate | 112 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Ophthalmology Physician Overview
How RUMEI YUAN, MD PHD fits within the Ophthalmology Physician landscape nationally.
RUMEI YUAN, MD PHD's 4,693 claims are above the specialty average of 1,420.
Nearby Ophthalmology Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as YUAN.
Compare Ophthalmology Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
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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.
- 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