NPPES file of Aug 9, 2026

Spiro Combest, MD

Ophthalmology Physician · Westport, CT

Spiro Combest, MD is an ophthalmology physician with a practice address in Westport, Connecticut, and NPI 1194934216, issued on May 22, 2007. Check the license (Connecticut 045296, as entered in NPPES) on the Connecticut Medical Examining Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1194934216
Name
Spiro Combest
Credential
MD
Primary taxonomy
Ophthalmology Physician 207W00000X
License number
045296 CT
Self-reported in NPPES; status is on the state search
Practice location
129 Kings Hwy N, Westport, CT 06880
Phone
(203) 227-4113
Enumerated
May 22, 2007
Record last updated
Nov 16, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(203) 226-6718
Medicaid ID
004394102 CT
Medicare enrollment
Enrolled (PECOS I20071009000545); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 129 Kings Hwy N

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Thomas Abrahamsen, DPMFoot & Ankle Surgery Podiatrist1487698635
  2. Michael Bautista, MDOphthalmology Physician1689038671
  3. Claudia Castiblanco, M.D.Ophthalmology Physician1801056510
  4. Kyle Custis, M.D.Family Medicine Physician1376574178
  5. Judith Doctor, M.D.Ophthalmology Physician1992243174
  6. Leslie Doctor, M.D.Ophthalmology Physician1780769968

Verify Spiro Combest in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersConnecticut Medical Examining Board
    Search for license 045296
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Connecticut license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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39% fewer Medicare Part D claims than the average ophthalmology physician in 2024

925 Medicare Part D claims for 409 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. Brand-name drugs were 44% of claims.

  1. Spiro Combest925
  2. Specialty average1,518

Most prescribed

  1. Neomycin-Polymyxin-Dexameth258 claims
  2. Prednisolone Acetate125 claims
  3. Latanoprost88 claims
  4. Ofloxacin81 claims
  5. Restasis50 claims
  6. Lumigan34 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 88.8 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score100.0
  2. Costout of 100 · 30%62.6
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $533.17

16 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 13,221 providers of this specialty with any payment received $4,535.02 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Spiro Combest$533.17
  2. Specialty average$4,535.02

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Richard A Fichman MD PCWestport, CT

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Spiro Combest among 336 ophthalmology physician records in Connecticut

Spiro Combest, MD is one of 336 ophthalmology physician records with a practice address in Connecticut. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 65% of them.

  • NPI issued2007 · 65% of these records are older, 27% newer
  • In a Medicare fileYes · 76% of these records are
  • In the CMS Doctors and Clinicians fileYes · 63% of these records are
  • Graduated2002 · median 2000 among the 212 with a school on file
  • Record last updated2021 · 66% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a Connecticut practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

9 ophthalmology physician records list a practice address in Westport

They are 9 of the 886 NPPES records with a practice address in Westport, and 336 ophthalmology physician records in Connecticut.

The 8 ophthalmology physician records with the nearest ZIP codes

  1. Michael Bautista, MDWestport, CT 068801689038671
  2. Claudia Castiblanco, M.D.Westport, CT 068801801056510
  3. Leslie Doctor, M.D.Westport, CT 068801780769968
  4. Judith Doctor, M.D.Westport, CT 068801992243174
  5. Jessica Flanagan, D.O.Westport, CT 068801891863635
  6. Jane Lubin, M.D.Westport, CT 068801336481852
  7. Cesar Sierra, MDWestport, CT 068801902997240
  8. David Tucker, M.D.Westport, CT 068801780854380

Common questions

What is Spiro Combest, MD's NPI number?

Spiro Combest, MD's National Provider Identifier (NPI) is 1194934216, issued on May 22, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Spiro Combest, MD located?

The NPPES record lists a practice address at 129 Kings Hwy N, Westport, CT, 06880. Phone: (203) 227-4113. Providers update this record themselves, so call before visiting.

How can I verify Spiro Combest, MD's license?

NPPES lists Connecticut license number 045296, as entered by the provider. Search the Connecticut Medical Examining Board at https://www.elicense.ct.gov/Lookup/LicenseLookup.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Spiro Combest, MD prescribe under Medicare Part D?

In 2024, Spiro Combest, MD had 925 Medicare Part D claims for 409 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.

What is Spiro Combest, MD's MIPS final score?

The 2023 MIPS final score is 88.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.