2026 NPPES data Ophthalmology Physician NPI 1548375579 M.D.
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THOMAS CAROTHERS, M.D.

Ophthalmology Physician in RICHMOND, Virginia. 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
19
Medicare Part D claims · Ophthalmology Physician avg: 1K
MIPS score
96.6/100
▲ 14 pts above national avg 83.1 · [object Object]

What the federal data shows

THOMAS CAROTHERS, M.D. reported a CMS MIPS final score of 96.6/100 — above the 83.1 national average — and filed 19 Medicare Part D claims in 2023.

96.6/100
MIPS score · +14 vs avg
19
Part D claims, 2023
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.

THOMAS CAROTHERS, M.D.'s MIPS score vs every scored U.S. clinician

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

97 Top 17% higher than 83% 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)

THOMAS CAROTHERS, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 THOMAS CAROTHERS, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 08/20/2006

NPI 1548375579

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

19 99% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

96.6/100 13.5% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Ophthalmology Physician compares to other specialties among Virginia providers

Virginia providers

Ophthalmology Physician share within Virginia

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

Medicare quality performance — MIPS

THOMAS CAROTHERS, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
96.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 96.6/100 vs national avg 83.1

0%100%National avg83%96.6%
MIPS final score (Ophthalmology Physician) — 96.6/100 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).

THOMAS CAROTHERS, M.D. is a Ophthalmology Physician provider practicing in RICHMOND, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1548375579. 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.

THOMAS CAROTHERS, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 400 WESTHAMPTON STA, RICHMOND, VA, 23226, with a listed phone of (804) 287-4200. NPI 1548375579 was issued on 08/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CAROTHERS 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 19 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $413 in drug spend. 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 96.6/100 for the 2023 performance year, 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

400 WESTHAMPTON STA
RICHMOND, VA 23226

Provider Details

NPI 1548375579
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 08/20/2006

CMS Quality Score (MIPS)

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

96.6
Final Score
Avg: 83.1
96
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

19
Total Claims
$413
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
19
Total Day Supply
244
Generic Drug Cost
$175

Patient Demographics

Average Patient Age
59.9 years
Avg HCC Risk Score
1.55

Ophthalmology Physician Overview

How THOMAS CAROTHERS, M.D. 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

THOMAS CAROTHERS, M.D.'s 19 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Virginia

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

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

Frequently Asked Questions

What is THOMAS CAROTHERS, M.D.'s specialty?
THOMAS CAROTHERS, M.D. specializes in Ophthalmology Physician and practices in RICHMOND, Virginia. Credentials: M.D..
How much does THOMAS CAROTHERS, M.D. prescribe under Medicare Part D?
In 2023, THOMAS CAROTHERS, M.D. wrote 19 Medicare Part D claims totaling $413 in drug costs for N/A beneficiaries.
What is THOMAS CAROTHERS, M.D.'s Medicare quality score?
THOMAS CAROTHERS, M.D. has a CMS MIPS Final Score of 96.6/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS CAROTHERS, M.D. located?
THOMAS CAROTHERS, M.D. is located at 400 WESTHAMPTON STA, RICHMOND, VA, 23226. Phone: (804) 287-4200.
What is THOMAS CAROTHERS, M.D.'s NPI number?
THOMAS CAROTHERS, M.D.'s National Provider Identifier (NPI) is 1548375579, issued on 08/20/2006.
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.
Does THOMAS CAROTHERS, M.D. accept Medicare?
THOMAS CAROTHERS, M.D. appears in CMS Medicare data with 19 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS CAROTHERS, M.D.'s credentials?
THOMAS CAROTHERS, M.D.'s NPI is 1548375579 with credentials M.D.. 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