2026 NPPES data Ophthalmic Plastic and Reconstructive Surgery Physician NPI 1205128352 M.D.
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TREY PEGRAM, M.D.

Ophthalmic Plastic and Reconstructive Surgery Physician in CLARKSVILLE, Tennessee. 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 · 341 beneficiaries · Ophthalmic Plastic and Reconstructive Surgery Physician avg: 624
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.8312/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$420.01
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TREY PEGRAM, M.D. is a Ophthalmic Plastic and Reconstructive Surgery Physician ([object Object]) practicing in CLARKSVILLE, Tennessee with a Medicare Part D prescribing footprint of 1K claims across 341 beneficiaries — 3% brand-name prescribing . Their CMS MIPS Final Score of 93.8312/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $420.01 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TREY PEGRAM, M.D. reported a CMS MIPS final score of 93.8312 out of 100, above the 83.1 national average, and filed 1,080 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)

TREY PEGRAM, 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).

TREY PEGRAM, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/09/2011

NPI 1205128352

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery Physician

Rare

291 US NPIs in this specialty

Medicare Part D claims

1,080 73% vs specialty avg

2023 prescription claims

Specialty avg: 624

MIPS final score

93.8312/100 10.731200000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Tennessee

How Ophthalmic Plastic and Reconstructive Surgery Physician compares to other specialties among Tennessee providers

Tennessee providers

Ophthalmic Plastic and Reconstructive Surgery Physician share within Tennessee

1. Ophthalmic Plastic and Reconstructive Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmic Plastic and Reconstructive Surgery Physician share within Tennessee

Medicare quality performance — MIPS

TREY PEGRAM, M.D.'s 2023 MIPS final score plotted against the Ophthalmic Plastic and Reconstructive Surgery Physician national average

High performer (top quartile)
MIPS Final Score
93.8312/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmic Plastic and Reconstructive Surgery Physician) — 93.8312/100 vs national avg 83.1

0%100%National avg83%93.8%
MIPS final score (Ophthalmic Plastic and Reconstructive Surgery Physician) — 93.8312/100 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).

TREY PEGRAM, M.D. is a Ophthalmic Plastic and Reconstructive Surgery Physician provider practicing in CLARKSVILLE, Tennessee, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1205128352. 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.

TREY PEGRAM, M.D. appears in the CMS NPPES registry as a Ophthalmic Plastic and Reconstructive Surgery Physician provider holding M.D. credentials at 306 LANDRUM PLACE, CLARKSVILLE, TN, 37043, with a listed phone of (931) 221-9544. NPI 1205128352 was issued on 05/09/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PEGRAM 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 1,080 prescription claims written by this provider, covering 341 Medicare beneficiaries and totaling roughly $13K in drug spend, split 3% brand-name and 97% generic by claim count, with an opioid prescribing rate of 21.7%. 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 93.8312/100 for the 2023 performance year (Quality 87.6623), compared with the national average of 83.1.

Ophthalmic Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 291 enrolled providers across 46 states and an average of 624 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

306 LANDRUM PLACE
CLARKSVILLE, TN 37043

Provider Details

NPI 1205128352
Specialty Ophthalmic Plastic and Reconstructive Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 05/09/2011

CMS Quality Score (MIPS)

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

93.8312
Final Score
Avg: 83.1
87.6623
Quality

Reporting: Individual

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 TREY PEGRAM, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$420

Largest payer

RxSight Inc

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 · Generic-heavy

TREY PEGRAM, M.D. — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 1,080 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.

1,080
Total Claims
$13K
Total Drug Cost
341
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,089
Total Day Supply
12,882
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$4K
Generic Drug Cost
$9K
Opioid Claims
234 (21.7% rate)
Antibiotic Claims
28

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
1.06
Gender Split
64% female / 36% male
Age Distribution
<65: 29, 65-74: 177, 75-84: 115, 85+: 20

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Erythromycin
Erythromycin Base
504
Tramadol Hcl
231
Ondansetron Odt
Ondansetron
165
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
65
Valacyclovir
Valacyclovir Hcl
20
Doxycycline Monohydrate
19
Methylprednisolone
17
Diazepam
13

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

Ophthalmic Plastic and Reconstructive Surgery Physician Overview

How TREY PEGRAM, M.D. fits within the Ophthalmic Plastic and Reconstructive Surgery Physician landscape nationally.

291
Ophthalmic Plastic and Reconstructive Surgery Physician Providers in US
46
States with Ophthalmic Plastic and Reconstructive Surgery Physician
624
Avg Claims per Provider

TREY PEGRAM, M.D.'s 1,080 claims are above the specialty average of 624.

Nearby Ophthalmic Plastic and Reconstructive Surgery Physician Providers in Tennessee

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

Compare Ophthalmic Plastic and Reconstructive Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TREY PEGRAM, M.D.'s specialty?
TREY PEGRAM, M.D. specializes in Ophthalmic Plastic and Reconstructive Surgery Physician and practices in CLARKSVILLE, Tennessee. Credentials: M.D..
How much does TREY PEGRAM, M.D. prescribe under Medicare Part D?
In 2023, TREY PEGRAM, M.D. wrote 1,080 Medicare Part D claims totaling $13K in drug costs for 341 beneficiaries.
What is TREY PEGRAM, M.D.'s Medicare quality score?
TREY PEGRAM, M.D. has a CMS MIPS Final Score of 93.8312/100 (Quality: 87.6623). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TREY PEGRAM, M.D. located?
TREY PEGRAM, M.D. is located at 306 LANDRUM PLACE, CLARKSVILLE, TN, 37043. Phone: (931) 221-9544.
What is TREY PEGRAM, M.D.'s NPI number?
TREY PEGRAM, M.D.'s National Provider Identifier (NPI) is 1205128352, issued on 05/09/2011.
Does TREY PEGRAM, M.D. prescribe more brand-name or generic drugs?
TREY PEGRAM, M.D.'s prescribing is 3% brand-name and 97% generic drugs by claim count, with $4K in brand drug costs.
Does TREY PEGRAM, M.D. prescribe opioids?
Yes, TREY PEGRAM, M.D. had 234 opioid claims in 2023 with an opioid prescribing rate of 21.7%.
How many Ophthalmic Plastic and Reconstructive Surgery Physician providers are there in the US?
There are 291 Ophthalmic Plastic and Reconstructive Surgery Physician providers across 46 states in the US. The average Ophthalmic Plastic and Reconstructive Surgery Physician provider writes 624 Medicare Part D claims per year.
What drugs does TREY PEGRAM, M.D. prescribe most often?
Based on 2023 Medicare Part D data, TREY PEGRAM, M.D.'s most frequently prescribed drugs include Erythromycin, Tramadol Hcl, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TREY PEGRAM, M.D. accept Medicare?
TREY PEGRAM, M.D. appears in CMS Medicare data with 1,080 Part D claims and 341 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TREY PEGRAM, M.D.'s credentials?
TREY PEGRAM, M.D.'s NPI is 1205128352 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