2026 NPPES data Ophthalmology Physician NPI 1902869308 MD
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WILLIAM CAIN, MD

Ophthalmology Physician in COLUMBIA, South Carolina. 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
914
Medicare Part D claims · 240 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
52%
generic claims · 48% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.1006/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$124.8
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: WILLIAM CAIN, MD is a Ophthalmology Physician ([object Object]) practicing in COLUMBIA, South Carolina with a Medicare Part D prescribing footprint of 914 claims across 240 beneficiaries — 48% brand-name prescribing . Their CMS MIPS Final Score of 97.1006/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $124.8 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What the federal data shows

WILLIAM CAIN, MD reported a CMS MIPS final score of 97.1006/100 — above the 83.1 national average — and filed 914 Medicare Part D claims in 2023.

97.1006/100
MIPS score · +14 vs avg
914
Part D claims, 2023
52%
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.

WILLIAM CAIN, MD'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 15% higher than 85% 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)

WILLIAM CAIN, MD 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).

WILLIAM CAIN, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/08/2006

NPI 1902869308

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

914 36% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

97.1006/100 14.000600000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in South Carolina

How Ophthalmology Physician compares to other specialties among South Carolina providers

South Carolina providers

Ophthalmology Physician share within South Carolina

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

Medicare quality performance — MIPS

WILLIAM CAIN, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
97.1006/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 97.1006/100 vs national avg 83.1

0%100%National avg83%97.1%
MIPS final score (Ophthalmology Physician) — 97.1006/100 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).

WILLIAM CAIN, MD is a Ophthalmology Physician provider practicing in COLUMBIA, South Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1902869308. 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.

WILLIAM CAIN, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 1920 PICKENS ST, COLUMBIA, SC, 29201, with a listed phone of (803) 779-3040. NPI 1902869308 was issued on 04/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CAIN 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 914 prescription claims written by this provider, covering 240 Medicare beneficiaries and totaling roughly $195K in drug spend, split 48% brand-name and 52% 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 97.1006/100 for the 2023 performance year (Quality 100, Cost 90.3353), 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

1920 PICKENS ST
COLUMBIA, SC 29201

Provider Details

NPI 1902869308
Specialty Ophthalmology Physician
Credentials MD
Gender Male
NPI Issued 04/08/2006

CMS Quality Score (MIPS)

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

97.1006
Final Score
Avg: 83.1
100
Quality
90.3353
Cost

Reporting: Group practice

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 WILLIAM CAIN, MD. Source: openpaymentsdata.cms.gov.

Total received

$125

Largest payer

Regeneron Healthcare Solutions, 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 · Above average

WILLIAM CAIN, MD — brand share 48.0%
Specialty average (est.)

48% brand-name claims vs 52% generic, on 914 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.

914
Total Claims
$195K
Total Drug Cost
240
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,536
Total Day Supply
43,966
Brand vs Generic
48% brand / 52% generic
Brand Drug Cost
$173K
Generic Drug Cost
$22K

Patient Demographics

Average Patient Age
78.5 years
Avg HCC Risk Score
1.15
Gender Split
60% female / 40% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Latanoprost
306
Timolol Maleate
72
Rocklatan
Netarsudil Mesylat/Latanoprost
56
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
51
Restasis
Cyclosporine
45
Lumigan
Bimatoprost
38
Cyclosporine
35
Combigan
Brimonidine Tartrate/Timolol
23
Vyzulta
Latanoprostene Bunod
22
Acyclovir
19

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

Ophthalmology Physician Overview

How WILLIAM CAIN, 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

WILLIAM CAIN, MD's 914 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in South Carolina

Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as CAIN.

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

Frequently Asked Questions

What is WILLIAM CAIN, MD's specialty?
WILLIAM CAIN, MD specializes in Ophthalmology Physician and practices in COLUMBIA, South Carolina. Credentials: MD.
How much does WILLIAM CAIN, MD prescribe under Medicare Part D?
In 2023, WILLIAM CAIN, MD wrote 914 Medicare Part D claims totaling $195K in drug costs for 240 beneficiaries.
What is WILLIAM CAIN, MD's Medicare quality score?
WILLIAM CAIN, MD has a CMS MIPS Final Score of 97.1006/100 (Quality: 100, Cost: 90.3353). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is WILLIAM CAIN, MD located?
WILLIAM CAIN, MD is located at 1920 PICKENS ST, COLUMBIA, SC, 29201. Phone: (803) 779-3040.
What is WILLIAM CAIN, MD's NPI number?
WILLIAM CAIN, MD's National Provider Identifier (NPI) is 1902869308, issued on 04/08/2006.
Does WILLIAM CAIN, MD prescribe more brand-name or generic drugs?
WILLIAM CAIN, MD's prescribing is 48% brand-name and 52% generic drugs by claim count, with $173K 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 WILLIAM CAIN, MD prescribe most often?
Based on 2023 Medicare Part D data, WILLIAM CAIN, MD's most frequently prescribed drugs include Latanoprost, Timolol Maleate, Rocklatan. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does WILLIAM CAIN, MD accept Medicare?
WILLIAM CAIN, MD appears in CMS Medicare data with 914 Part D claims and 240 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify WILLIAM CAIN, MD's credentials?
WILLIAM CAIN, MD's NPI is 1902869308 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