2026 NPPES data Ophthalmic Plastic and Reconstructive Surgery Physician NPI 1306341383 MD
Verify on CMS →

YASH VAISHNAV, MD

Ophthalmic Plastic and Reconstructive Surgery Physician in DENVER, Colorado. 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
212
Medicare Part D claims · 99 beneficiaries · Ophthalmic Plastic and Reconstructive Surgery Physician avg: 624
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.1279/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$322.37
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: YASH VAISHNAV, MD is a Ophthalmic Plastic and Reconstructive Surgery Physician ([object Object]) practicing in DENVER, Colorado with a Medicare Part D prescribing footprint of 212 claims across 99 beneficiaries — 16% brand-name prescribing . Their CMS MIPS Final Score of 97.1279/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $322.37 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: YASH VAISHNAV, MD reported a CMS MIPS final score of 97.1279 out of 100, above the 83.1 national average, and filed 212 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)

YASH VAISHNAV, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

YASH VAISHNAV, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/29/2018

NPI 1306341383

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery Physician

Rare

291 US NPIs in this specialty

Medicare Part D claims

212 66% vs specialty avg

2023 prescription claims

Specialty avg: 624

MIPS final score

97.1279/100 14.027900000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Colorado

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

Colorado providers

Ophthalmic Plastic and Reconstructive Surgery Physician share within Colorado

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 Colorado

Medicare quality performance — MIPS

YASH VAISHNAV, MD's 2023 MIPS final score plotted against the Ophthalmic Plastic and Reconstructive Surgery Physician national average

High performer (top quartile)
MIPS Final Score
97.1279/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmic Plastic and Reconstructive Surgery Physician) — 97.1279/100 vs national avg 83.1

0%100%National avg83%97.1%
MIPS final score (Ophthalmic Plastic and Reconstructive Surgery Physician) — 97.1279/100 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).

YASH VAISHNAV, MD is a Ophthalmic Plastic and Reconstructive Surgery Physician provider practicing in DENVER, Colorado, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1306341383. 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.

YASH VAISHNAV, MD appears in the CMS NPPES registry as a Ophthalmic Plastic and Reconstructive Surgery Physician provider holding MD credentials at 1800 N EMERSON ST STE 200, DENVER, CO, 80218, with a listed phone of (615) 322-3000. NPI 1306341383 was issued on 03/29/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what VAISHNAV 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 212 prescription claims written by this provider, covering 99 Medicare beneficiaries and totaling roughly $10K in drug spend, split 16% brand-name and 84% generic by claim count, with an opioid prescribing rate of 8.5%. 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 97.1279/100 for the 2023 performance year (Quality 85.6458), 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

1800 N EMERSON ST STE 200
DENVER, CO 80218

Provider Details

NPI 1306341383
Specialty Ophthalmic Plastic and Reconstructive Surgery Physician
Credentials MD
Gender Male
NPI Issued 03/29/2018

CMS Quality Score (MIPS)

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

97.1279
Final Score
Avg: 83.1
85.6458
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where YASH VAISHNAV, MD 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.

JERRY K POPHAM, MD PC
DENVER, CO

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 YASH VAISHNAV, MD. Source: openpaymentsdata.cms.gov.

Total received

$322

Largest payer

ABBVIE 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 · Typical

YASH VAISHNAV, MD — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 212 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.

212
Total Claims
$10K
Total Drug Cost
99
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
239
Total Day Supply
3,621
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$8K
Generic Drug Cost
$2K
Opioid Claims
18 (8.5% rate)
Antibiotic Claims
12

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
1.47
Gender Split
59% female / 41% 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
Erythromycin
Erythromycin Base
65
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
50

* 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 YASH VAISHNAV, MD 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

YASH VAISHNAV, MD's 212 claims are below the specialty average of 624.

Nearby Ophthalmic Plastic and Reconstructive Surgery Physician Providers in Colorado

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

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

Frequently Asked Questions

What is YASH VAISHNAV, MD's specialty?
YASH VAISHNAV, MD specializes in Ophthalmic Plastic and Reconstructive Surgery Physician and practices in DENVER, Colorado. Credentials: MD.
How much does YASH VAISHNAV, MD prescribe under Medicare Part D?
In 2023, YASH VAISHNAV, MD wrote 212 Medicare Part D claims totaling $10K in drug costs for 99 beneficiaries.
What is YASH VAISHNAV, MD's Medicare quality score?
YASH VAISHNAV, MD has a CMS MIPS Final Score of 97.1279/100 (Quality: 85.6458). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is YASH VAISHNAV, MD located?
YASH VAISHNAV, MD is located at 1800 N EMERSON ST STE 200, DENVER, CO, 80218. Phone: (615) 322-3000.
What is YASH VAISHNAV, MD's NPI number?
YASH VAISHNAV, MD's National Provider Identifier (NPI) is 1306341383, issued on 03/29/2018.
Does YASH VAISHNAV, MD prescribe more brand-name or generic drugs?
YASH VAISHNAV, MD's prescribing is 16% brand-name and 84% generic drugs by claim count, with $8K in brand drug costs.
Does YASH VAISHNAV, MD prescribe opioids?
Yes, YASH VAISHNAV, MD had 18 opioid claims in 2023 with an opioid prescribing rate of 8.5%.
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 YASH VAISHNAV, MD prescribe most often?
Based on 2023 Medicare Part D data, YASH VAISHNAV, MD's most frequently prescribed drugs include Erythromycin, Neomycin-Polymyxin-Dexameth. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does YASH VAISHNAV, MD accept Medicare?
YASH VAISHNAV, MD appears in CMS Medicare data with 212 Part D claims and 99 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify YASH VAISHNAV, MD's credentials?
YASH VAISHNAV, MD's NPI is 1306341383 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