Nicole Pumariega, M.D.
NPI 1053793182 · Ophthalmology Physician · Morgantown, WV
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Pumariega, M.D. is a Ophthalmology Physician provider in Morgantown, WV (NPI 1053793182).
Provider details
- NPI number
- 1053793182
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 29175 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,485 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Imaging of Retina92134 | 499 | $24 |
| Injection of Drug Into Eye67028 | 226 | $94 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 223 | $96 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 175 | $64 |
| Photography of the Retina92250 | 79 | $20 |
| Imaging of Retina92134 | 77 | $24 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisolone Acetate | 43 | 31 |
| Moxifloxacin Hclbrand: Moxifloxacin | 28 | 27 |
| Cyclopentolate Hcl | 15 | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$85 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-06-25
- Last updated
- 2022-04-12
- Certified
- 2022-04-12
Frequently asked questions
- What is Nicole Pumariega's NPI number?
- Nicole Pumariega's National Provider Identifier (NPI) is 1053793182, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Pumariega's specialty?
- Nicole Pumariega is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Nicole Pumariega located?
- Nicole Pumariega's practice location on file with NPPES is 1 Medical Center Dr, Morgantown, WV 26506-1200.
- What is Nicole Pumariega's phone number?
- The practice phone number listed in the NPPES registry for Nicole Pumariega is (856) 342-2000.
- Does Nicole Pumariega accept Medicare?
- Nicole Pumariega is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Pumariega's NPI active?
- Yes — Nicole Pumariega's NPI (1053793182) is active in the NPPES registry as of the last update on 2022-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.