Nicholas Rougraff
Ophthalmology β’ Flushing, NY
4500 Parsons Blvd
Flushing, NY 113552205
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on March 26, 2021; this date does not establish years in practice.
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Published CMS data list 1,540 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Latanoprost β 529 prescription fills, including refills.
- Dorzolamide-Timolol (Dorzolamide Hcl/Timolol Maleat) β 280 prescription fills, including refills.
- Brimonidine Tartrate β 173 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 17 records in the table Β· Guide: How to read Medicare Part D prescriber data
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Fewer Part D prescriptions than 85% of clinicians listed under Ophthalmology in Flushing, NY (2024, 21 clinicians with data). Median for this group: 3,971. Middle half: 1,928 to 8,332.
More Part D prescriptions than 60% of clinicians listed under Ophthalmology in New York (2024, 1,227 clinicians with data). Median for this group: 1,058. Middle half: 363 to 2,319.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 358 in 2022 to 1,540 in 2024.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2022β2024.
Practice Location & Contact Primary Location
4500 Parsons Blvd
Flushing, NY 113552205
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Fayetteville, NC. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Vision International Pa. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Georgetown University School Of Medicine
2021
What Public CMS Data Show
Ophthalmology: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
2,041 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$237,894 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $410.39 across 8 records.
By nature of payment
- Food and Beverage: $410.39 across 8 records.
Reporting-company totals
- Alcon Vision LLC: $301.32 across 5 records.
- Mallinckrodt Hospital Products Inc.: $68.15 across 2 records.
- Dompe US, Inc.: $40.92 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
5 years (graduated 2021)
CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2021
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Nicholas Rougraff has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Nicholas Rougraff as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Flushing and New York
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Fewer Part D prescriptions than 85% of clinicians listed under Ophthalmology in Flushing, NY (2024, 21 clinicians with data). Median for this group: 3,971. Middle half: 1,928 to 8,332.
More Part D prescriptions than 60% of clinicians listed under Ophthalmology in New York (2024, 1,227 clinicians with data). Median for this group: 1,058. Middle half: 363 to 2,319.
Part D drug cost
A lower Part D drug cost than 70% of clinicians listed under Ophthalmology in Flushing, NY (2024, 21 clinicians with data). Median for this group: $921,227. Middle half: $210,796 to $2,454,773.
A higher Part D drug cost than 65% of clinicians listed under Ophthalmology in New York (2024, 1,227 clinicians with data). Median for this group: $130,037. Middle half: $24,951 to $327,604.
27 active clinicians are listed under Ophthalmology with a practice address in Flushing, NY (1,823 in New York).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Flushing
0% of these 27 clinicians have the CMS telehealth indicator.
63% of these 27 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 330% from 358 in 2022 to 1,540 in 2024.
- 2022: 358
- 2023: 1,256
- 2024: 1,540
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30-day fills
30-day fills increased 343% from 461 in 2022 to 2,041 in 2024.
- 2022: 461
- 2023: 1,553
- 2024: 2,041
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Part D drug cost
Part D drug cost increased 1900% from $11,895 in 2022 to $237,894 in 2024.
- 2022: $11,895
- 2023: $202,547
- 2024: $237,894
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2025 only.
Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 β December 31, 2025): fewer than 11 records totaling $410.39.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Alcon Vision LLC |
Food and Beverage
In-kind items and services
|
Centurion | General | $150.00 |
| Alcon Vision LLC |
Food and Beverage
In-kind items and services
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Clareon | General | $97.64 |
| Dompe US, Inc. |
Food and Beverage
In-kind items and services
|
OXERVATE | General | $40.92 |
| Mallinckrodt Hospital Products Inc. |
Food and Beverage
In-kind items and services
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ACTHAR | General | $38.94 |
| Mallinckrodt Hospital Products Inc. |
Food and Beverage
In-kind items and services
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ACTHAR | General | $29.21 |
| Alcon Vision LLC |
Food and Beverage
In-kind items and services
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Clareon | General | $24.16 |
| Alcon Vision LLC |
Food and Beverage
In-kind items and services
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Simbrinza | General | $15.47 |
| Alcon Vision LLC |
Food and Beverage
In-kind items and services
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Simbrinza | General | $14.05 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Latanoprost | Latanoprost | 529 | 16,481 | $3,693.58 | 138 |
| Dorzolamide-Timolol | Dorzolamide Hcl/Timolol Maleat | 280 | 13,705 | $3,989.24 | 102 |
| Brimonidine Tartrate | Brimonidine Tartrate | 173 | 6,309 | $6,568.46 | 58 |
| Prednisolone Acetate | Prednisolone Acetate | 120 | 4,209 | $4,103.88 | 82 |
| Rhopressa | Netarsudil Mesylate | 84 | 2,699 | $30,555.30 | 23 |
| Eylea | Aflibercept | 62 | 1,860 | $142,384.21 | 13 |
| Dorzolamide Hcl | Dorzolamide Hcl | 48 | 2,355 | $752.52 | 14 |
| Lumigan | Bimatoprost | 44 | 1,877 | $20,877.37 | 17 |
| Timolol Maleate | Timolol Maleate | 41 | 1,866 | $954.58 | 12 |
| Combigan | Brimonidine Tartrate/Timolol | 30 | 795 | $5,732.56 | β |
| Restasis | Cyclosporine | 27 | 810 | $16,050.48 | β |
| Moxifloxacin | Moxifloxacin Hcl | 22 | 453 | $528.56 | 17 |
| Ketorolac Tromethamine | Ketorolac Tromethamine | 20 | 1,050 | $307.52 | 15 |
| Atropine Sulfate | Atropine Sulfate | 17 | 595 | $361.23 | β |
| Acetazolamide Er | Acetazolamide | 16 | 496 | $358.75 | β |
| Erythromycin | Erythromycin Base | 15 | 166 | $139.84 | 14 |
| Pilocarpine Hcl | Pilocarpine Hcl | 12 | 1,103 | $535.55 | β |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-06-27NUCC Taxonomy Code: 207W00000X
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - OPHTHALMOLOGY
I20250603000027
NC
3678082559
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Vision International Pa
2047 Valleygate Dr, Fayetteville, NC 283043688
Phone: 9104853937
Secondary Practice Locations
2047 Valleygate Dr
Fayetteville, NC 283043688
Phone: 9104853937
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Internal Medicine
Doctor of Medicine (M.D.)
Student in an Organized Health Care Education/Training Program
Doctor of Dental Surgery
Student in an Organized Health Care Education/Training Program
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Student in an Organized Health Care Education/Training Program
Ophthalmology (license number reported to NPPES: NC 202500628)
NPI status registered as active in NPPES database
Registered at 4500 PARSONS BLVD, FLUSHING, NY 113552205 (Tel: 7186705000)
Registered at 4500 PARSONS BLVD, FLUSHING, NY 113552205
Recorded as NICHOLAS ROUGRAFF
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Ophthalmology Specialists in Flushing
- Dr. Richard Najac, MD
- Dr. Rumei Yuan, MD PHD
- Dr. Ted Du, MD
- Dr. David Lee, MD
- Dr. Julia Hsu, MD
- Dr. Yufei Tu, MD
Mailing Address
4500 Parsons Blvd
Flushing, NY 113552205