2026 NPPES data Ophthalmology Physician NPI 1861425787 M.D.
Verify on CMS →

CHARLES HILL, M.D.

Ophthalmology Physician in DECATUR, Georgia. 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
2K
Medicare Part D claims · 401 beneficiaries · Ophthalmology Physician avg: 1K
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
What the federal data reveals: CHARLES HILL, M.D. is a Ophthalmology Physician ([object Object]) practicing in DECATUR, Georgia with a Medicare Part D prescribing footprint of 2K claims across 401 beneficiaries . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What the federal data shows

CHARLES HILL, M.D. reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 1,748 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
2K
Part D claims, 2023
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.

CHARLES HILL, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

75 15th percentile higher than 15% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

CHARLES HILL, 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).

CHARLES HILL, M.D. at a glance

Below national average

NPI registry status

Active

Issued 07/07/2006

NPI 1861425787

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

1,748 23% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Ophthalmology Physician compares to other specialties among Georgia providers

Georgia providers

Ophthalmology Physician share within Georgia

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

Medicare quality performance — MIPS

CHARLES HILL, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Ophthalmology Physician) — 75/100 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).

CHARLES HILL, M.D. is a Ophthalmology Physician provider practicing in DECATUR, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1861425787. 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.

CHARLES HILL, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 4171 SNAPFINGER WOODS DR, DECATUR, GA, 30035, with a listed phone of (404) 284-8288. NPI 1861425787 was issued on 07/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HILL 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 1,748 prescription claims written by this provider, covering 401 Medicare beneficiaries and totaling roughly $203K in drug spend. 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 75/100 for the 2023 performance year, 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

4171 SNAPFINGER WOODS DR
DECATUR, GA 30035

Provider Details

NPI 1861425787
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 07/07/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Individual

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,748
Total Claims
$203K
Total Drug Cost
401
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,909
Total Day Supply
113,610
Generic Drug Cost
$57K
Antibiotic Claims
26

Patient Demographics

Average Patient Age
75.4 years
Avg HCC Risk Score
1.33
Gender Split
68% female / 32% male
Age Distribution
<65: 15, 65-74: 186, 75-84: 150, 85+: 50

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
849
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
133
Timolol Maleate
114
Combigan
Brimonidine Tartrate/Timolol
81
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
79
Brimonidine Tartrate
64
Pilocarpine Hcl
45
Brimonidine Tartrate-Timolol
Brimonidine Tartrate/Timolol
42
Dorzolamide Hcl
41
Tobradex
Tobramycin/Dexamethasone
39

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

Ophthalmology Physician Overview

How CHARLES HILL, M.D. 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

CHARLES HILL, M.D.'s 1,748 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Georgia

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

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

Frequently Asked Questions

What is CHARLES HILL, M.D.'s specialty?
CHARLES HILL, M.D. specializes in Ophthalmology Physician and practices in DECATUR, Georgia. Credentials: M.D..
How much does CHARLES HILL, M.D. prescribe under Medicare Part D?
In 2023, CHARLES HILL, M.D. wrote 1,748 Medicare Part D claims totaling $203K in drug costs for 401 beneficiaries.
What is CHARLES HILL, M.D.'s Medicare quality score?
CHARLES HILL, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CHARLES HILL, M.D. located?
CHARLES HILL, M.D. is located at 4171 SNAPFINGER WOODS DR, DECATUR, GA, 30035. Phone: (404) 284-8288.
What is CHARLES HILL, M.D.'s NPI number?
CHARLES HILL, M.D.'s National Provider Identifier (NPI) is 1861425787, issued on 07/07/2006.
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 CHARLES HILL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CHARLES HILL, M.D.'s most frequently prescribed drugs include Latanoprost, Dorzolamide-Timolol, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CHARLES HILL, M.D. accept Medicare?
CHARLES HILL, M.D. appears in CMS Medicare data with 1,748 Part D claims and 401 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CHARLES HILL, M.D.'s credentials?
CHARLES HILL, M.D.'s NPI is 1861425787 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