2026 NPPES data Optometrist NPI 1104853605 O.D.
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CRAIG HOOVER, O.D.

Optometrist in CULPEPER, Virginia. 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
461
Medicare Part D claims · 106 beneficiaries · Optometrist avg: 257
Generic prescribing
65%
generic claims · 35% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.1606/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$47.23
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CRAIG HOOVER, O.D. reported a CMS MIPS final score of 84.1606/100 — above the 83.1 national average — and filed 461 Medicare Part D claims in 2023.

84.1606/100
MIPS score · +1 vs avg
461
Part D claims, 2023
65%
generic prescribing
$47.23
industry payments (Sunshine Act)

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.

CRAIG HOOVER, O.D.'s MIPS score vs every scored U.S. clinician

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

84 45th percentile higher than 45% 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%). This entry sits in this band. 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

What does the federal data show about CRAIG HOOVER, O.D.?

Near national average

NPI registry status

Active

Issued 06/28/2006

NPI 1104853605

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

461 79% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

84.1606/100 1.060600000000008% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Optometrist compares to other specialties among Virginia providers

Virginia providers

Optometrist share within Virginia

1. Optometrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Optometrist share within Virginia

Medicare quality performance — MIPS

CRAIG HOOVER, O.D.'s 2023 MIPS final score plotted against the Optometrist national average

Near national average
MIPS Final Score
84.1606/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 84.1606/100 vs national avg 83.1

0%100%National avg83%84.2%
MIPS final score (Optometrist) — 84.1606/100 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).

CRAIG HOOVER, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 691 LAUREL ST, CULPEPER, VA, 22701, with a listed phone of (540) 825-0541. NPI 1104853605 was issued on 06/28/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HOOVER 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 461 prescription claims written by this provider, covering 106 Medicare beneficiaries and totaling roughly $59K in drug spend, split 35% brand-name and 65% 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 84.1606/100 for the 2023 performance year (Quality 89.7465), compared with the national average of 83.1.

Optometrist is a high-volume specialty nationwide, with 60,463 enrolled providers across 56 states and an average of 257 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

691 LAUREL ST
CULPEPER, VA 22701

Provider Details

NPI 1104853605
Specialty Optometrist
Credentials O.D.
Gender Male
NPI Issued 06/28/2006

CMS Quality Score (MIPS)

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

84.1606
Final Score
Avg: 83.1
89.7465
Quality
66
Promoting Interoperability

Reporting: Individual

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 CRAIG HOOVER, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$47

Largest payer

Alcon Vision LLC

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

CRAIG HOOVER, O.D. — brand share 35.0%
Specialty average (est.)

35% brand-name claims vs 65% generic, on 461 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.

461
Total Claims
$59K
Total Drug Cost
106
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
725
Total Day Supply
19,380
Brand vs Generic
35% brand / 65% generic
Brand Drug Cost
$50K
Generic Drug Cost
$10K

Patient Demographics

Average Patient Age
76.3 years
Avg HCC Risk Score
1.02
Gender Split
58% female / 42% male

Top Prescribed Drugs (Medicare Part D)

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

What CRAIG HOOVER, O.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Latanoprost
221
Rocklatan
Netarsudil Mesylat/Latanoprost
37
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
26
Dorzolamide Hcl
22
Timolol Maleate
20
Ofloxacin
17
Vyzulta
Latanoprostene Bunod
17
Travoprost
16
Polymyxin B Sul-Trimethoprim
Polymyxin B Sulf/Trimethoprim
15
Brimonidine Tartrate
13

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

Optometrist Overview

How CRAIG HOOVER, O.D. fits within the Optometrist landscape nationally.

60,463
Optometrist Providers in US
56
States with Optometrist
257
Avg Claims per Provider

CRAIG HOOVER, O.D.'s 461 claims are above the specialty average of 257.

Nearby Optometrist Providers in Virginia

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

Compare Optometrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is CRAIG HOOVER, O.D.'s specialty?
CRAIG HOOVER, O.D. specializes in Optometrist and practices in CULPEPER, Virginia. Credentials: O.D..
How much does CRAIG HOOVER, O.D. prescribe under Medicare Part D?
In 2023, CRAIG HOOVER, O.D. wrote 461 Medicare Part D claims totaling $59K in drug costs for 106 beneficiaries.
What is CRAIG HOOVER, O.D.'s Medicare quality score?
CRAIG HOOVER, O.D. has a CMS MIPS Final Score of 84.1606/100 (Quality: 89.7465). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CRAIG HOOVER, O.D. located?
CRAIG HOOVER, O.D. is located at 691 LAUREL ST, CULPEPER, VA, 22701. Phone: (540) 825-0541.
What is CRAIG HOOVER, O.D.'s NPI number?
CRAIG HOOVER, O.D.'s National Provider Identifier (NPI) is 1104853605, issued on 06/28/2006.
Does CRAIG HOOVER, O.D. prescribe more brand-name or generic drugs?
CRAIG HOOVER, O.D.'s prescribing is 35% brand-name and 65% generic drugs by claim count, with $50K in brand drug costs.
How many Optometrist providers are there in the US?
There are 60,463 Optometrist providers across 56 states in the US. The average Optometrist provider writes 257 Medicare Part D claims per year.
What drugs does CRAIG HOOVER, O.D. prescribe most often?
Based on 2023 Medicare Part D data, CRAIG HOOVER, O.D.'s most frequently prescribed drugs include Latanoprost, Rocklatan, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CRAIG HOOVER, O.D. accept Medicare?
CRAIG HOOVER, O.D. appears in CMS Medicare data with 461 Part D claims and 106 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CRAIG HOOVER, O.D.'s credentials?
CRAIG HOOVER, O.D.'s NPI is 1104853605 with credentials O.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