2026 NPPES data Ophthalmology Physician NPI 1376557918 M.D.
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DALE LILLY, M.D.

Ophthalmology Physician in HUNTINGTON, West 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
2K
Medicare Part D claims · 346 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
39.7465/100
▼ 43 pts below national avg 83.1 · [object Object]
What the federal data reveals: DALE LILLY, M.D. is a Ophthalmology Physician ([object Object]) practicing in HUNTINGTON, West Virginia with a Medicare Part D prescribing footprint of 2K claims across 346 beneficiaries — 18% brand-name prescribing . Their CMS MIPS Final Score of 39.7465/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: DALE LILLY, M.D. reported a CMS MIPS final score of 39.7465 out of 100, below the 83.1 national average, and filed 2,076 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)

DALE LILLY, 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).

DALE LILLY, M.D. at a glance

Below national average

NPI registry status

Active

Issued 07/28/2006

NPI 1376557918

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

2,076 46% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

39.7465/100 43.3535% pts

Below average band

vs 83.1 national avg

Specialty distribution in West Virginia

How Ophthalmology Physician compares to other specialties among West Virginia providers

West Virginia providers

Ophthalmology Physician share within West Virginia

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

Medicare quality performance — MIPS

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

Below national average
MIPS Final Score
39.7465/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 39.7465/100 vs national avg 83.1

0%100%National avg83%39.7%
MIPS final score (Ophthalmology Physician) — 39.7465/100 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).

DALE LILLY, M.D. is a Ophthalmology Physician provider practicing in HUNTINGTON, West Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1376557918. 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.

DALE LILLY, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 2823 3RD AVE, HUNTINGTON, WV, 25702, with a listed phone of (304) 523-3937. NPI 1376557918 was issued on 07/28/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LILLY 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 2,076 prescription claims written by this provider, covering 346 Medicare beneficiaries and totaling roughly $102K in drug spend, split 18% brand-name and 82% 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 39.7465/100 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

2823 3RD AVE
HUNTINGTON, WV 25702

Provider Details

NPI 1376557918
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 07/28/2006

CMS Quality Score (MIPS)

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

39.7465
Final Score
Avg: 83.1
79.493
Cost

Reporting: Individual

Brand vs generic prescribing mix · Typical

DALE LILLY, M.D. — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 2,076 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.

2,076
Total Claims
$102K
Total Drug Cost
346
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,298
Total Day Supply
91,127
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$53K
Generic Drug Cost
$49K

Patient Demographics

Average Patient Age
75.5 years
Avg HCC Risk Score
1.19
Gender Split
63% female / 37% male
Age Distribution
<65: 25, 65-74: 140, 75-84: 122, 85+: 59

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
884
Timolol Maleate
341
Dorzolamide Hcl
164
Moxifloxacin
Moxifloxacin Hcl
159
Difluprednate
92
Brimonidine Tartrate
89
Prednisolone Acetate
75
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
56
Alphagan P
Brimonidine Tartrate
32
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
26

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

Ophthalmology Physician Overview

How DALE LILLY, 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

DALE LILLY, M.D.'s 2,076 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in West Virginia

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

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

Frequently Asked Questions

What is DALE LILLY, M.D.'s specialty?
DALE LILLY, M.D. specializes in Ophthalmology Physician and practices in HUNTINGTON, West Virginia. Credentials: M.D..
How much does DALE LILLY, M.D. prescribe under Medicare Part D?
In 2023, DALE LILLY, M.D. wrote 2,076 Medicare Part D claims totaling $102K in drug costs for 346 beneficiaries.
What is DALE LILLY, M.D.'s Medicare quality score?
DALE LILLY, M.D. has a CMS MIPS Final Score of 39.7465/100, Cost: 79.493. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DALE LILLY, M.D. located?
DALE LILLY, M.D. is located at 2823 3RD AVE, HUNTINGTON, WV, 25702. Phone: (304) 523-3937.
What is DALE LILLY, M.D.'s NPI number?
DALE LILLY, M.D.'s National Provider Identifier (NPI) is 1376557918, issued on 07/28/2006.
Does DALE LILLY, M.D. prescribe more brand-name or generic drugs?
DALE LILLY, M.D.'s prescribing is 18% brand-name and 82% generic drugs by claim count, with $53K in brand drug costs.
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 DALE LILLY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, DALE LILLY, M.D.'s most frequently prescribed drugs include Latanoprost, Timolol Maleate, Dorzolamide Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DALE LILLY, M.D. accept Medicare?
DALE LILLY, M.D. appears in CMS Medicare data with 2,076 Part D claims and 346 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DALE LILLY, M.D.'s credentials?
DALE LILLY, M.D.'s NPI is 1376557918 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