2026 NPPES data Ophthalmology Physician NPI 1942397864 M.D.
Verify on CMS →

DAVID COWEN, M.D.

Ophthalmology Physician in LEXINGTON, Kentucky. 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
1K
Medicare Part D claims · 783 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$158.15
15 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: DAVID COWEN, M.D. is a Ophthalmology Physician ([object Object]) practicing in LEXINGTON, Kentucky with a Medicare Part D prescribing footprint of 1K claims across 783 beneficiaries — 10% brand-name prescribing . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $158.15 across 15 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: DAVID COWEN, M.D. reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 1,270 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)

DAVID COWEN, 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).

DAVID COWEN, M.D. at a glance

Below national average

NPI registry status

Active

Issued 10/10/2006

NPI 1942397864

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

1,270 11% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Kentucky

How Ophthalmology Physician compares to other specialties among Kentucky providers

Kentucky providers

Ophthalmology Physician share within Kentucky

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

Medicare quality performance — MIPS

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

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 0/100 vs national avg 83.1

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

DAVID COWEN, M.D. is a Ophthalmology Physician provider practicing in LEXINGTON, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1942397864. 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.

DAVID COWEN, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 771 CORPORATE DR, LEXINGTON, KY, 40503, with a listed phone of (859) 219-0299. NPI 1942397864 was issued on 10/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COWEN 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 1,270 prescription claims written by this provider, covering 783 Medicare beneficiaries and totaling roughly $17K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 3.9%. 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 0/100 for the 2023 performance year (Quality 0), 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

771 CORPORATE DR
LEXINGTON, KY 40503

Provider Details

NPI 1942397864
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 10/10/2006

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

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 DAVID COWEN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$158

Largest payer

Amgen Inc.

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 · Typical

DAVID COWEN, M.D. — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 1,270 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.

1,270
Total Claims
$17K
Total Drug Cost
783
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,306
Total Day Supply
19,248
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$5K
Generic Drug Cost
$12K
Opioid Claims
50 (3.9% rate)
Antibiotic Claims
140

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.08
Gender Split
60% female / 40% male
Age Distribution
<65: 72, 65-74: 407, 75-84: 244, 85+: 60

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Erythromycin
Erythromycin Base
846
Cephalexin
124
Prednisolone Acetate
99
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
49
Bacitracin-Polymyxin
Bacitracin/Polymyxin B Sulfate
38
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
38
Ondansetron Odt
Ondansetron
18
Tobramycin
12
Baclofen
11

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

Ophthalmology Physician Overview

How DAVID COWEN, 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

DAVID COWEN, M.D.'s 1,270 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Kentucky

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

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

Frequently Asked Questions

What is DAVID COWEN, M.D.'s specialty?
DAVID COWEN, M.D. specializes in Ophthalmology Physician and practices in LEXINGTON, Kentucky. Credentials: M.D..
How much does DAVID COWEN, M.D. prescribe under Medicare Part D?
In 2023, DAVID COWEN, M.D. wrote 1,270 Medicare Part D claims totaling $17K in drug costs for 783 beneficiaries.
What is DAVID COWEN, M.D.'s Medicare quality score?
DAVID COWEN, M.D. has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DAVID COWEN, M.D. located?
DAVID COWEN, M.D. is located at 771 CORPORATE DR, LEXINGTON, KY, 40503. Phone: (859) 219-0299.
What is DAVID COWEN, M.D.'s NPI number?
DAVID COWEN, M.D.'s National Provider Identifier (NPI) is 1942397864, issued on 10/10/2006.
Does DAVID COWEN, M.D. prescribe more brand-name or generic drugs?
DAVID COWEN, M.D.'s prescribing is 10% brand-name and 90% generic drugs by claim count, with $5K in brand drug costs.
Does DAVID COWEN, M.D. prescribe opioids?
Yes, DAVID COWEN, M.D. had 50 opioid claims in 2023 with an opioid prescribing rate of 3.9%.
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 DAVID COWEN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, DAVID COWEN, M.D.'s most frequently prescribed drugs include Erythromycin, Cephalexin, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DAVID COWEN, M.D. accept Medicare?
DAVID COWEN, M.D. appears in CMS Medicare data with 1,270 Part D claims and 783 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DAVID COWEN, M.D.'s credentials?
DAVID COWEN, M.D.'s NPI is 1942397864 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