2026 NPPES data Ophthalmology Physician NPI 1912151929 M.D.
Verify on CMS →

DAVID FOLDEN, M.D.

Ophthalmology Physician in COON RAPIDS, Minnesota. 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
576
Medicare Part D claims · 245 beneficiaries · Ophthalmology Physician avg: 1K
MIPS score
86.3461/100
▲ 3 pts above national avg 83.1 · [object Object]
Industry payments
$144.2
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: DAVID FOLDEN, M.D. is a Ophthalmology Physician ([object Object]) practicing in COON RAPIDS, Minnesota with a Medicare Part D prescribing footprint of 576 claims across 245 beneficiaries . Their CMS MIPS Final Score of 86.3461/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $144.2 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: DAVID FOLDEN, M.D. reported a CMS MIPS final score of 86.3461 out of 100, above the 83.1 national average, and filed 576 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 FOLDEN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

DAVID FOLDEN, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 11/05/2008

NPI 1912151929

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

576 59% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

86.3461/100 3.2461000000000126% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Minnesota

How Ophthalmology Physician compares to other specialties among Minnesota providers

Minnesota providers

Ophthalmology Physician share within Minnesota

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

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
86.3461/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 86.3461/100 vs national avg 83.1

0%100%National avg83%86.3%
MIPS final score (Ophthalmology Physician) — 86.3461/100 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 FOLDEN, M.D. is a Ophthalmology Physician provider practicing in COON RAPIDS, Minnesota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1912151929. 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 FOLDEN, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 3777 COON RAPIDS BLVD NW, COON RAPIDS, MN, 55433, with a listed phone of (763) 421-7420. NPI 1912151929 was issued on 11/05/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FOLDEN 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 576 prescription claims written by this provider, covering 245 Medicare beneficiaries and totaling roughly $29K 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 86.3461/100 for the 2023 performance year (Quality 99.5358, Cost 59.9513), 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

3777 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433

Provider Details

NPI 1912151929
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 11/05/2008

CMS Quality Score (MIPS)

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

86.3461
Final Score
Avg: 83.1
99.5358
Quality
59.9513
Cost
94
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where DAVID FOLDEN, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

EDINA EYE PHYSICIANS AND SURGEONS PA
COON RAPIDS, MN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 FOLDEN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$144

Largest payer

Johnson & Johnson Surgical Vision, 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.

Medicare Part D Prescribing Data

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

576
Total Claims
$29K
Total Drug Cost
245
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
779
Total Day Supply
20,616
Generic Drug Cost
$11K

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
1.04
Gender Split
64% female / 36% male
Age Distribution
<65: 12, 65-74: 142, 75-84: 80, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisolone Acetate
235
Ketorolac Tromethamine
117
Ofloxacin
98
Latanoprost
37
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
19
Valacyclovir
Valacyclovir Hcl
12

* 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 FOLDEN, 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 FOLDEN, M.D.'s 576 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Minnesota

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

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

Frequently Asked Questions

What is DAVID FOLDEN, M.D.'s specialty?
DAVID FOLDEN, M.D. specializes in Ophthalmology Physician and practices in COON RAPIDS, Minnesota. Credentials: M.D..
How much does DAVID FOLDEN, M.D. prescribe under Medicare Part D?
In 2023, DAVID FOLDEN, M.D. wrote 576 Medicare Part D claims totaling $29K in drug costs for 245 beneficiaries.
What is DAVID FOLDEN, M.D.'s Medicare quality score?
DAVID FOLDEN, M.D. has a CMS MIPS Final Score of 86.3461/100 (Quality: 99.5358, Cost: 59.9513). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DAVID FOLDEN, M.D. located?
DAVID FOLDEN, M.D. is located at 3777 COON RAPIDS BLVD NW, COON RAPIDS, MN, 55433. Phone: (763) 421-7420.
What is DAVID FOLDEN, M.D.'s NPI number?
DAVID FOLDEN, M.D.'s National Provider Identifier (NPI) is 1912151929, issued on 11/05/2008.
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 FOLDEN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, DAVID FOLDEN, M.D.'s most frequently prescribed drugs include Prednisolone Acetate, Ketorolac Tromethamine, Ofloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DAVID FOLDEN, M.D. accept Medicare?
DAVID FOLDEN, M.D. appears in CMS Medicare data with 576 Part D claims and 245 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DAVID FOLDEN, M.D.'s credentials?
DAVID FOLDEN, M.D.'s NPI is 1912151929 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