2026 NPPES data Optometrist NPI 1619933785 O.D.
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HAYLEY SPRAGUE, O.D.

Optometrist in GEORGETOWN, Delaware. 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
707
Medicare Part D claims · 211 beneficiaries · Optometrist avg: 257
Generic prescribing
63%
generic claims · 37% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.4453/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$134.47
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: HAYLEY SPRAGUE, O.D. is a Optometrist ([object Object]) practicing in GEORGETOWN, Delaware with a Medicare Part D prescribing footprint of 707 claims across 211 beneficiaries — 37% brand-name prescribing . Their CMS MIPS Final Score of 96.4453/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $134.47 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: HAYLEY SPRAGUE, O.D. reported a CMS MIPS final score of 96.4453 out of 100, above the 83.1 national average, and filed 707 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

HAYLEY SPRAGUE, O.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/26/2006

NPI 1619933785

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

707 175% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

96.4453/100 13.345300000000009% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Delaware

How Optometrist compares to other specialties among Delaware providers

Delaware providers

Optometrist share within Delaware

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

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
96.4453/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 96.4453/100 vs national avg 83.1

0%100%National avg83%96.4%
MIPS final score (Optometrist) — 96.4453/100 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).

HAYLEY SPRAGUE, O.D. is a Optometrist provider practicing in GEORGETOWN, Delaware, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O.D.. NPI: 1619933785. 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.

HAYLEY SPRAGUE, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 502 W MARKET ST, GEORGETOWN, DE, 19947, with a listed phone of (302) 856-2020. NPI 1619933785 was issued on 04/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SPRAGUE 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 707 prescription claims written by this provider, covering 211 Medicare beneficiaries and totaling roughly $83K in drug spend, split 37% brand-name and 63% 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 96.4453/100 for the 2023 performance year (Quality 92.8905), 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

502 W MARKET ST
GEORGETOWN, DE 19947

Provider Details

NPI 1619933785
Specialty Optometrist
Credentials O.D.
Gender Female
NPI Issued 04/26/2006

CMS Quality Score (MIPS)

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

96.4453
Final Score
Avg: 83.1
92.8905
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where HAYLEY SPRAGUE, O.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.

SUSSEX EYE CENTER PA
MILLSBORO, DE

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 HAYLEY SPRAGUE, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$134

Largest payer

Bausch & Lomb Americas 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 · Above average

HAYLEY SPRAGUE, O.D. — brand share 37.0%
Specialty average (est.)

37% brand-name claims vs 63% generic, on 707 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.

707
Total Claims
$83K
Total Drug Cost
211
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,577
Total Day Supply
46,091
Brand vs Generic
37% brand / 63% generic
Brand Drug Cost
$61K
Generic Drug Cost
$22K
Antibiotic Claims
15

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
0.96
Gender Split
56% female / 44% male

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
273
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
85
Timolol Maleate
67
Brimonidine Tartrate
63
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
42
Travoprost
28
Prednisolone Acetate
22
Lumigan
Bimatoprost
19
Simbrinza
Brinzolamide/Brimonidine Tart
18
Restasis
Cyclosporine
12

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

Optometrist Overview

How HAYLEY SPRAGUE, O.D. fits within the Optometrist landscape nationally.

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

HAYLEY SPRAGUE, O.D.'s 707 claims are above the specialty average of 257.

Nearby Optometrist Providers in Delaware

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

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

Frequently Asked Questions

What is HAYLEY SPRAGUE, O.D.'s specialty?
HAYLEY SPRAGUE, O.D. specializes in Optometrist and practices in GEORGETOWN, Delaware. Credentials: O.D..
How much does HAYLEY SPRAGUE, O.D. prescribe under Medicare Part D?
In 2023, HAYLEY SPRAGUE, O.D. wrote 707 Medicare Part D claims totaling $83K in drug costs for 211 beneficiaries.
What is HAYLEY SPRAGUE, O.D.'s Medicare quality score?
HAYLEY SPRAGUE, O.D. has a CMS MIPS Final Score of 96.4453/100 (Quality: 92.8905). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HAYLEY SPRAGUE, O.D. located?
HAYLEY SPRAGUE, O.D. is located at 502 W MARKET ST, GEORGETOWN, DE, 19947. Phone: (302) 856-2020.
What is HAYLEY SPRAGUE, O.D.'s NPI number?
HAYLEY SPRAGUE, O.D.'s National Provider Identifier (NPI) is 1619933785, issued on 04/26/2006.
Does HAYLEY SPRAGUE, O.D. prescribe more brand-name or generic drugs?
HAYLEY SPRAGUE, O.D.'s prescribing is 37% brand-name and 63% generic drugs by claim count, with $61K 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 HAYLEY SPRAGUE, O.D. prescribe most often?
Based on 2023 Medicare Part D data, HAYLEY SPRAGUE, O.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 HAYLEY SPRAGUE, O.D. accept Medicare?
HAYLEY SPRAGUE, O.D. appears in CMS Medicare data with 707 Part D claims and 211 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HAYLEY SPRAGUE, O.D.'s credentials?
HAYLEY SPRAGUE, O.D.'s NPI is 1619933785 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