2026 NPPES data Pediatric Ophthalmology and Strabismus Specialist Physician NPI 1942296561 M.D.
Verify on CMS →

HUGH COOPER, M.D.

Pediatric Ophthalmology and Strabismus Specialist Physician in SOUTHBRIDGE, Massachusetts. 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 · 516 beneficiaries · Pediatric Ophthalmology and Strabismus Specialist Physician avg: 266
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.0218/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$56.36
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

HUGH COOPER, M.D. reported a CMS MIPS final score of 97.0218/100 — above the 83.1 national average — and filed 1,526 Medicare Part D claims in 2023.

97.0218/100
MIPS score · +14 vs avg
2K
Part D claims, 2023
80%
generic prescribing
Likely
board-certified (heuristic)

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.

HUGH COOPER, M.D.'s MIPS score vs every scored U.S. clinician

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

97 Top 15% higher than 85% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

HUGH COOPER, 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).

What does the federal data show about HUGH COOPER, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 09/20/2005

NPI 1942296561

Primary specialty

Pediatric Ophthalmology and Strabismus Specialist Physician

Rare

242 US NPIs in this specialty

Medicare Part D claims

1,526 474% vs specialty avg

2023 prescription claims

Specialty avg: 266

MIPS final score

97.0218/100 13.921800000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Pediatric Ophthalmology and Strabismus Specialist Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Pediatric Ophthalmology and Strabismus Specialist Physician share within Massachusetts

1. Pediatric Ophthalmology and Strabismus Specialist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Ophthalmology and Strabismus Specialist Physician share within Massachusetts

Medicare quality performance — MIPS

HUGH COOPER, M.D.'s 2023 MIPS final score plotted against the Pediatric Ophthalmology and Strabismus Specialist Physician national average

High performer (top quartile)
MIPS Final Score
97.0218/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Ophthalmology and Strabismus Specialist Physician) — 97.0218/100 vs national avg 83.1

0%100%National avg83%97%
MIPS final score (Pediatric Ophthalmology and Strabismus Specialist Physician) — 97.0218/100 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).

HUGH COOPER, M.D. appears in the CMS NPPES registry as a Pediatric Ophthalmology and Strabismus Specialist Physician provider holding M.D. credentials at 100 SOUTH ST, SOUTHBRIDGE, MA, 01550, with a listed phone of (508) 764-4400. NPI 1942296561 was issued on 09/20/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COOPER 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 1,526 prescription claims written by this provider, covering 516 Medicare beneficiaries and totaling roughly $114K in drug spend, split 20% brand-name and 80% 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 97.0218/100 for the 2023 performance year (Quality 78.0983), compared with the national average of 83.1.

Pediatric Ophthalmology and Strabismus Specialist Physician is a narrow specialty nationwide, with 242 enrolled providers across 40 states and an average of 266 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

100 SOUTH ST
SOUTHBRIDGE, MA 01550

Provider Details

NPI 1942296561
Specialty Pediatric Ophthalmology and Strabismus Specialist Physician
Credentials M.D.
Gender Male
NPI Issued 09/20/2005

CMS Quality Score (MIPS)

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

97.0218
Final Score
Avg: 83.1
78.0983
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

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 HUGH COOPER, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$56

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.

License & disciplinary context — Massachusetts BORIM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~38K Massachusetts medical licensees in 2023 — they are NOT specific to HUGH COOPER, M.D.. To verify HUGH COOPER, M.D.'s current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

HUGH COOPER, M.D. — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 1,526 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.

1,526
Total Claims
$114K
Total Drug Cost
516
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,805
Total Day Supply
76,066
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$83K
Generic Drug Cost
$31K

Patient Demographics

Average Patient Age
77.9 years
Avg HCC Risk Score
1.27
Gender Split
63% female / 37% male
Age Distribution
<65: 13, 65-74: 162, 75-84: 236, 85+: 105

Top Prescribed Drugs (Medicare Part D)

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

What HUGH COOPER, M.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
551
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
260
Timolol Maleate
117
Erythromycin
Erythromycin Base
99
Flurbiprofen Sodium
96
Ofloxacin
67
Brimonidine Tartrate
59
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
46
Lumigan
Bimatoprost
26
Prednisolone Acetate
26

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

Pediatric Ophthalmology and Strabismus Specialist Physician Overview

How HUGH COOPER, M.D. fits within the Pediatric Ophthalmology and Strabismus Specialist Physician landscape nationally.

242
Pediatric Ophthalmology and Strabismus Specialist Physician Providers in US
40
States with Pediatric Ophthalmology and Strabismus Specialist Physician
266
Avg Claims per Provider

HUGH COOPER, M.D.'s 1,526 claims are above the specialty average of 266.

Nearby Pediatric Ophthalmology and Strabismus Specialist Physician Providers in Massachusetts

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

Compare Pediatric Ophthalmology and Strabismus Specialist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HUGH COOPER, M.D.'s specialty?
HUGH COOPER, M.D. specializes in Pediatric Ophthalmology and Strabismus Specialist Physician and practices in SOUTHBRIDGE, Massachusetts. Credentials: M.D..
How much does HUGH COOPER, M.D. prescribe under Medicare Part D?
In 2023, HUGH COOPER, M.D. wrote 1,526 Medicare Part D claims totaling $114K in drug costs for 516 beneficiaries.
What is HUGH COOPER, M.D.'s Medicare quality score?
HUGH COOPER, M.D. has a CMS MIPS Final Score of 97.0218/100 (Quality: 78.0983). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HUGH COOPER, M.D. located?
HUGH COOPER, M.D. is located at 100 SOUTH ST, SOUTHBRIDGE, MA, 01550. Phone: (508) 764-4400.
What is HUGH COOPER, M.D.'s NPI number?
HUGH COOPER, M.D.'s National Provider Identifier (NPI) is 1942296561, issued on 09/20/2005.
Does HUGH COOPER, M.D. prescribe more brand-name or generic drugs?
HUGH COOPER, M.D.'s prescribing is 20% brand-name and 80% generic drugs by claim count, with $83K in brand drug costs.
How many Pediatric Ophthalmology and Strabismus Specialist Physician providers are there in the US?
There are 242 Pediatric Ophthalmology and Strabismus Specialist Physician providers across 40 states in the US. The average Pediatric Ophthalmology and Strabismus Specialist Physician provider writes 266 Medicare Part D claims per year.
What drugs does HUGH COOPER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, HUGH COOPER, M.D.'s most frequently prescribed drugs include Latanoprost, Neomycin-Polymyxin-Dexameth, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HUGH COOPER, M.D. accept Medicare?
HUGH COOPER, M.D. appears in CMS Medicare data with 1,526 Part D claims and 516 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HUGH COOPER, M.D.'s credentials?
HUGH COOPER, M.D.'s NPI is 1942296561 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