2026 NPPES data Optometrist NPI 1972235596 OD
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JOHN HINELY, OD

Optometrist in LOUISVILLE, 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
40
Medicare Part D claims · 27 beneficiaries · Optometrist avg: 257
Generic prescribing
45%
generic claims · 55% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$581.03
10 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN HINELY, OD filed 40 Medicare Part D claims in 2023 as a Optometrist in LOUISVILLE, Kentucky, prescribing 45% generic.

40
Part D claims, 2023
45%
generic prescribing
$581.03
industry payments (Sunshine Act)

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.

JOHN HINELY, OD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

40 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about JOHN HINELY, OD?

Quality data not reported

NPI registry status

Active

Issued 06/30/2022

NPI 1972235596

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

40 84% vs specialty avg

2023 prescription claims

Specialty avg: 257

Specialty distribution in Kentucky

How Optometrist compares to other specialties among Kentucky providers

Kentucky providers

Optometrist share within Kentucky

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

Specialty board-certification context

Estimated specialty board-certified rate — Optometrist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Optometrist ABMS/AOA estimate

Est. board-certified rate (Optometrist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Optometrist) — ABMS / AOA estimate

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).

JOHN HINELY, OD is a Optometrist provider practicing in LOUISVILLE, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: OD. NPI: 1972235596. 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.

JOHN HINELY, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 4000 POPLAR LEVEL RD, LOUISVILLE, KY, 40213, with a listed phone of (502) 459-2020. NPI 1972235596 was issued on 06/30/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HINELY 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 40 prescription claims written by this provider, covering 27 Medicare beneficiaries and totaling roughly $14K in drug spend, split 55% brand-name and 45% 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.

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

4000 POPLAR LEVEL RD
LOUISVILLE, KY 40213

Provider Details

NPI 1972235596
Specialty Optometrist
Credentials OD
Gender Male
NPI Issued 06/30/2022

Hospital and facility affiliations

Facilities where JOHN HINELY, OD 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.

LOUISVILLE OPTOMETRIC CENTERS III, PSC
LOUISVILLE, KY

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 JOHN HINELY, OD. Source: openpaymentsdata.cms.gov.

Total received

$581

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 · Brand-heavy

JOHN HINELY, OD — brand share 55.0%
Specialty average (est.)

55% brand-name claims vs 45% generic, on 40 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.

40
Total Claims
$14K
Total Drug Cost
27
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
52
Total Day Supply
1,235
Brand vs Generic
55% brand / 45% generic
Brand Drug Cost
$14K
Generic Drug Cost
$280

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
0.82

Optometrist Overview

How JOHN HINELY, OD fits within the Optometrist landscape nationally.

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

JOHN HINELY, OD's 40 claims are below the specialty average of 257.

Nearby Optometrist Providers in Kentucky

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

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

Frequently Asked Questions

What is JOHN HINELY, OD's specialty?
JOHN HINELY, OD specializes in Optometrist and practices in LOUISVILLE, Kentucky. Credentials: OD.
How much does JOHN HINELY, OD prescribe under Medicare Part D?
In 2023, JOHN HINELY, OD wrote 40 Medicare Part D claims totaling $14K in drug costs for 27 beneficiaries.
Where is JOHN HINELY, OD located?
JOHN HINELY, OD is located at 4000 POPLAR LEVEL RD, LOUISVILLE, KY, 40213. Phone: (502) 459-2020.
What is JOHN HINELY, OD's NPI number?
JOHN HINELY, OD's National Provider Identifier (NPI) is 1972235596, issued on 06/30/2022.
Does JOHN HINELY, OD prescribe more brand-name or generic drugs?
JOHN HINELY, OD's prescribing is 55% brand-name and 45% generic drugs by claim count, with $14K 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.
Does JOHN HINELY, OD accept Medicare?
JOHN HINELY, OD appears in CMS Medicare data with 40 Part D claims and 27 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN HINELY, OD's credentials?
JOHN HINELY, OD's NPI is 1972235596 with credentials OD. 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.
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