2026 NPPES data Optometrist NPI 1326785163 OD
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KOEN ELSWICK, OD

Optometrist in ABINGDON, Virginia. 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
123
Medicare Part D claims · 69 beneficiaries · Optometrist avg: 257
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.1529/100
▲ 6 pts above national avg 83.1 · [object Object]
Industry payments
$99.41
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KOEN ELSWICK, OD reported a CMS MIPS final score of 89.1529/100 — above the 83.1 national average — and filed 123 Medicare Part D claims in 2023.

89.1529/100
MIPS score · +6 vs avg
123
Part D claims, 2023
79%
generic prescribing
$99.41
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.

KOEN ELSWICK, OD's MIPS score vs every scored U.S. clinician

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

89 Top 42% higher than 58% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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

What does the federal data show about KOEN ELSWICK, OD?

High performer (top quartile)

NPI registry status

Active

Issued 05/13/2022

NPI 1326785163

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

123 52% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

89.1529/100 6.052900000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Optometrist compares to other specialties among Virginia providers

Virginia providers

Optometrist share within Virginia

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

Medicare quality performance — MIPS

KOEN ELSWICK, OD's 2023 MIPS final score plotted against the Optometrist national average

High performer (top quartile)
MIPS Final Score
89.1529/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 89.1529/100 vs national avg 83.1

0%100%National avg83%89.2%
MIPS final score (Optometrist) — 89.1529/100 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).

KOEN ELSWICK, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 340 W MAIN ST, ABINGDON, VA, 24210, with a listed phone of (276) 628-3118. NPI 1326785163 was issued on 05/13/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ELSWICK 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 123 prescription claims written by this provider, covering 69 Medicare beneficiaries and totaling roughly $10K in drug spend, split 21% brand-name and 79% 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 89.1529/100 for the 2023 performance year (Quality 100, Cost 63.843), 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

340 W MAIN ST
ABINGDON, VA 24210

Provider Details

NPI 1326785163
Specialty Optometrist
Credentials OD
Gender Male
NPI Issued 05/13/2022

CMS Quality Score (MIPS)

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

89.1529
Final Score
Avg: 83.1
100
Quality
63.843
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where KOEN ELSWICK, 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.

EYE PHYSICIANS OF SOUTHWEST VIRGINIA P C
CLINTWOOD, VA

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 KOEN ELSWICK, OD. Source: openpaymentsdata.cms.gov.

Total received

$99

Largest payer

Alcon Vision LLC

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

KOEN ELSWICK, OD — brand share 21.0%
Specialty average (est.)

21% brand-name claims vs 79% generic, on 123 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.

123
Total Claims
$10K
Total Drug Cost
69
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
169
Total Day Supply
3,952
Brand vs Generic
21% brand / 79% generic
Brand Drug Cost
$8K
Generic Drug Cost
$2K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
1.35
Gender Split
71% female / 29% male
Age Distribution
<65: 18, 65-74: 20, 75-84: 19, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
30
Latanoprost
28

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

Optometrist Overview

How KOEN ELSWICK, OD fits within the Optometrist landscape nationally.

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

KOEN ELSWICK, OD's 123 claims are below the specialty average of 257.

Nearby Optometrist Providers in Virginia

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

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

Frequently Asked Questions

What is KOEN ELSWICK, OD's specialty?
KOEN ELSWICK, OD specializes in Optometrist and practices in ABINGDON, Virginia. Credentials: OD.
How much does KOEN ELSWICK, OD prescribe under Medicare Part D?
In 2023, KOEN ELSWICK, OD wrote 123 Medicare Part D claims totaling $10K in drug costs for 69 beneficiaries.
What is KOEN ELSWICK, OD's Medicare quality score?
KOEN ELSWICK, OD has a CMS MIPS Final Score of 89.1529/100 (Quality: 100, Cost: 63.843). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KOEN ELSWICK, OD located?
KOEN ELSWICK, OD is located at 340 W MAIN ST, ABINGDON, VA, 24210. Phone: (276) 628-3118.
What is KOEN ELSWICK, OD's NPI number?
KOEN ELSWICK, OD's National Provider Identifier (NPI) is 1326785163, issued on 05/13/2022.
Does KOEN ELSWICK, OD prescribe more brand-name or generic drugs?
KOEN ELSWICK, OD's prescribing is 21% brand-name and 79% generic drugs by claim count, with $8K 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 KOEN ELSWICK, OD prescribe most often?
Based on 2023 Medicare Part D data, KOEN ELSWICK, OD's most frequently prescribed drugs include Neomycin-Polymyxin-Dexameth, Latanoprost. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KOEN ELSWICK, OD accept Medicare?
KOEN ELSWICK, OD appears in CMS Medicare data with 123 Part D claims and 69 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KOEN ELSWICK, OD's credentials?
KOEN ELSWICK, OD's NPI is 1326785163 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.
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