2026 NPPES data Optometrist NPI 1891775151 O.D.
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LANCE FAGAN, O.D.

Optometrist in COEUR D ALENE, Idaho. 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
301
Medicare Part D claims · 108 beneficiaries · Optometrist avg: 257
Generic prescribing
57%
generic claims · 43% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$66.47
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: LANCE FAGAN, O.D. is a Optometrist ([object Object]) practicing in COEUR D ALENE, Idaho with a Medicare Part D prescribing footprint of 301 claims across 108 beneficiaries — 43% brand-name prescribing . Industry payments of $66.47 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: LANCE FAGAN, O.D. filed 301 Medicare Part D claims in 2023 across COEUR D ALENE, Idaho. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

LANCE FAGAN, O.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 01/20/2006

NPI 1891775151

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

301 17% vs specialty avg

2023 prescription claims

Specialty avg: 257

Specialty distribution in Idaho

How Optometrist compares to other specialties among Idaho providers

Idaho providers

Optometrist share within Idaho

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

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).

LANCE FAGAN, O.D. is a Optometrist provider practicing in COEUR D ALENE, Idaho, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O.D.. NPI: 1891775151. 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.

LANCE FAGAN, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 1801 N 3RD ST, COEUR D ALENE, ID, 83814, with a listed phone of (208) 667-1591. NPI 1891775151 was issued on 01/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FAGAN 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 301 prescription claims written by this provider, covering 108 Medicare beneficiaries and totaling roughly $46K in drug spend, split 43% brand-name and 57% 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

1801 N 3RD ST
COEUR D ALENE, ID 83814

Provider Details

NPI 1891775151
Specialty Optometrist
Credentials O.D.
Gender Male
NPI Issued 01/20/2006

Hospital and facility affiliations

Facilities where LANCE FAGAN, 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.

KOOTENAI VISION PLLC
COEUR D ALENE, ID

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 LANCE FAGAN, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$66

Largest payer

LKC Technologies, 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

LANCE FAGAN, O.D. — brand share 43.0%
Specialty average (est.)

43% brand-name claims vs 57% generic, on 301 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.

301
Total Claims
$46K
Total Drug Cost
108
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
543
Total Day Supply
15,174
Brand vs Generic
43% brand / 57% generic
Brand Drug Cost
$39K
Generic Drug Cost
$6K

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.11
Gender Split
69% female / 31% male
Age Distribution
<65: 11, 65-74: 45, 75-84: 36, 85+: 16

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
74
Timolol Maleate
57
Prednisolone Acetate
42
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
14
Brimonidine Tartrate
13
Restasis Multidose
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 LANCE FAGAN, O.D. fits within the Optometrist landscape nationally.

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

LANCE FAGAN, O.D.'s 301 claims are above the specialty average of 257.

Nearby Optometrist Providers in Idaho

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

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

Frequently Asked Questions

What is LANCE FAGAN, O.D.'s specialty?
LANCE FAGAN, O.D. specializes in Optometrist and practices in COEUR D ALENE, Idaho. Credentials: O.D..
How much does LANCE FAGAN, O.D. prescribe under Medicare Part D?
In 2023, LANCE FAGAN, O.D. wrote 301 Medicare Part D claims totaling $46K in drug costs for 108 beneficiaries.
Where is LANCE FAGAN, O.D. located?
LANCE FAGAN, O.D. is located at 1801 N 3RD ST, COEUR D ALENE, ID, 83814. Phone: (208) 667-1591.
What is LANCE FAGAN, O.D.'s NPI number?
LANCE FAGAN, O.D.'s National Provider Identifier (NPI) is 1891775151, issued on 01/20/2006.
Does LANCE FAGAN, O.D. prescribe more brand-name or generic drugs?
LANCE FAGAN, O.D.'s prescribing is 43% brand-name and 57% generic drugs by claim count, with $39K 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 LANCE FAGAN, O.D. prescribe most often?
Based on 2023 Medicare Part D data, LANCE FAGAN, O.D.'s most frequently prescribed drugs include Latanoprost, Timolol Maleate, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LANCE FAGAN, O.D. accept Medicare?
LANCE FAGAN, O.D. appears in CMS Medicare data with 301 Part D claims and 108 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LANCE FAGAN, O.D.'s credentials?
LANCE FAGAN, O.D.'s NPI is 1891775151 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.
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