2026 NPPES data Ophthalmology Physician NPI 1134583164 M.D.
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LAUREN GIOIA, M.D.

Ophthalmology Physician in MORGANTOWN, West 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
1K
Medicare Part D claims · 350 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
60%
generic claims · 40% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: LAUREN GIOIA, M.D. is a Ophthalmology Physician ([object Object]) practicing in MORGANTOWN, West Virginia with a Medicare Part D prescribing footprint of 1K claims across 350 beneficiaries — 40% brand-name prescribing .

What stands out: LAUREN GIOIA, M.D. filed 1,090 Medicare Part D claims in 2023 across MORGANTOWN, West Virginia. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

LAUREN GIOIA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

LAUREN GIOIA, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 04/06/2016

NPI 1134583164

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

1,090 23% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

Specialty distribution in West Virginia

How Ophthalmology Physician compares to other specialties among West Virginia providers

West Virginia providers

Ophthalmology Physician share within West Virginia

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within West Virginia

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Ophthalmology Physician) — 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).

LAUREN GIOIA, M.D. is a Ophthalmology Physician provider practicing in MORGANTOWN, West Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1134583164. 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.

LAUREN GIOIA, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 1 MEDICAL CENTER DRIVE, MORGANTOWN, WV, 26506, with a listed phone of (304) 293-2463. NPI 1134583164 was issued on 04/06/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GIOIA 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 1,090 prescription claims written by this provider, covering 350 Medicare beneficiaries and totaling roughly $140K in drug spend, split 40% brand-name and 60% 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.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506

Provider Details

NPI 1134583164
Specialty Ophthalmology Physician
Credentials M.D.
Gender Female
NPI Issued 04/06/2016

Hospital and facility affiliations

Facilities where LAUREN GIOIA, M.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.

MULTICARE HEALTH SYSTEM
SPOKANE, WA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

LAUREN GIOIA, M.D. — brand share 40.0%
Specialty average (est.)

40% brand-name claims vs 60% generic, on 1,090 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.

1,090
Total Claims
$140K
Total Drug Cost
350
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,753
Total Day Supply
47,701
Brand vs Generic
40% brand / 60% generic
Brand Drug Cost
$109K
Generic Drug Cost
$31K
Antibiotic Claims
12

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.39
Gender Split
59% female / 41% male
Age Distribution
<65: 28, 65-74: 151, 75-84: 119, 85+: 52

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
233
Prednisolone Acetate
194
Ofloxacin
133
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
67
Timolol Maleate
62
Ketorolac Tromethamine
58
Brimonidine Tartrate
40
Dorzolamide Hcl
27
Erythromycin
Erythromycin Base
27
Restasis
Cyclosporine
27

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

Ophthalmology Physician Overview

How LAUREN GIOIA, M.D. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

LAUREN GIOIA, M.D.'s 1,090 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in West Virginia

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

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LAUREN GIOIA, M.D.'s specialty?
LAUREN GIOIA, M.D. specializes in Ophthalmology Physician and practices in MORGANTOWN, West Virginia. Credentials: M.D..
How much does LAUREN GIOIA, M.D. prescribe under Medicare Part D?
In 2023, LAUREN GIOIA, M.D. wrote 1,090 Medicare Part D claims totaling $140K in drug costs for 350 beneficiaries.
Where is LAUREN GIOIA, M.D. located?
LAUREN GIOIA, M.D. is located at 1 MEDICAL CENTER DRIVE, MORGANTOWN, WV, 26506. Phone: (304) 293-2463.
What is LAUREN GIOIA, M.D.'s NPI number?
LAUREN GIOIA, M.D.'s National Provider Identifier (NPI) is 1134583164, issued on 04/06/2016.
Does LAUREN GIOIA, M.D. prescribe more brand-name or generic drugs?
LAUREN GIOIA, M.D.'s prescribing is 40% brand-name and 60% generic drugs by claim count, with $109K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does LAUREN GIOIA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, LAUREN GIOIA, M.D.'s most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Ofloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LAUREN GIOIA, M.D. accept Medicare?
LAUREN GIOIA, M.D. appears in CMS Medicare data with 1,090 Part D claims and 350 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LAUREN GIOIA, M.D.'s credentials?
LAUREN GIOIA, M.D.'s NPI is 1134583164 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.
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