2026 NPPES data Optometrist NPI 1861523193 O.D.
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RANDALL HOCH, O.D.

Optometrist in LEWISTOWN, Montana. 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
76
Medicare Part D claims · 24 beneficiaries · Optometrist avg: 257
Generic prescribing
53%
generic claims · 47% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.7082/100
▲ 14 pts above national avg 83.1 · [object Object]
What the federal data reveals: RANDALL HOCH, O.D. is a Optometrist ([object Object]) practicing in LEWISTOWN, Montana with a Medicare Part D prescribing footprint of 76 claims across 24 beneficiaries — 47% brand-name prescribing . Their CMS MIPS Final Score of 96.7082/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: RANDALL HOCH, O.D. reported a CMS MIPS final score of 96.7082 out of 100, above the 83.1 national average, and filed 76 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

RANDALL HOCH, O.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/08/2007

NPI 1861523193

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

76 70% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

96.7082/100 13.60820000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Montana

How Optometrist compares to other specialties among Montana providers

Montana providers

Optometrist share within Montana

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

Medicare quality performance — MIPS

RANDALL HOCH, O.D.'s 2023 MIPS final score plotted against the Optometrist national average

High performer (top quartile)
MIPS Final Score
96.7082/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 96.7082/100 vs national avg 83.1

0%100%National avg83%96.7%
MIPS final score (Optometrist) — 96.7082/100 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).

RANDALL HOCH, O.D. is a Optometrist provider practicing in LEWISTOWN, Montana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O.D.. NPI: 1861523193. 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.

RANDALL HOCH, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 119 E MAIN ST, LEWISTOWN, MT, 59457, with a listed phone of (406) 535-5488. NPI 1861523193 was issued on 03/08/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HOCH 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 76 prescription claims written by this provider, covering 24 Medicare beneficiaries and totaling roughly $8K in drug spend, split 47% brand-name and 53% 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 96.7082/100 for the 2023 performance year (Quality 93.4163), 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

119 E MAIN ST
LEWISTOWN, MT 59457

Provider Details

NPI 1861523193
Specialty Optometrist
Credentials O.D.
Gender Male
NPI Issued 03/08/2007

CMS Quality Score (MIPS)

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

96.7082
Final Score
Avg: 83.1
93.4163
Quality

Reporting: Group practice

Brand vs generic prescribing mix · Above average

RANDALL HOCH, O.D. — brand share 47.0%
Specialty average (est.)

47% brand-name claims vs 53% generic, on 76 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.

76
Total Claims
$8K
Total Drug Cost
24
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
100
Total Day Supply
2,570
Brand vs Generic
47% brand / 53% generic
Brand Drug Cost
$7K
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
77.7 years
Avg HCC Risk Score
1.14
Gender Split
50% female / 50% male

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
39
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
11

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

Optometrist Overview

How RANDALL HOCH, O.D. fits within the Optometrist landscape nationally.

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

RANDALL HOCH, O.D.'s 76 claims are below the specialty average of 257.

Nearby Optometrist Providers in Montana

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

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

Frequently Asked Questions

What is RANDALL HOCH, O.D.'s specialty?
RANDALL HOCH, O.D. specializes in Optometrist and practices in LEWISTOWN, Montana. Credentials: O.D..
How much does RANDALL HOCH, O.D. prescribe under Medicare Part D?
In 2023, RANDALL HOCH, O.D. wrote 76 Medicare Part D claims totaling $8K in drug costs for 24 beneficiaries.
What is RANDALL HOCH, O.D.'s Medicare quality score?
RANDALL HOCH, O.D. has a CMS MIPS Final Score of 96.7082/100 (Quality: 93.4163). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RANDALL HOCH, O.D. located?
RANDALL HOCH, O.D. is located at 119 E MAIN ST, LEWISTOWN, MT, 59457. Phone: (406) 535-5488.
What is RANDALL HOCH, O.D.'s NPI number?
RANDALL HOCH, O.D.'s National Provider Identifier (NPI) is 1861523193, issued on 03/08/2007.
Does RANDALL HOCH, O.D. prescribe more brand-name or generic drugs?
RANDALL HOCH, O.D.'s prescribing is 47% brand-name and 53% generic drugs by claim count, with $7K 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 RANDALL HOCH, O.D. prescribe most often?
Based on 2023 Medicare Part D data, RANDALL HOCH, O.D.'s most frequently prescribed drugs include Latanoprost, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RANDALL HOCH, O.D. accept Medicare?
RANDALL HOCH, O.D. appears in CMS Medicare data with 76 Part D claims and 24 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RANDALL HOCH, O.D.'s credentials?
RANDALL HOCH, O.D.'s NPI is 1861523193 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.
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