Lucas H. Spiker, O.D.
NPI 1275761652ActiveIndividual· Optometrist· Marion, VA
Optometrist (O.D.) in Marion, Virginia, trained at Southern College of Optometry (class of 2009). Their prescriptions cost Medicare Part D more than their services did: $179,396 for 854 claims, against $57,302 paid for services in 2024. Coopervision Inc. was the largest of 6 companies reporting payments in 2025, $327.12 in all, mostly food and beverage.
Overview
| NPI | 1275761652 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Jun 24, 2009 |
| Last updated in NPPES | Jun 24, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 0618001857 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 343 |
|---|---|
| Services billed | 3,452 across 22 procedure codes |
| Paid by Medicare | $57,302 |
Part D prescriptions in 2024
| Prescriptions (claims) | 854 · 1,269 30-day fills |
|---|---|
| Patients | 204 |
| Total drug cost | $179,396 |
| Generic share | 61% of claims |
Education and affiliations
| Medical school | Southern College of Optometry |
|---|---|
| Graduation year | 2009 |
| Medicare specialty | Optometry |
Medical group
- Envision Professional Group PLLCMarion, VA · 10 clinicians
Industry payments (Open Payments)
- 2025$327.12 · 12 payments from 6 companies
- 2024$169.59 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Coopervision Inc. | $191.45 | 6 |
| Tarsus Pharmaceuticals, Inc. | $36.56 | 2 |
| Mallinckrodt Hospital Products Inc. | $33.79 | 1 |
| Bausch & Lomb Americas Inc. | $23.15 | 1 |
| Dompe US, Inc. | $22.97 | 1 |
What the 2025 payments were for
- Food and Beverage$327.12 · 12 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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