2026 NPPES data Surgical Critical Care Physician NPI 1134655194 MD
Verify on CMS →

EMILIE BARNES, MD

Surgical Critical Care Physician in RICHMOND, 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
24
Medicare Part D claims · 15 beneficiaries · Surgical Critical Care Physician avg: 86
Generic prescribing
42%
generic claims · 58% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.311/100
▲ 12 pts above national avg 83.1 · [object Object]
What the federal data reveals: EMILIE BARNES, MD is a Surgical Critical Care Physician ([object Object]) practicing in RICHMOND, Virginia with a Medicare Part D prescribing footprint of 24 claims across 15 beneficiaries — 58% brand-name prescribing . Their CMS MIPS Final Score of 95.311/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: EMILIE BARNES, MD reported a CMS MIPS final score of 95.311 out of 100, above the 83.1 national average, and filed 24 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

EMILIE BARNES, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

EMILIE BARNES, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/11/2017

NPI 1134655194

Primary specialty

Surgical Critical Care Physician

Niche

1,468 US NPIs in this specialty

Medicare Part D claims

24 72% vs specialty avg

2023 prescription claims

Specialty avg: 86

MIPS final score

95.311/100 12.211000000000013% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Surgical Critical Care Physician compares to other specialties among Virginia providers

Virginia providers

Surgical Critical Care Physician share within Virginia

1. Surgical Critical Care Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgical Critical Care Physician share within Virginia

Medicare quality performance — MIPS

EMILIE BARNES, MD's 2023 MIPS final score plotted against the Surgical Critical Care Physician national average

High performer (top quartile)
MIPS Final Score
95.311/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgical Critical Care Physician) — 95.311/100 vs national avg 83.1

0%100%National avg83%95.3%
MIPS final score (Surgical Critical Care Physician) — 95.311/100 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).

EMILIE BARNES, MD is a Surgical Critical Care Physician provider practicing in RICHMOND, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1134655194. 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.

EMILIE BARNES, MD appears in the CMS NPPES registry as a Surgical Critical Care Physician provider holding MD credentials at 7101 JAHNKE RD, RICHMOND, VA, 23225, with a listed phone of (804) 483-0000. NPI 1134655194 was issued on 05/11/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BARNES 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 24 prescription claims written by this provider, covering 15 Medicare beneficiaries and totaling roughly $7K in drug spend, split 58% brand-name and 42% 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 95.311/100 for the 2023 performance year (Quality 76.5856), compared with the national average of 83.1.

Surgical Critical Care Physician is a narrow specialty nationwide, with 1,468 enrolled providers across 53 states and an average of 86 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

7101 JAHNKE RD
RICHMOND, VA 23225

Provider Details

NPI 1134655194
Specialty Surgical Critical Care Physician
Credentials MD
Gender Female
NPI Issued 05/11/2017

CMS Quality Score (MIPS)

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

95.311
Final Score
Avg: 83.1
76.5856
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where EMILIE BARNES, MD 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.

URGENT SPECIALTY ASSOCIATES PLLC
RICHMOND, 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).

Brand vs generic prescribing mix · Brand-heavy

EMILIE BARNES, MD — brand share 58.0%
Specialty average (est.)

58% brand-name claims vs 42% generic, on 24 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.

24
Total Claims
$7K
Total Drug Cost
15
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
24
Total Day Supply
149
Brand vs Generic
58% brand / 42% generic
Brand Drug Cost
$7K

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
1.49

Surgical Critical Care Physician Overview

How EMILIE BARNES, MD fits within the Surgical Critical Care Physician landscape nationally.

1,468
Surgical Critical Care Physician Providers in US
53
States with Surgical Critical Care Physician
86
Avg Claims per Provider

EMILIE BARNES, MD's 24 claims are below the specialty average of 86.

Nearby Surgical Critical Care Physician Providers in Virginia

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

Compare Surgical Critical Care Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EMILIE BARNES, MD's specialty?
EMILIE BARNES, MD specializes in Surgical Critical Care Physician and practices in RICHMOND, Virginia. Credentials: MD.
How much does EMILIE BARNES, MD prescribe under Medicare Part D?
In 2023, EMILIE BARNES, MD wrote 24 Medicare Part D claims totaling $7K in drug costs for 15 beneficiaries.
What is EMILIE BARNES, MD's Medicare quality score?
EMILIE BARNES, MD has a CMS MIPS Final Score of 95.311/100 (Quality: 76.5856). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EMILIE BARNES, MD located?
EMILIE BARNES, MD is located at 7101 JAHNKE RD, RICHMOND, VA, 23225. Phone: (804) 483-0000.
What is EMILIE BARNES, MD's NPI number?
EMILIE BARNES, MD's National Provider Identifier (NPI) is 1134655194, issued on 05/11/2017.
Does EMILIE BARNES, MD prescribe more brand-name or generic drugs?
EMILIE BARNES, MD's prescribing is 58% brand-name and 42% generic drugs by claim count, with $7K in brand drug costs.
How many Surgical Critical Care Physician providers are there in the US?
There are 1,468 Surgical Critical Care Physician providers across 53 states in the US. The average Surgical Critical Care Physician provider writes 86 Medicare Part D claims per year.
Does EMILIE BARNES, MD accept Medicare?
EMILIE BARNES, MD appears in CMS Medicare data with 24 Part D claims and 15 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EMILIE BARNES, MD's credentials?
EMILIE BARNES, MD's NPI is 1134655194 with credentials MD. 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