2026 NPPES data Optometrist NPI 1366771024 O.D.
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JOY TOMKO, O.D.

Optometrist in PORTSMOUTH, 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
915
Medicare Part D claims · 357 beneficiaries · Optometrist avg: 257
Generic prescribing
64%
generic claims · 36% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.4365/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$230.27
11 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOY TOMKO, O.D. reported a CMS MIPS final score of 77.4365/100 — below the 83.1 national average — and filed 915 Medicare Part D claims in 2023.

77.4365/100
MIPS score · -6 vs avg
915
Part D claims, 2023
64%
generic prescribing
$230.27
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

JOY TOMKO, O.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

77 24th percentile higher than 24% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about JOY TOMKO, O.D.?

Below national average

NPI registry status

Active

Issued 12/09/2009

NPI 1366771024

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

915 256% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

77.4365/100 5.663499999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Optometrist compares to other specialties among Virginia providers

Virginia providers

Optometrist share within Virginia

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

Medicare quality performance — MIPS

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

Below national average
MIPS Final Score
77.4365/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Optometrist) — 77.4365/100 vs national avg 83.1

0%100%National avg83%77.4%
MIPS final score (Optometrist) — 77.4365/100 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).

JOY TOMKO, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 3235 ACADEMY AVE STE 200, PORTSMOUTH, VA, 23703, with a listed phone of (757) 483-0400. NPI 1366771024 was issued on 12/09/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TOMKO 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 915 prescription claims written by this provider, covering 357 Medicare beneficiaries and totaling roughly $177K in drug spend, split 36% brand-name and 64% 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 77.4365/100 for the 2023 performance year (Quality 75.2423, Cost 49.5461), 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

3235 ACADEMY AVE STE 200
PORTSMOUTH, VA 23703

Provider Details

NPI 1366771024
Specialty Optometrist
Credentials O.D.
Gender Female
NPI Issued 12/09/2009

CMS Quality Score (MIPS)

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

77.4365
Final Score
Avg: 83.1
75.2423
Quality
49.5461
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOY TOMKO, 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.

VIRGINIA EYE CONSULTANTS INC
CHESAPEAKE, 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).

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 JOY TOMKO, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$230

Largest payer

Bausch & Lomb Americas 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

JOY TOMKO, O.D. — brand share 36.0%
Specialty average (est.)

36% brand-name claims vs 64% generic, on 915 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.

915
Total Claims
$177K
Total Drug Cost
357
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,632
Total Day Supply
44,322
Brand vs Generic
36% brand / 64% generic
Brand Drug Cost
$159K
Generic Drug Cost
$19K
Antibiotic Claims
39

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
1.41
Gender Split
66% female / 34% male
Age Distribution
<65: 31, 65-74: 135, 75-84: 131, 85+: 60

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What JOY TOMKO, O.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Latanoprost
180
Erythromycin
Erythromycin Base
89
Lumigan
Bimatoprost
71
Timolol Maleate
59
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
45
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
44
Doxycycline Hyclate
35
Dorzolamide Hcl
30
Prednisolone Acetate
30
Brimonidine Tartrate
28

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

Optometrist Overview

How JOY TOMKO, O.D. fits within the Optometrist landscape nationally.

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

JOY TOMKO, O.D.'s 915 claims are above the specialty average of 257.

Nearby Optometrist Providers in Virginia

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

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

Frequently Asked Questions

What is JOY TOMKO, O.D.'s specialty?
JOY TOMKO, O.D. specializes in Optometrist and practices in PORTSMOUTH, Virginia. Credentials: O.D..
How much does JOY TOMKO, O.D. prescribe under Medicare Part D?
In 2023, JOY TOMKO, O.D. wrote 915 Medicare Part D claims totaling $177K in drug costs for 357 beneficiaries.
What is JOY TOMKO, O.D.'s Medicare quality score?
JOY TOMKO, O.D. has a CMS MIPS Final Score of 77.4365/100 (Quality: 75.2423, Cost: 49.5461). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOY TOMKO, O.D. located?
JOY TOMKO, O.D. is located at 3235 ACADEMY AVE STE 200, PORTSMOUTH, VA, 23703. Phone: (757) 483-0400.
What is JOY TOMKO, O.D.'s NPI number?
JOY TOMKO, O.D.'s National Provider Identifier (NPI) is 1366771024, issued on 12/09/2009.
Does JOY TOMKO, O.D. prescribe more brand-name or generic drugs?
JOY TOMKO, O.D.'s prescribing is 36% brand-name and 64% generic drugs by claim count, with $159K 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 JOY TOMKO, O.D. prescribe most often?
Based on 2023 Medicare Part D data, JOY TOMKO, O.D.'s most frequently prescribed drugs include Latanoprost, Erythromycin, Lumigan. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOY TOMKO, O.D. accept Medicare?
JOY TOMKO, O.D. appears in CMS Medicare data with 915 Part D claims and 357 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOY TOMKO, O.D.'s credentials?
JOY TOMKO, O.D.'s NPI is 1366771024 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