Kori Elkins, M.D.
Retina Specialist (Ophthalmology) Physician in Portsmouth, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 913 in Retina Specialist (Ophthalmology) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Kori Elkins, M.D. reported a CMS MIPS final score of 77.4/100 - below the 83.1 national average - and filed 658 Medicare Part D claims in 2023.
- 77.4/100
- MIPS score · -6 vs avg
- 658
- Part D claims, 2023
- 50%
- generic prescribing
- Likely
- board-certified (heuristic)
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.
Kori Elkins, M.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
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
Where Kori Elkins, M.D. sits
This provider among retina specialist (ophthalmology) physician peers
Across the 583 retina specialist (ophthalmology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Kori Elkins, M.D. writes more Part D claims than 73% of them and scores higher on MIPS quality than 15% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one retina specialist (ophthalmology) physician peer from a representative sample of 60; the gold marker is Kori Elkins, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
Kori Elkins, M.D. 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).
What does the federal data show about Kori Elkins, M.D.?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Virginia
How Retina Specialist (Ophthalmology) Physician compares to other specialties among Virginia providers
Retina Specialist (Ophthalmology) Physician ranks #233 among Virginia's specialties (0% of in-state providers)
Each bar is a specialty's share of the Virginia provider total, by primary NUCC taxonomy. The highlighted bar is Retina Specialist (Ophthalmology) Physician; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Kori Elkins, M.D.'s 2023 MIPS final score plotted against the Retina Specialist (Ophthalmology) Physician national average
- MIPS Final Score
- 77.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Retina Specialist (Ophthalmology) Physician) - 77.4/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Retina Specialist (Ophthalmology) Physician US NPIs
77.4/100 MIPS final score - 5.7 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Retina Specialist (Ophthalmology) Physician. Quality dim: 75.2. Cost dim: 49.5.
How MIPS and board certification work
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).
Kori Elkins, M.D. appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding M.D. credentials at 3235 ACADEMY AVE, Portsmouth, VA, 23703, with a listed phone of (757) 483-0400. NPI 1265691141 was issued on 06/05/2008.
Medicare Part D records for calendar year 2023 show 658 prescription claims written by this provider, covering 210 Medicare beneficiaries and totaling roughly $81K in drug spend, split 50% brand-name and 50% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.4/100 for the 2023 performance year (Quality 75.2, Cost 49.5), compared with the national average of 83.1.
Retina Specialist (Ophthalmology) Physician is a narrow specialty nationwide, with 913 enrolled providers across 48 states and an average of 558 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
Provider Details
| NPI | 1265691141 |
|---|---|
| Specialty | Retina Specialist (Ophthalmology) Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 06/05/2008 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Kori Elkins, M.D.'s current license status, disciplinary history, and board certifications with the Virginia Board of Medicine in Virginia before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1265691141 is the unique 10-digit identifier CMS uses to link Elkins across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where Kori Elkins, 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.
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 Kori Elkins, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$683
Largest payer
ABBVIE 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 · Brand-heavy
50% brand-name claims vs 50% generic, on 658 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.
Prescribing Breakdown
- 30-Day Fills
- 1,113
- Total Day Supply
- 30,831
- Brand vs Generic
- 50% brand / 50% generic
- Brand Drug Cost
- $68K
- Generic Drug Cost
- $14K
Patient Demographics
- Average Patient Age
- 75.3 years
- Avg HCC Risk Score
- 1.76
- Gender Split
- 54% female / 46% male
- Age Distribution
- <65: 22, 65-74: 80, 75-84: 68, 85+: 40
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Kori Elkins, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prednisolone Acetate
Prednisolone Acetate
207 claims
- Ketorolac Trometha…
Ketorolac Tromethamine
93 claims
- Ofloxacin 60
Ofloxacin
60 claims
- Timolol Maleate 47
Timolol Maleate
47 claims
- Cyclopentolate Hcl 32
Cyclopentolate Hcl
32 claims
- Brimonidine Tartrate 31
Brimonidine Tartrate
31 claims
- Latanoprost 19
Latanoprost
19 claims
- Combigan 16
Combigan
16 claims
| Drug | Claims |
|---|---|
| Prednisolone Acetate | 207 |
| Ketorolac Tromethamine | 93 |
| Ofloxacin | 60 |
| Timolol Maleate | 47 |
| Cyclopentolate Hcl | 32 |
| Brimonidine Tartrate | 31 |
| Latanoprost | 19 |
| Combigan Brimonidine Tartrate/Timolol | 16 |
| Brimonidine Tartrate-Timolol Brimonidine Tartrate/Timolol | 15 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Retina Specialist (Ophthalmology) Physician Overview
How Kori Elkins, M.D. fits within the Retina Specialist (Ophthalmology) Physician landscape nationally.
Kori Elkins, M.D.'s 658 claims are above the specialty average of 558.
Nearby Retina Specialist (Ophthalmology) Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Elkins.
Compare Retina Specialist (Ophthalmology) Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Retina Specialist (Ophthalmology) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
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Data Sources
View source datasets and methodology notes
- 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