2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1265691141 M.D.
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KORI ELKINS, M.D.

Retina Specialist (Ophthalmology) Physician 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
658
Medicare Part D claims · 210 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
Generic prescribing
50%
generic claims · 50% 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
$682.67
13 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KORI ELKINS, M.D. is a Retina Specialist (Ophthalmology) Physician ([object Object]) practicing in PORTSMOUTH, Virginia with a Medicare Part D prescribing footprint of 658 claims across 210 beneficiaries — 50% brand-name prescribing . Their CMS MIPS Final Score of 77.4365/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $682.67 across 13 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KORI ELKINS, M.D. reported a CMS MIPS final score of 77.4365 out of 100, below the 83.1 national average, and filed 658 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)

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).

KORI ELKINS, M.D. at a glance

Below national average

NPI registry status

Active

Issued 06/05/2008

NPI 1265691141

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

658 18% vs specialty avg

2023 prescription claims

Specialty avg: 558

MIPS final score

77.4365/100 5.663499999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Retina Specialist (Ophthalmology) Physician compares to other specialties among Virginia providers

Virginia providers

Retina Specialist (Ophthalmology) Physician share within Virginia

1. Retina Specialist (Ophthalmology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Retina Specialist (Ophthalmology) Physician share within Virginia

Medicare quality performance — MIPS

KORI ELKINS, M.D.'s 2023 MIPS final score plotted against the Retina Specialist (Ophthalmology) Physician national average

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

MIPS final score (Retina Specialist (Ophthalmology) Physician) — 77.4365/100 vs national avg 83.1

0%100%National avg83%77.4%
MIPS final score (Retina Specialist (Ophthalmology) Physician) — 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).

KORI ELKINS, M.D. is a Retina Specialist (Ophthalmology) Physician provider practicing in PORTSMOUTH, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1265691141. 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.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ELKINS 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 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. 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.

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

3235 ACADEMY AVE
PORTSMOUTH, VA 23703

Provider Details

NPI 1265691141
Specialty Retina Specialist (Ophthalmology) Physician
Credentials M.D.
Gender Female
NPI Issued 06/05/2008

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 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.

MEADOWS HEALTHCARE LLC
LAS VEGAS, NV

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

KORI ELKINS, M.D. — brand share 50.0%
Specialty average (est.)

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.

658
Total Claims
$81K
Total Drug Cost
210
Medicare Beneficiaries

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.

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.

913
Retina Specialist (Ophthalmology) Physician Providers in US
48
States with Retina Specialist (Ophthalmology) Physician
558
Avg Claims per Provider

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 →

Frequently Asked Questions

What is KORI ELKINS, M.D.'s specialty?
KORI ELKINS, M.D. specializes in Retina Specialist (Ophthalmology) Physician and practices in PORTSMOUTH, Virginia. Credentials: M.D..
How much does KORI ELKINS, M.D. prescribe under Medicare Part D?
In 2023, KORI ELKINS, M.D. wrote 658 Medicare Part D claims totaling $81K in drug costs for 210 beneficiaries.
What is KORI ELKINS, M.D.'s Medicare quality score?
KORI ELKINS, M.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 KORI ELKINS, M.D. located?
KORI ELKINS, M.D. is located at 3235 ACADEMY AVE, PORTSMOUTH, VA, 23703. Phone: (757) 483-0400.
What is KORI ELKINS, M.D.'s NPI number?
KORI ELKINS, M.D.'s National Provider Identifier (NPI) is 1265691141, issued on 06/05/2008.
Does KORI ELKINS, M.D. prescribe more brand-name or generic drugs?
KORI ELKINS, M.D.'s prescribing is 50% brand-name and 50% generic drugs by claim count, with $68K in brand drug costs.
How many Retina Specialist (Ophthalmology) Physician providers are there in the US?
There are 913 Retina Specialist (Ophthalmology) Physician providers across 48 states in the US. The average Retina Specialist (Ophthalmology) Physician provider writes 558 Medicare Part D claims per year.
What drugs does KORI ELKINS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KORI ELKINS, M.D.'s most frequently prescribed drugs include Prednisolone Acetate, Ketorolac Tromethamine, Ofloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KORI ELKINS, M.D. accept Medicare?
KORI ELKINS, M.D. appears in CMS Medicare data with 658 Part D claims and 210 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KORI ELKINS, M.D.'s credentials?
KORI ELKINS, M.D.'s NPI is 1265691141 with credentials M.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