Kyle Piwonka, D.O.
Retina Specialist (Ophthalmology) Physician · Durango, CO
Kyle Piwonka, D.O. is a retina specialist (ophthalmology) physician with a practice address in Durango, Colorado, and NPI 1881823581, issued on Jul 2, 2009. Check the license (Colorado DR.0055096, as entered in NPPES) on the Colorado Medical Board; the Medicare figures below come from public CMS files.
- Name
- Kyle Piwonka
- Credential
- D.O.
- Primary taxonomy
- Retina Specialist (Ophthalmology) Physician 207WX0107X
- License number
- DR.0055096 CO
Self-reported in NPPES; status is on the state search - Practice location
- 575 Rivergate LN Unit 212, Durango, CO 81301
- Phone
- (970) 259-2202
- Enumerated
- Jul 2, 2009
- Record last updated
- Aug 12, 2024
- Fax
- (970) 259-2837
- Medicare enrollment
- Enrolled (PECOS I20150624002019); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest retina specialist (ophthalmology) physician records → All 55 in Colorado → Look up another NPI →
Verify Kyle Piwonka in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersColorado Medical Board
Search for license DR.0055096Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
58% fewer Medicare Part D claims than the average retina specialist (ophthalmology) physician in 2024
260 Medicare Part D claims for 98 beneficiaries, against an average of 620 among the 1,449 providers of this specialty who prescribed in Part D. Brand-name drugs were 48% of claims.
Most prescribed
- Prednisolone Acetate119 claims
- Ofloxacin62 claims
- Timolol Maleate20 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $536.51
13 payments; by number, the most common kind was food and beverage; the largest payer was Harrow Eye, LLC. The 1,253 providers of this specialty with any payment received $7,667.49 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Four Corners Eye Clinic, PCDurango, CO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kyle Piwonka among 55 retina specialist (ophthalmology) physician records in Colorado
Kyle Piwonka, D.O. is one of 55 retina specialist (ophthalmology) physician records with a practice address in Colorado. 95% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 40% of them.
- NPI issued2009 · 40% of these records are older, 55% newer
- In a Medicare fileYes · 95% of these records are
- In the CMS Doctors and Clinicians fileYes · 91% of these records are
- Graduated2009 · median 2012 among the 50 with a school on file
- Record last updated2024 · 42% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207WX0107X and a Colorado practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Retina Specialist (Ophthalmology) Physician providers in Colorado
There are 55 retina specialist (ophthalmology) physician records in Colorado.
All 55 in Colorado → Every provider in Durango → Retina Specialist (Ophthalmology) Physician nationwide →
The 8 retina specialist (ophthalmology) physician records with the nearest ZIP codes
- Moss Fenberg, MDDurango, CO 813031396852943
- Sara Haug, MD, PHDDurango, CO 813031871820837
- Mark Chittum, M.D.Colorado Springs, CO 809091518942572
- James Luu, M.D.Colorado Springs, CO 809091174508071
- Adam Martidis, MDColorado Springs, CO 809091881697910
- Cecinio Ronquillo, MD, PHDColorado Springs, CO 809091679968580
- Ramin Sarrafizadeh, MDColorado Springs, CO 809091700813391
- Stanford Taylor, M.D.Colorado Springs, CO 809091013250240
Common questions
What is Kyle Piwonka, D.O.'s NPI number?
Kyle Piwonka, D.O.'s National Provider Identifier (NPI) is 1881823581, issued on Jul 2, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Kyle Piwonka, D.O. located?
The NPPES record lists a practice address at 575 Rivergate LN Unit 212, Durango, CO, 81301. Phone: (970) 259-2202. Providers update this record themselves, so call before visiting.
How can I verify Kyle Piwonka, D.O.'s license?
NPPES lists Colorado license number DR.0055096, as entered by the provider. Search the Colorado Medical Board at https://dpo.colorado.gov/Medical. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Kyle Piwonka, D.O. prescribe under Medicare Part D?
In 2024, Kyle Piwonka, D.O. had 260 Medicare Part D claims for 98 beneficiaries; the average among retina specialist (ophthalmology) physician prescribers was 620. Part D covers Medicare prescriptions only.
What is Kyle Piwonka, D.O.'s MIPS final score?
The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.