2026 NPPES data Optometrist NPI 1649240656 OD
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RANDY BIRT, OD

Optometrist in BRISTOL, 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
1K
Medicare Part D claims · 473 beneficiaries · Optometrist avg: 257
Generic prescribing
67%
generic claims · 33% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$384.24
10 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RANDY BIRT, OD is a Optometrist ([object Object]) practicing in BRISTOL, Virginia with a Medicare Part D prescribing footprint of 1K claims across 473 beneficiaries — 33% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $384.24 across 10 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RANDY BIRT, OD reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 1,219 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

RANDY BIRT, OD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 01/23/2006

NPI 1649240656

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

1,219 374% vs specialty avg

2023 prescription claims

Specialty avg: 257

MIPS final score

100/100 16.900000000000006% pts

Exceptional 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

RANDY BIRT, OD's 2023 MIPS final score plotted against the Optometrist national average

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

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

0%100%National avg83%99%
MIPS final score (Optometrist) — 100/100 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).

RANDY BIRT, OD is a Optometrist provider practicing in BRISTOL, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: OD. NPI: 1649240656. 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.

RANDY BIRT, OD appears in the CMS NPPES registry as a Optometrist provider holding OD credentials at 1701 EUCLID AVE, BRISTOL, VA, 24201, with a listed phone of (276) 466-4227. NPI 1649240656 was issued on 01/23/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BIRT 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 1,219 prescription claims written by this provider, covering 473 Medicare beneficiaries and totaling roughly $139K in drug spend, split 33% brand-name and 67% 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 100/100 for the 2023 performance year, 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

1701 EUCLID AVE
BRISTOL, VA 24201

Provider Details

NPI 1649240656
Specialty Optometrist
Credentials OD
Gender Male
NPI Issued 01/23/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RANDY BIRT, OD 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.

REGIONAL EYE CENTER PC
KINGSPORT, TN

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 RANDY BIRT, OD. Source: openpaymentsdata.cms.gov.

Total received

$384

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

RANDY BIRT, OD — brand share 33.0%
Specialty average (est.)

33% brand-name claims vs 67% generic, on 1,219 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.

1,219
Total Claims
$139K
Total Drug Cost
473
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,813
Total Day Supply
47,571
Brand vs Generic
33% brand / 67% generic
Brand Drug Cost
$113K
Generic Drug Cost
$26K
Antibiotic Claims
44

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
1.39
Gender Split
65% female / 35% male
Age Distribution
<65: 33, 65-74: 179, 75-84: 195, 85+: 66

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Latanoprost
348
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
194
Prednisolone Acetate
171
Brimonidine Tartrate
120
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
69
Lumigan
Bimatoprost
51
Restasis
Cyclosporine
40
Doxycycline Hyclate
32
Timolol Maleate
21
Ketorolac Tromethamine
19

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

Optometrist Overview

How RANDY BIRT, OD fits within the Optometrist landscape nationally.

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

RANDY BIRT, OD's 1,219 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 BIRT.

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

Frequently Asked Questions

What is RANDY BIRT, OD's specialty?
RANDY BIRT, OD specializes in Optometrist and practices in BRISTOL, Virginia. Credentials: OD.
How much does RANDY BIRT, OD prescribe under Medicare Part D?
In 2023, RANDY BIRT, OD wrote 1,219 Medicare Part D claims totaling $139K in drug costs for 473 beneficiaries.
What is RANDY BIRT, OD's Medicare quality score?
RANDY BIRT, OD has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RANDY BIRT, OD located?
RANDY BIRT, OD is located at 1701 EUCLID AVE, BRISTOL, VA, 24201. Phone: (276) 466-4227.
What is RANDY BIRT, OD's NPI number?
RANDY BIRT, OD's National Provider Identifier (NPI) is 1649240656, issued on 01/23/2006.
Does RANDY BIRT, OD prescribe more brand-name or generic drugs?
RANDY BIRT, OD's prescribing is 33% brand-name and 67% generic drugs by claim count, with $113K 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 RANDY BIRT, OD prescribe most often?
Based on 2023 Medicare Part D data, RANDY BIRT, OD's most frequently prescribed drugs include Latanoprost, Tobramycin-Dexamethasone, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RANDY BIRT, OD accept Medicare?
RANDY BIRT, OD appears in CMS Medicare data with 1,219 Part D claims and 473 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RANDY BIRT, OD's credentials?
RANDY BIRT, OD's NPI is 1649240656 with credentials OD. 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