2026 NPPES data Internal Medicine Physician NPI 1033436191 M.D.
Verify on CMS →

ROY BARCO, M.D.

Internal Medicine Physician in MUSCLE SHOALS, Alabama. 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
11K
Medicare Part D claims · 677 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$1.7K
111 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ROY BARCO, M.D. is a Internal Medicine Physician ([object Object]) practicing in MUSCLE SHOALS, Alabama with a Medicare Part D prescribing footprint of 11K claims across 677 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.7K across 111 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ROY BARCO, M.D. reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 11,485 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)

ROY BARCO, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ROY BARCO, M.D. at a glance

Below national average

NPI registry status

Active

Issued 04/29/2010

NPI 1033436191

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

11,485 323% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Alabama

How Internal Medicine Physician compares to other specialties among Alabama providers

Alabama providers

Internal Medicine Physician share within Alabama

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Alabama

Medicare quality performance — MIPS

ROY BARCO, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Internal Medicine Physician) — 75/100 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).

ROY BARCO, M.D. is a Internal Medicine Physician provider practicing in MUSCLE SHOALS, Alabama, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1033436191. 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.

ROY BARCO, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 102 PHYSICIANS DR STE A, MUSCLE SHOALS, AL, 35661, with a listed phone of (256) 286-4026. NPI 1033436191 was issued on 04/29/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BARCO 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 11,485 prescription claims written by this provider, covering 677 Medicare beneficiaries and totaling roughly $1.6 million in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 6.0%. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

102 PHYSICIANS DR STE A
MUSCLE SHOALS, AL 35661

Provider Details

NPI 1033436191
Specialty Internal Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 04/29/2010

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where ROY BARCO, 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.

BHG LXXII LLC
MOBILE, AL
LISTER HEALTH CARE CORPORATION
MUSCLE SHOALS, AL

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 ROY BARCO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.7K

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 · Typical

ROY BARCO, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 11,485 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.

11,485
Total Claims
$1.6M
Total Drug Cost
677
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
19,007
Total Day Supply
552,707
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$1.3M
Generic Drug Cost
$335K
Opioid Claims
688 (6.0% rate)
Antibiotic Claims
126

Patient Demographics

Average Patient Age
67.2 years
Avg HCC Risk Score
1.32
Gender Split
57% female / 43% male
Age Distribution
<65: 217, 65-74: 284, 75-84: 135, 85+: 41

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gabapentin
621
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
476
Pregabalin
363
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
353
Pantoprazole Sodium
301
Clonazepam
282
Levothyroxine Sodium
281
Atorvastatin Calcium
271
Tramadol Hcl
237
Lisinopril
236

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

Internal Medicine Physician Overview

How ROY BARCO, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

ROY BARCO, M.D.'s 11,485 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Alabama

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROY BARCO, M.D.'s specialty?
ROY BARCO, M.D. specializes in Internal Medicine Physician and practices in MUSCLE SHOALS, Alabama. Credentials: M.D..
How much does ROY BARCO, M.D. prescribe under Medicare Part D?
In 2023, ROY BARCO, M.D. wrote 11,485 Medicare Part D claims totaling $1.6M in drug costs for 677 beneficiaries.
What is ROY BARCO, M.D.'s Medicare quality score?
ROY BARCO, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROY BARCO, M.D. located?
ROY BARCO, M.D. is located at 102 PHYSICIANS DR STE A, MUSCLE SHOALS, AL, 35661. Phone: (256) 286-4026.
What is ROY BARCO, M.D.'s NPI number?
ROY BARCO, M.D.'s National Provider Identifier (NPI) is 1033436191, issued on 04/29/2010.
Does ROY BARCO, M.D. prescribe more brand-name or generic drugs?
ROY BARCO, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $1.3M in brand drug costs.
Does ROY BARCO, M.D. prescribe opioids?
Yes, ROY BARCO, M.D. had 688 opioid claims in 2023 with an opioid prescribing rate of 6.0%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does ROY BARCO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ROY BARCO, M.D.'s most frequently prescribed drugs include Gabapentin, Buprenorphine-Naloxone, Pregabalin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROY BARCO, M.D. accept Medicare?
ROY BARCO, M.D. appears in CMS Medicare data with 11,485 Part D claims and 677 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROY BARCO, M.D.'s credentials?
ROY BARCO, M.D.'s NPI is 1033436191 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