2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1205837978 MD
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THOMAS KRUMMENACHER, MD

Retina Specialist (Ophthalmology) Physician in BRENTWOOD, Missouri. 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
579
Medicare Part D claims · 156 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
Generic prescribing
66%
generic claims · 34% 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
$806.89
17 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: THOMAS KRUMMENACHER, MD is a Retina Specialist (Ophthalmology) Physician ([object Object]) practicing in BRENTWOOD, Missouri with a Medicare Part D prescribing footprint of 579 claims across 156 beneficiaries — 34% 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 $806.89 across 17 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: THOMAS KRUMMENACHER, MD reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 579 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)

THOMAS KRUMMENACHER, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

THOMAS KRUMMENACHER, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/03/2005

NPI 1205837978

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

579 4% vs specialty avg

2023 prescription claims

Specialty avg: 558

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Missouri

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

Missouri providers

Retina Specialist (Ophthalmology) Physician share within Missouri

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

Medicare quality performance — MIPS

THOMAS KRUMMENACHER, MD's 2023 MIPS final score plotted against the Retina Specialist (Ophthalmology) Physician national average

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

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

0%100%National avg83%99%
MIPS final score (Retina Specialist (Ophthalmology) Physician) — 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).

THOMAS KRUMMENACHER, MD is a Retina Specialist (Ophthalmology) Physician provider practicing in BRENTWOOD, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1205837978. 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.

THOMAS KRUMMENACHER, MD appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding MD credentials at 1600 S BRENTWOOD BLVD STE 700, BRENTWOOD, MO, 63144, with a listed phone of (314) 367-1181. NPI 1205837978 was issued on 08/03/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KRUMMENACHER 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 579 prescription claims written by this provider, covering 156 Medicare beneficiaries and totaling roughly $43K in drug spend, split 34% brand-name and 66% 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 (Quality 100), 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

1600 S BRENTWOOD BLVD STE 700
BRENTWOOD, MO 63144

Provider Details

NPI 1205837978
Specialty Retina Specialist (Ophthalmology) Physician
Credentials MD
Gender Male
NPI Issued 08/03/2005

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Quality

Reporting: Group practice

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 THOMAS KRUMMENACHER, MD. Source: openpaymentsdata.cms.gov.

Total received

$807

Largest payer

Astellas Pharma US 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

THOMAS KRUMMENACHER, MD — brand share 34.0%
Specialty average (est.)

34% brand-name claims vs 66% generic, on 579 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.

579
Total Claims
$43K
Total Drug Cost
156
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
983
Total Day Supply
27,746
Brand vs Generic
34% brand / 66% generic
Brand Drug Cost
$28K
Generic Drug Cost
$15K

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
1.56
Gender Split
54% female / 46% male
Age Distribution
<65: 21, 65-74: 58, 75-84: 54, 85+: 23

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ketorolac Tromethamine
105
Prednisolone Acetate
100
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
76
Latanoprost
64
Dorzolamide Hcl
46
Timolol Maleate
46
Brimonidine Tartrate
28
Brimonidine Tartrate-Timolol
Brimonidine Tartrate/Timolol
23
Combigan
Brimonidine Tartrate/Timolol
18
Lumigan
Bimatoprost
13

* 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 THOMAS KRUMMENACHER, MD 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

THOMAS KRUMMENACHER, MD's 579 claims are above the specialty average of 558.

Nearby Retina Specialist (Ophthalmology) Physician Providers in Missouri

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

Compare Retina Specialist (Ophthalmology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THOMAS KRUMMENACHER, MD's specialty?
THOMAS KRUMMENACHER, MD specializes in Retina Specialist (Ophthalmology) Physician and practices in BRENTWOOD, Missouri. Credentials: MD.
How much does THOMAS KRUMMENACHER, MD prescribe under Medicare Part D?
In 2023, THOMAS KRUMMENACHER, MD wrote 579 Medicare Part D claims totaling $43K in drug costs for 156 beneficiaries.
What is THOMAS KRUMMENACHER, MD's Medicare quality score?
THOMAS KRUMMENACHER, MD has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS KRUMMENACHER, MD located?
THOMAS KRUMMENACHER, MD is located at 1600 S BRENTWOOD BLVD STE 700, BRENTWOOD, MO, 63144. Phone: (314) 367-1181.
What is THOMAS KRUMMENACHER, MD's NPI number?
THOMAS KRUMMENACHER, MD's National Provider Identifier (NPI) is 1205837978, issued on 08/03/2005.
Does THOMAS KRUMMENACHER, MD prescribe more brand-name or generic drugs?
THOMAS KRUMMENACHER, MD's prescribing is 34% brand-name and 66% generic drugs by claim count, with $28K 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 THOMAS KRUMMENACHER, MD prescribe most often?
Based on 2023 Medicare Part D data, THOMAS KRUMMENACHER, MD's most frequently prescribed drugs include Ketorolac Tromethamine, Prednisolone Acetate, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS KRUMMENACHER, MD accept Medicare?
THOMAS KRUMMENACHER, MD appears in CMS Medicare data with 579 Part D claims and 156 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS KRUMMENACHER, MD's credentials?
THOMAS KRUMMENACHER, MD's NPI is 1205837978 with credentials MD. 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