NPI registry status
Active
2026 NPPES data Sports Medicine (Physical Medicine & Rehabilitation) Physician NPI 1265790299 D.O.
Verify on CMS → Timothy Burns, D.O.
Sports Medicine (Physical Medicine & Rehabilitation) Physician in Edgewood, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,302 in Sports Medicine (Physical Medicine & Rehabilitation) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
361
Medicare Part D claims · 144 beneficiaries · Sports Medicine (Physical Medicine & Rehabilitation) Physician avg: 583
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.4/100
▲ 7 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Timothy Burns, D.O. reported a CMS MIPS final score of 90.4/100 - above the 83.5 national average - and filed 361 Medicare Part D claims in 2024.
- 90.4/100
- MIPS score · +7 vs avg
- 361
- Part D claims, 2024
- 93%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Timothy Burns, D.O.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1265790299), first enumerated 04/27/2012.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 361 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 90.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1265790299 · Sports Medicine (Physical Medicine & Rehabilitation) Physician
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-ABOVE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1265790299
- ENUM-MID 2012
- TAX-NARROW 1,302
- MIPS-ABOVE 90.4/100
- RX-LIGHT 361
- BOOK-THIN 8 in Kentucky
- PHOTO-FINISH Caroline Lee, M.D. · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Timothy Von Fang…
Timothy Von Fange, MD
90.1 MIPS pts
- Sheryl Oleski, D…
Sheryl Oleski, DO
90.3 MIPS pts
- Burns · this pro…
Burns · this provider
90.4 MIPS pts
- Caroline Lee, M.…
Caroline Lee, M.D.
90.4 MIPS pts
- Alberto Maldonad…
Alberto Maldonado, MD
90.4 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Timothy Burns, D.O.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
90 ≥ 58th percentile 58% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Timothy Burns, D.O. sits
This provider among sports medicine (physical medicine & rehabilitation) physician peers
Across the 135 sports medicine (physical medicine & rehabilitation) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Timothy Burns, D.O. writes more Part D claims than 56% of them and scores higher on MIPS quality than 52% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one sports medicine (physical medicine & rehabilitation) physician peer from a representative sample of 60; the gold marker is Timothy Burns, D.O.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Timothy Burns, D.O. 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).
What does the federal data show about Timothy Burns, D.O.?
High performer (top quartile)Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Medicare Part D claims
361 38% vs specialty avg
MIPS final score
90.4/100 6.9 pts vs avg
Specialty distribution in Kentucky
How Sports Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Timothy Burns, D.O.'s 2023 MIPS final score plotted against the Sports Medicine (Physical Medicine & Rehabilitation) Physician national average
- MIPS Final Score
- 90.4/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1265790299 |
|---|---|
| Specialty | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| Credentials | D.O. |
| Gender | Male |
| NPI Issued | 04/27/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.3837
Final Score
Measured-score avg: 83.5
80.7674
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Timothy Burns, D.O. 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.
Kentucky Rehabilitation Services, Inc.
Crescent Springs, KY
Orthocincy Orthopaedics And Sports Medicine Psc
Edgewood, KY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Generic-heavy
Timothy Burns, D.O. - brand share 7.0%
Sports Medicine (Physical Medicine & Rehabilitation) Physician average
7% brand-name claims vs 93% generic, on 361 2024 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 2024.
361
Total Claims
$4K
Total Drug Cost
144
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 364
- Total Day Supply
- 9,072
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $2K
- Generic Drug Cost
- $2K
- Opioid Claims
- 21 (5.8% rate)
Patient Demographics
- Average Patient Age
- 71.2 years
- Avg HCC Risk Score
- 0.96
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 20, 65-74: 77, 75-84: 36, 85+: 11
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Timothy Burns, D.O. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Meloxicam
Meloxicam
120 claims
- Gabapentin
Gabapentin
60 claims
- Methylprednisolone 36
Methylprednisolone
36 claims
- Lidocaine 35
Lidocaine
35 claims
- Celecoxib 30
Celecoxib
30 claims
- Methocarbamol 20
Methocarbamol
20 claims
- Diclofenac Sodium 16
Diclofenac Sodium
16 claims
- Tramadol Hcl 13
Tramadol Hcl
13 claims
| Drug | Claims |
|---|---|
| Meloxicam | 120 |
| Gabapentin | 60 |
| Methylprednisolone | 36 |
| Lidocaine | 35 |
| Celecoxib | 30 |
| Methocarbamol | 20 |
| Diclofenac Sodium | 16 |
| Tramadol Hcl | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Physical Medicine & Rehabilitation) Physician in KY →
All providers in Kentucky →
Compare specialties →
Sports Medicine (Physical Medicine & Rehabilitation) Physician Overview
How Timothy Burns, D.O. fits within the Sports Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.
1,302
Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
52
States with Sports Medicine (Physical Medicine & Rehabilitation) Physician
583
Avg Claims per Provider
Timothy Burns, D.O.'s 361 claims are below the specialty average of 583.
Nationwide Sports Medicine (Physical Medicine & Rehabilitation) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Burns, both outside Kentucky so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (90.4 here).
Same NPPES enumeration year (2012)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Burns.
One of 8 Sports Medicine (Physical Medicine & Rehabilitation) Physician providers enrolled in Kentucky, 5 are shown here.
Frequently Asked Questions
What is Timothy Burns, D.O.'s specialty? ▼
Timothy Burns, D.O. specializes in Sports Medicine (Physical Medicine & Rehabilitation) Physician and practices in Edgewood, Kentucky. Credentials: D.O..
How much does Timothy Burns, D.O. prescribe under Medicare Part D? ▼
In 2024, Timothy Burns, D.O. wrote 361 Medicare Part D claims totaling $4K in drug costs for 144 beneficiaries.
What is Timothy Burns, D.O.'s Medicare quality score? ▼
Timothy Burns, D.O. has a CMS MIPS Final Score of 90.4/100 (Quality: 80.8). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Timothy Burns, D.O. located? ▼
Timothy Burns, D.O. is located at 560 S LOOP RD, Edgewood, KY, 41017. Phone: (859) 301-2663.
What is Timothy Burns, D.O.'s NPI number? ▼
Timothy Burns, D.O.'s National Provider Identifier (NPI) is 1265790299, issued on 04/27/2012.
Does Timothy Burns, D.O. prescribe more brand-name or generic drugs? ▼
Timothy Burns, D.O.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $2K in brand drug costs.
Does Timothy Burns, D.O. prescribe opioids? ▼
Yes, Timothy Burns, D.O. had 21 opioid claims in 2024 with an opioid prescribing rate of 5.8%.
How many Sports Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US? ▼
There are 1,302 Sports Medicine (Physical Medicine & Rehabilitation) Physician providers across 52 states in the US. The average Sports Medicine (Physical Medicine & Rehabilitation) Physician provider writes 583 Medicare Part D claims per year.
What drugs does Timothy Burns, D.O. prescribe most often? ▼
Based on 2024 Medicare Part D data, Timothy Burns, D.O.'s most frequently prescribed drugs include Meloxicam, Gabapentin, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Timothy Burns, D.O. accept Medicare? ▼
Timothy Burns, D.O. appears in CMS Medicare data with 361 Part D claims and 144 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Timothy Burns, D.O.'s credentials? ▼
Timothy Burns, D.O.'s NPI is 1265790299 with credentials D.O.. 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.