2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1245234715 MD
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TIMOTHY BYRNES, MD

Retina Specialist (Ophthalmology) Physician in ROANOKE, 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
761
Medicare Part D claims · 261 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
Generic prescribing
67%
generic claims · 33% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
72.3422/100
▼ 11 pts below national avg 83.1 · [object Object]
Industry payments
$3.3K
27 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TIMOTHY BYRNES, MD is a Retina Specialist (Ophthalmology) Physician ([object Object]) practicing in ROANOKE, Virginia with a Medicare Part D prescribing footprint of 761 claims across 261 beneficiaries — 33% brand-name prescribing . Their CMS MIPS Final Score of 72.3422/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $3.3K across 27 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TIMOTHY BYRNES, MD reported a CMS MIPS final score of 72.3422 out of 100, below the 83.1 national average, and filed 761 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)

TIMOTHY BYRNES, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

TIMOTHY BYRNES, MD at a glance

Below national average

NPI registry status

Active

Issued 06/13/2005

NPI 1245234715

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

761 36% vs specialty avg

2023 prescription claims

Specialty avg: 558

MIPS final score

72.3422/100 10.757799999999989% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Virginia

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

Virginia providers

Retina Specialist (Ophthalmology) Physician share within Virginia

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

Medicare quality performance — MIPS

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

Below national average
MIPS Final Score
72.3422/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Retina Specialist (Ophthalmology) Physician) — 72.3422/100 vs national avg 83.1

0%100%National avg83%72.3%
MIPS final score (Retina Specialist (Ophthalmology) Physician) — 72.3422/100 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).

TIMOTHY BYRNES, MD is a Retina Specialist (Ophthalmology) Physician provider practicing in ROANOKE, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1245234715. 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.

TIMOTHY BYRNES, MD appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding MD credentials at 5296 PETERS CREEK RD, ROANOKE, VA, 24019, with a listed phone of (540) 855-5100. NPI 1245234715 was issued on 06/13/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BYRNES 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 761 prescription claims written by this provider, covering 261 Medicare beneficiaries and totaling roughly $23K 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 72.3422/100 for the 2023 performance year (Quality 95.3311, Cost 19.143), 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

5296 PETERS CREEK RD
ROANOKE, VA 24019

Provider Details

NPI 1245234715
Specialty Retina Specialist (Ophthalmology) Physician
Credentials MD
Gender Male
NPI Issued 06/13/2005

CMS Quality Score (MIPS)

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

72.3422
Final Score
Avg: 83.1
95.3311
Quality
19.143
Cost
92
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where TIMOTHY BYRNES, MD 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.

VISTAR EYE CENTER, INC
HARDY, VA

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 TIMOTHY BYRNES, MD. Source: openpaymentsdata.cms.gov.

Total received

$3.3K

Largest payer

Glaukos Corporation

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

TIMOTHY BYRNES, MD — brand share 33.0%
Specialty average (est.)

33% brand-name claims vs 67% generic, on 761 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.

761
Total Claims
$23K
Total Drug Cost
261
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
906
Total Day Supply
21,323
Brand vs Generic
33% brand / 67% generic
Brand Drug Cost
$11K
Generic Drug Cost
$12K

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
1.42
Gender Split
51% female / 49% male
Age Distribution
<65: 31, 65-74: 110, 75-84: 84, 85+: 36

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisolone Acetate
218
Ketorolac Tromethamine
111
Ofloxacin
109
Dexamethasone Sodium Phosphate
56
Erythromycin
Erythromycin Base
50
Brimonidine Tartrate
35
Timolol Maleate
31
Moxifloxacin
Moxifloxacin Hcl
30
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
25
Prednisone
18

* 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 TIMOTHY BYRNES, 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

TIMOTHY BYRNES, MD's 761 claims are above the specialty average of 558.

Nearby Retina Specialist (Ophthalmology) Physician Providers in Virginia

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

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

Frequently Asked Questions

What is TIMOTHY BYRNES, MD's specialty?
TIMOTHY BYRNES, MD specializes in Retina Specialist (Ophthalmology) Physician and practices in ROANOKE, Virginia. Credentials: MD.
How much does TIMOTHY BYRNES, MD prescribe under Medicare Part D?
In 2023, TIMOTHY BYRNES, MD wrote 761 Medicare Part D claims totaling $23K in drug costs for 261 beneficiaries.
What is TIMOTHY BYRNES, MD's Medicare quality score?
TIMOTHY BYRNES, MD has a CMS MIPS Final Score of 72.3422/100 (Quality: 95.3311, Cost: 19.143). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TIMOTHY BYRNES, MD located?
TIMOTHY BYRNES, MD is located at 5296 PETERS CREEK RD, ROANOKE, VA, 24019. Phone: (540) 855-5100.
What is TIMOTHY BYRNES, MD's NPI number?
TIMOTHY BYRNES, MD's National Provider Identifier (NPI) is 1245234715, issued on 06/13/2005.
Does TIMOTHY BYRNES, MD prescribe more brand-name or generic drugs?
TIMOTHY BYRNES, MD's prescribing is 33% brand-name and 67% generic drugs by claim count, with $11K 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 TIMOTHY BYRNES, MD prescribe most often?
Based on 2023 Medicare Part D data, TIMOTHY BYRNES, MD's most frequently prescribed drugs include Prednisolone Acetate, Ketorolac Tromethamine, Ofloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TIMOTHY BYRNES, MD accept Medicare?
TIMOTHY BYRNES, MD appears in CMS Medicare data with 761 Part D claims and 261 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TIMOTHY BYRNES, MD's credentials?
TIMOTHY BYRNES, MD's NPI is 1245234715 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