NPI registry status
Active
2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1245234715 MD
Verify on CMS → Timothy Byrnes, MD
Retina Specialist (Ophthalmology) Physician in Roanoke, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 913 in Retina Specialist (Ophthalmology) 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
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
72.3/100
▼ 11 pts below national avg 83.1 · Mid-tier
Industry payments
$3.3K
27 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Timothy Byrnes, MD reported a CMS MIPS final score of 72.3/100 - below the 83.1 national average - and filed 761 Medicare Part D claims in 2023.
- 72.3/100
- MIPS score · -11 vs avg
- 761
- Part D claims, 2023
- 67%
- 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.
Timothy Byrnes, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
72 10th percentile higher than 10% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Timothy Byrnes, MD sits
This provider among retina specialist (ophthalmology) physician peers
Across the 583 retina specialist (ophthalmology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Timothy Byrnes, MD writes more Part D claims than 79% of them and scores higher on MIPS quality than 4% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one retina specialist (ophthalmology) physician peer from a representative sample of 60; the gold marker is Timothy Byrnes, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
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).
What does the federal data show about Timothy Byrnes, MD?
Below national averagePrimary specialty
Retina Specialist (Ophthalmology) Physician
Medicare Part D claims
761 36% vs specialty avg
MIPS final score
72.3/100 10.8 pts vs avg
Specialty distribution in Virginia
How Retina Specialist (Ophthalmology) Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Timothy Byrnes, MD's 2023 MIPS final score plotted against the Retina Specialist (Ophthalmology) Physician national average
- MIPS Final Score
- 72.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Retina Specialist (Ophthalmology) Physician) - 72.3/100 vs national avg 83.1
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).
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.
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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 72.3/100 for the 2023 performance year (Quality 95.3, Cost 19.1), 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
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%
Retina Specialist (Ophthalmology) Physician average
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.
What Timothy Byrnes, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prednisolone Acetate
Prednisolone Acetate
218 claims
- Ketorolac Trometha…
Ketorolac Tromethamine
111 claims
- Ofloxacin
Ofloxacin
109 claims
- Dexamethasone Sodi… 56
Dexamethasone Sodium Phosphate
56 claims
- Erythromycin 50
Erythromycin
50 claims
- Brimonidine Tartrate 35
Brimonidine Tartrate
35 claims
- Timolol Maleate 31
Timolol Maleate
31 claims
- Moxifloxacin 30
Moxifloxacin
30 claims
| 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.
More Retina Specialist (Ophthalmology) Physician in VA →
All providers in Virginia →
Compare specialties →
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.
Dr. Juan Astruc
M.D.
Richmond, VA
Evan Berger
Norfolk, VA
Dr. Vikram Brar
MD
Richmond, VA
Dr. John Carter
M.D.
Winchester, VA
Dr. Apoorv Chebolu
MD
Falls Church, VA
Compare Retina Specialist (Ophthalmology) Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Retina Specialist (Ophthalmology) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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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 72.3/100 (Quality: 95.3, Cost: 19.1). 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
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 (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
Compiled from official public sources by the PlainDoctor editorial team.