2026 NPPES data Surgery Physician NPI 1104234707 M.D.
Verify on CMS →

TIMOTHY HORRELL, M.D.

Surgery Physician in LEXINGTON, Kentucky. 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
36
Medicare Part D claims · 21 beneficiaries · Surgery Physician avg: 169
MIPS score
97.1279/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$321.92
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TIMOTHY HORRELL, M.D. is a Surgery Physician ([object Object]) practicing in LEXINGTON, Kentucky with a Medicare Part D prescribing footprint of 36 claims across 21 beneficiaries . Their CMS MIPS Final Score of 97.1279/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $321.92 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TIMOTHY HORRELL, M.D. reported a CMS MIPS final score of 97.1279 out of 100, above the 83.1 national average, and filed 36 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 HORRELL, M.D. 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).

TIMOTHY HORRELL, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/27/2014

NPI 1104234707

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

36 79% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

97.1279/100 14.027900000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Surgery Physician compares to other specialties among Kentucky providers

Kentucky providers

Surgery Physician share within Kentucky

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

Medicare quality performance — MIPS

TIMOTHY HORRELL, M.D.'s 2023 MIPS final score plotted against the Surgery Physician national average

High performer (top quartile)
MIPS Final Score
97.1279/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 97.1279/100 vs national avg 83.1

0%100%National avg83%97.1%
MIPS final score (Surgery Physician) — 97.1279/100 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 HORRELL, M.D. is a Surgery Physician provider practicing in LEXINGTON, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1104234707. 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 HORRELL, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 2195 HARRODSBURG RD FL 2, LEXINGTON, KY, 40504, with a listed phone of (859) 562-1999. NPI 1104234707 was issued on 07/27/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HORRELL 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 36 prescription claims written by this provider, covering 21 Medicare beneficiaries and totaling roughly $334 in drug spend, with an opioid prescribing rate of 50.0%. 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 97.1279/100 for the 2023 performance year (Quality 85.6458), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

2195 HARRODSBURG RD FL 2
LEXINGTON, KY 40504

Provider Details

NPI 1104234707
Specialty Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 07/27/2014

CMS Quality Score (MIPS)

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

97.1279
Final Score
Avg: 83.1
85.6458
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

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 HORRELL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$322

Largest payer

Ethicon US, LLC

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

36
Total Claims
$334
Total Drug Cost
21
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
36
Total Day Supply
162
Generic Drug Cost
$333
Opioid Claims
18 (50.0% rate)

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
1.62

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxycodone Hcl
18

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

Surgery Physician Overview

How TIMOTHY HORRELL, M.D. fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

TIMOTHY HORRELL, M.D.'s 36 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in Kentucky

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

Compare Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TIMOTHY HORRELL, M.D.'s specialty?
TIMOTHY HORRELL, M.D. specializes in Surgery Physician and practices in LEXINGTON, Kentucky. Credentials: M.D..
How much does TIMOTHY HORRELL, M.D. prescribe under Medicare Part D?
In 2023, TIMOTHY HORRELL, M.D. wrote 36 Medicare Part D claims totaling $334 in drug costs for 21 beneficiaries.
What is TIMOTHY HORRELL, M.D.'s Medicare quality score?
TIMOTHY HORRELL, M.D. has a CMS MIPS Final Score of 97.1279/100 (Quality: 85.6458). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TIMOTHY HORRELL, M.D. located?
TIMOTHY HORRELL, M.D. is located at 2195 HARRODSBURG RD FL 2, LEXINGTON, KY, 40504. Phone: (859) 562-1999.
What is TIMOTHY HORRELL, M.D.'s NPI number?
TIMOTHY HORRELL, M.D.'s National Provider Identifier (NPI) is 1104234707, issued on 07/27/2014.
Does TIMOTHY HORRELL, M.D. prescribe opioids?
Yes, TIMOTHY HORRELL, M.D. had 18 opioid claims in 2023 with an opioid prescribing rate of 50.0%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does TIMOTHY HORRELL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, TIMOTHY HORRELL, M.D.'s most frequently prescribed drugs include Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TIMOTHY HORRELL, M.D. accept Medicare?
TIMOTHY HORRELL, M.D. appears in CMS Medicare data with 36 Part D claims and 21 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TIMOTHY HORRELL, M.D.'s credentials?
TIMOTHY HORRELL, M.D.'s NPI is 1104234707 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