Thomas J. Byrnes IV, FNP
- Medicare patients, 2024
- 15
- Part D claims, 2024
- 5,948
- MIPS score, 2024
- 71
- Hospital affiliations
- 1
- Industry payments
- $287
- Practice address
- 291 Carter Dr, Middletown, DE 19709
- Practice phone
- Call (844) 365-7246
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Center for Interventional Pain Spine
Middletown, Delaware
Find Thomas Byrnes' professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Thomas J. Byrnes IV is a family nurse practitioner in Middletown, Delaware
Thomas Byrnes practices at Center for Interventional Pain Spine in Middletown, Delaware.
Thomas Byrnes' NPI, 1700509296, was assigned on September 21, 2022. Thomas Byrnes holds Delaware license LG-0012102.
- NPI
- 1700509296NPI Registry (opens in a new tab)
- Medicare PAC ID
- 4082090584
- NPI enumeration date
- September 21, 2022
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (844) 365-7246
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 30
- Medical school graduation
- 2022
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Thomas J. Byrnes IV practices at Center for Interventional Pain Spine in Middletown, Delaware
Thomas Byrnes' primary practice is Center for Interventional Pain Spine, at 291 Carter Dr, Middletown, DE 19709 in New Castle County. The practice phone is (844) 365-7246.
- Center for Interventional Pain Spine291 Carter Dr, Middletown, DE 19709 · New Castle CountyPhone(844) 365-7246
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Thomas J. Byrnes IV is affiliated with 3 sites of care and 1 medical group
Thomas Byrnes' primary practice is Center for Interventional Pain Spine in Middletown, Delaware. Thomas Byrnes is also affiliated with Christiana Hospital. The medical group on file is Center for Interventional Pain & Spine. Dmand AI also links Thomas Byrnes to 1 more group practice or clinic, named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Thomas J. Byrnes IV's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Thomas Byrnes practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Center for Interventional Pain Spine | Available with a free account |
| +2 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Thomas J. Byrnes IV is one of 547 family nurse practitioners in Delaware
Family is Thomas Byrnes' primary specialty in the NPI Registry, under taxonomy code 363LF0000X. Thomas Byrnes is licensed in Delaware.
Specialties and state licenses
- Family nurse practitioner, DelawarePrimary
Family nurse practitioners near Thomas Byrnes
Counts of family nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Thomas J. Byrnes IV treated 15 Medicare patients in 2024, average age 60
CMS counts 15 Medicare patients who saw Thomas Byrnes in 2024. The largest group is 85 and over, with 0 patients. 75% of them have alcohol and drug use disorders. Their average risk score is 1.36, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Thomas Byrnes' median patient age at 62, with 71% women.
Thomas Byrnes' Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Chronic conditions among Thomas Byrnes' Medicare patients, 2024
- Alcohol and drug use disorders75%
Share of Medicare patients with each condition. A patient can have several.
Thomas Byrnes' patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 62
Patient panel by sex, all payers
- Women71%
- Men27%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Thomas J. Byrnes IV wrote 5,948 Medicare Part D claims in 2024
In 2024, Thomas Byrnes wrote 5,948 Medicare Part D claims for 901 patients. 91% of them were for generic drugs.
Thomas Byrnes' Part D claims by kind of drug, 2024
- Generic5,405 claims91%
- Brand-name543 claims9%
Drug classes CMS tracks in Thomas Byrnes' Part D claims, 2024
- Opioids53%3,172 of 5,948 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data
Thomas J. Byrnes IV scored 71 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 71 out of 100 for Thomas Byrnes for performance year 2024, reported as part of a group. Thomas Byrnes accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Thomas Byrnes' MIPS scores, performance year 2024
- 71of 100Final score
- 87.4of 100Quality
- 0of 100Promoting Interoperability
- 40of 100Improvement Activities
- 81of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Thomas J. Byrnes IV received $287 in industry payments in 2025
CMS Open Payments shows 15 general payments to Thomas Byrnes from 7 drug and device companies in 2025. Food and beverage make up the largest share, 100% of the total. Bausch Health Americas, Inc. paid the most, $121.
Companies that paid Thomas Byrnes the most, 2025 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Thomas J. Byrnes IV's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Thomas J. Byrnes IV
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Thomas J. Byrnes IV's NPI number?
Thomas J. Byrnes IV's NPI number is 1700509296. It was assigned on September 21, 2022, and it is active in the NPI Registry.
What does Thomas J. Byrnes IV specialize in?
Thomas J. Byrnes IV is a family nurse practitioner in Middletown, Delaware. The primary specialty in the NPI Registry is Family Nurse Practitioner (taxonomy code 363LF0000X).
Where does Thomas J. Byrnes IV practice?
Thomas Byrnes practices at 291 Carter Dr, Middletown, DE 19709. Thomas Byrnes' primary practice is Center for Interventional Pain Spine in Middletown, Delaware. Dmand AI also links Thomas Byrnes to 1 group practice or clinic.
What is Thomas J. Byrnes IV's office phone number?
The practice phone on file for Thomas Byrnes is (844) 365-7246.
What is Thomas J. Byrnes IV's medical license number?
Thomas Byrnes holds Delaware license LG-0012102.
Which hospitals is Thomas J. Byrnes IV affiliated with?
Thomas Byrnes is affiliated with Christiana Hospital.
What medical group is Thomas J. Byrnes IV part of?
Thomas Byrnes is linked to Center for Interventional Pain & Spine.
Does Thomas J. Byrnes IV accept Medicare?
Yes. CMS lists Thomas Byrnes as accepting Medicare assignment.
What is Thomas J. Byrnes IV's MIPS score?
Thomas Byrnes' MIPS final score for performance year 2024 is 71 out of 100, reported as part of a group.
How many Medicare patients does Thomas J. Byrnes IV see?
CMS counts 15 Medicare patients who saw Thomas Byrnes in 2024, with an average age of 60.
Has Thomas J. Byrnes IV received payments from drug or device companies?
CMS Open Payments shows $287 in general payments to Thomas Byrnes from 7 companies from 2025 to 2025. The largest total came from Bausch Health Americas, Inc.
How long has Thomas J. Byrnes IV been practicing?
Thomas Byrnes graduated from medical school in 2022, 4 years ago.
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