Doctor profile · Federal record

Dr. Roy Barco, M.D.

Internal Medicine Physician (CMS: Internal Medicine) · Muscle Shoals, AL

  • NPI 1033436191
  • Accepts Medicare
  • MIPS 75.0 / 100 · 2023
  • 16 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
102 Physicians Dr Ste A
Muscle Shoals, AL 356612149
(256) 286-4026
fax (256) 381-4783
Mailing address
Po Box 298
Florence, AL 356310298

Credentials & registration

NPPES · NUCC
NPI registered
April 2010 — 16 yrs on file
Profile last updated
September 5, 2019
Year of graduation
2010 — 16 yrs since
Specialty taxonomy
207R00000X — NUCC code
State license (1)
Alabama #MD.31799

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1033436191. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
6,216
Distinct HCPCS
10
Medicare allowed
$328,071
HCPCS Description Services Patients Avg allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 2,430 267 $58
99214 Established patient office or other outpatient visit, 30-39 minutes 882 311 $117
36415 Insertion of needle into vein for collection of blood sample 501 278 $8
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 267 26 $44
96372 Injection of drug or substance under skin or into muscle 260 84 $13
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 225 25 $43
J1100 Injection, dexamethasone sodium phosphate, 1 mg 221 27 $0
99458 Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 217 26 $37
80305 Testing for presence of drug, read by direct observation 145 31 $12
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 130 31 $2

In context: peer comparison

Among 3 peers in Muscle Shoals Internal Medicine Physician, average services per provider: 221. This provider delivers 28× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$1,746
Transactions
105
Manufacturers
15
Payer (manufacturer) Industry Txns Amount
Abbvie INC. 32 $383.77
Lilly USA, LLC 20 $270.30
Salix Pharmaceuticals, A Division of Bausch Health US, LLC 9 $155.87
AstraZeneca Pharmaceuticals Lp 9 $134.47
Novo Nordisk INC 6 $114.26
Exact Sciences Corporation 4 $111.26
Bayer Healthcare Pharmaceuticals INC. 4 $79.82
Amgen INC. 4 $70.53
Pfizer INC. 4 $67.82
Almatica Pharma LLC 3 $61.73
Idorsia Pharmaceuticals US INC 3 $48.84
Indivior INC. 2 $48.69
Braeburn INC. 2 $44.05
Axsome Therapeutics, INC. 2 $27.25
Scilex Pharmaceuticals INC. 1 $20.60

By nature of payment

Food and Beverage
$1,746

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
4,382
Patients
1,233
Total drug cost
$195,424
Drug Type Claims Patients Total cost
Gabapentin Generic 621 140 $10,995
Buprenorphine-Naloxone (Buprenorphine Hcl/Naloxone Hcl) Brand 476 57 $131,635
Pregabalin Generic 363 70 $14,749
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 353 69 $8,343
Pantoprazole Sodium Generic 301 109 $4,122
Clonazepam Generic 282 55 $1,364
Levothyroxine Sodium Generic 281 98 $3,636
Atorvastatin Calcium Generic 271 100 $3,742
Tramadol Hcl Generic 237 62 $2,322
Lisinopril Generic 236 97 $1,855

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Roy Barco's medical specialty?
Dr. Roy Barco practices Internal Medicine Physician in Muscle Shoals, AL.
Where does Dr. Roy Barco practice?
Dr. Roy Barco practices at 102 Physicians Dr Ste A, Muscle Shoals, AL 356612149. Office phone: 2562864026.
What is Dr. Roy Barco's NPI?
Dr. Roy Barco's National Provider Identifier (NPI) is 1033436191, issued by NPPES.
Does Dr. Roy Barco accept Medicare assignment?
Yes. Dr. Roy Barco accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Roy Barco commonly perform?
Top Medicare-reported procedures in 2023: Chronic care management services (HCPCS 99490); Established patient office or other outpatient visit (HCPCS 99214); Insertion of needle into vein for collection of blood sample (HCPCS 36415). Source: CMS Medicare Physician & Other Practitioners file.