Cara Wolters, MD
Family Medicine Physician in Sidney, Ohio. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
Cara Wolters, MD reported a CMS MIPS final score of 84.8/100 — above the 83.1 national average — and filed 4,310 Medicare Part D claims in 2023.
- 84.8/100
- MIPS score · +2 vs avg
- 4K
- Part D claims, 2023
- 88%
- 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.
Cara Wolters, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
85 45th percentile higher than 45% 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 Cara Wolters, MD sits
This provider among family medicine physician peers
Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Cara Wolters, MD writes more Part D claims than 62% of them and scores higher on MIPS quality than 45% — 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 family medicine physician peer from a representative sample of 60; the gold marker is Cara Wolters, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
Cara Wolters, MD 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).
What does the federal data show about Cara Wolters, MD?
Near national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Ohio
How Family Medicine Physician compares to other specialties among Ohio providers
Family Medicine Physician share within Ohio
Family Medicine Physician is one of the more visible NUCC categories in Ohio
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
Cara Wolters, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 84.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Medicine Physician) — 84.8/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Family Medicine Physician US NPIs
84.8/100 MIPS final score — 1.7 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Family Medicine Physician. Quality dim: 75.1. Cost dim: 74.2.
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).
Cara Wolters, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 1010 MICHIGAN ST, Sidney, OH, 45365, with a listed phone of (937) 897-9786. NPI 1396109963 was issued on 04/11/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Wolters 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 4,310 prescription claims written by this provider, covering 385 Medicare beneficiaries and totaling roughly $475K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 0.8%. 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 84.8/100 for the 2023 performance year (Quality 75.1, Cost 74.2), compared with the national average of 83.1.
Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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 | 1396109963 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 04/11/2016 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Cara Wolters, MD's current license status, disciplinary history, and board certifications with the State Medical Board of Ohio in Ohio before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
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 Cara Wolters, MD. Source: openpaymentsdata.cms.gov.
Total received
$223
Largest payer
ABBVIE INC.
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.
License & disciplinary context — Ohio OMB 2023 annual report
Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 — they are NOT specific to Cara Wolters, MD. To verify Cara Wolters, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
12% brand-name claims vs 88% generic, on 4,310 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.
Prescribing Breakdown
- 30-Day Fills
- 10,288
- Total Day Supply
- 302,781
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $405K
- Generic Drug Cost
- $70K
- Opioid Claims
- 36 (0.8% rate)
- Antibiotic Claims
- 50
Patient Demographics
- Average Patient Age
- 70.8 years
- Avg HCC Risk Score
- 1.08
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 57, 65-74: 204, 75-84: 95, 85+: 29
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Cara Wolters, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
378 claims
- Levothyroxine Sodium
Levothyroxine Sodium
190 claims
- Amlodipine Besylate
Amlodipine Besylate
182 claims
- Omeprazole 149
Omeprazole
149 claims
- Lisinopril 142
Lisinopril
142 claims
- Alendronate Sodium 132
Alendronate Sodium
132 claims
- Gabapentin 121
Gabapentin
121 claims
- Sertraline Hcl 119
Sertraline Hcl
119 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 378 |
| Levothyroxine Sodium | 190 |
| Amlodipine Besylate | 182 |
| Omeprazole | 149 |
| Lisinopril | 142 |
| Alendronate Sodium | 132 |
| Gabapentin | 121 |
| Sertraline Hcl | 119 |
| Losartan Potassium | 86 |
| Metformin Hcl Er Metformin Hcl | 84 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Cara Wolters, MD fits within the Family Medicine Physician landscape nationally.
Cara Wolters, MD's 4,310 claims are above the specialty average of 3,418.
Nearby Family Medicine Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Wolters.
Compare Family Medicine 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 Ohio medical board — federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family Medicine 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
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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