NPPES file of Aug 9, 2026

Carl H. Bivens, M.D.

Endocrinology, Diabetes & Metabolism Physician · Roanoke, VA

Carl H. Bivens, M.D. is an endocrinology, diabetes & metabolism physician with a practice address in Roanoke, Virginia, and NPI 1538153796, issued on Sep 2, 2005. Check the license (Virginia 0101018544, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1538153796
Name
Carl H. Bivens
Credential
M.D.
Primary taxonomy
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
License number
0101018544 VA
Self-reported in NPPES; status is on the state search
Practice location
3501 Colonial Green Circle, Roanoke, VA 24018
Phone
(540) 344-3276
Enumerated
Sep 2, 2005
Record last updated
Dec 2, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(540) 342-4399
Medicaid ID
5820430 VA
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 3501 Colonial Green Circle

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Dewey Bailey, MDEndocrinology, Diabetes & Metabolism Physician1285628446
  2. Lori Foster, NPRegistered Nurse1871584102
  3. James Mulinda, M.D.Endocrinology, Diabetes & Metabolism Physician1093797094
  4. Erin Myers, PA-CMedical Physician Assistant1962737213
  5. Katherine Shaw, RD, CDERegistered Dietitian1548237944

Verify Carl H. Bivens in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0101018544
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Virginia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.3 times the Medicare Part D claims of the average endocrinology, diabetes & metabolism physician in 2024

6,124 Medicare Part D claims for 837 beneficiaries, against an average of 2,630 among the 8,223 providers of this specialty who prescribed in Part D. Brand-name drugs were 43% of claims.

  1. Carl Bivens6,124
  2. Specialty average2,630

Most prescribed

  1. Levothyroxine Sodium701 claims
  2. Metformin Hcl450 claims
  3. Jardiance264 claims
  4. Atorvastatin Calcium235 claims
  5. Lantus Solostar225 claims
  6. Synthroid209 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

No measured MIPS final score for 2023

CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,602.91

92 payments; by number, the most common kind was food and beverage; the largest payer was Xeris Pharmaceuticals, Inc. The 5,661 providers of this specialty with any payment received $5,742.15 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Carl Bivens$1,602.91
  2. Specialty average$5,742.15

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Carl H. Bivens among 264 endocrinology, diabetes & metabolism physician records in Virginia

Carl H. Bivens, M.D. is one of 264 endocrinology, diabetes & metabolism physician records with a practice address in Virginia. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 92% newer
  • In a Medicare fileYes · 84% of these records are
  • In the CMS Doctors and Clinicians fileNo · 71% of these records are
  • Record last updated2021 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RE0101X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Endocrinology, Diabetes & Metabolism Physician providers in Virginia

There are 264 endocrinology, diabetes & metabolism physician records in Virginia.

The 8 endocrinology, diabetes & metabolism physician records with the nearest ZIP codes

  1. Dewey Bailey, MDRoanoke, VA 240181285628446
  2. James Mulinda, M.D.Roanoke, VA 240181093797094
  3. Israel Hodish, MDRoanoke, VA 240161861526436
  4. Katherine MustafaRoanoke, VA 240161932660982
  5. Mark Saab, MDRoanoke, VA 240161962711341
  6. Rahul Sharma, M.D.Roanoke, VA 240161447505953
  7. Maritza Carrillo, M.D.Roanoke, VA 240141649628587
  8. Michael Koch, M.D.Roanoke, VA 240111558355719

Common questions

What is Carl H. Bivens, M.D.'s NPI number?

Carl H. Bivens, M.D.'s National Provider Identifier (NPI) is 1538153796, issued on Sep 2, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Carl H. Bivens, M.D. located?

The NPPES record lists a practice address at 3501 Colonial Green Circle, Roanoke, VA, 24018. Phone: (540) 344-3276. Providers update this record themselves, so call before visiting.

How can I verify Carl H. Bivens, M.D.'s license?

NPPES lists Virginia license number 0101018544, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Carl H. Bivens, M.D. prescribe under Medicare Part D?

In 2024, Carl H. Bivens, M.D. had 6,124 Medicare Part D claims for 837 beneficiaries; the average among endocrinology, diabetes & metabolism physician prescribers was 2,630. Part D covers Medicare prescriptions only.

What is Carl H. Bivens, M.D.'s MIPS final score?

CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.