NPI registry status
Active
2026 NPPES data Rheumatology Physician NPI 1275670275 M.D.
Verify on CMS → Carly Skamra, M.D.
Rheumatology Physician in Waukesha, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,181 in Rheumatology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
5K
Medicare Part D claims · 684 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$289.68
9 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Carly Skamra, M.D. filed 4,990 Medicare Part D claims in 2023 as a Rheumatology Physician in Waukesha, Wisconsin, prescribing 88% generic.
- 5K
- 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.
Carly Skamra, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
4,990 Top 6% higher than 94% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Carly Skamra, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - 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 Carly Skamra, M.D.?
Quality data not reportedPrimary specialty
Rheumatology Physician
Medicare Part D claims
4,990 143% vs specialty avg
Specialty distribution in Wisconsin
How Rheumatology Physician compares to other specialties among Wisconsin providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Rheumatology Physician. Verify directly:
How MIPS and board certification work
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).
Carly Skamra, M.D. appears in the CMS NPPES registry as a Rheumatology Physician provider holding M.D. credentials at 20800 SWENSON DR STE 175, Waukesha, WI, 53186, with a listed phone of (262) 785-1964. NPI 1275670275 was issued on 01/30/2007.
Medicare Part D records for calendar year 2023 show 4,990 prescription claims written by this provider, covering 684 Medicare beneficiaries and totaling roughly $3.1 million in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 6.5%.
Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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 | 1275670275 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 01/30/2007 |
Hospital and facility affiliations
Facilities where Carly Skamra, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
West Suburban Ctr For Arthritis
Waukesha, WI
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 Carly Skamra, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$290
Largest payer
Boehringer Ingelheim Pharmaceuticals, 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.
Brand vs generic prescribing mix · Typical
Carly Skamra, M.D. - brand share 12.0%
Rheumatology Physician average
12% brand-name claims vs 88% generic, on 4,990 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.
4,990
Total Claims
$3.1M
Total Drug Cost
684
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 10,823
- Total Day Supply
- 319,141
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $2.9M
- Generic Drug Cost
- $203K
- Opioid Claims
- 323 (6.5% rate)
- Antibiotic Claims
- 18
Patient Demographics
- Average Patient Age
- 72.1 years
- Avg HCC Risk Score
- 1.49
- Gender Split
- 72% female / 28% male
- Age Distribution
- <65: 79, 65-74: 350, 75-84: 205, 85+: 50
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Carly Skamra, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Methotrexate
Methotrexate
997 claims
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
791 claims
- Folic Acid 276
Folic Acid
276 claims
- Prednisone 251
Prednisone
251 claims
- Tramadol Hcl 214
Tramadol Hcl
214 claims
- Meloxicam 189
Meloxicam
189 claims
- Allopurinol 160
Allopurinol
160 claims
- Colchicine 154
Colchicine
154 claims
| Drug | Claims |
|---|---|
| Methotrexate Methotrexate Sodium | 997 |
| Hydroxychloroquine Sulfate | 791 |
| Folic Acid | 276 |
| Prednisone | 251 |
| Tramadol Hcl | 214 |
| Meloxicam | 189 |
| Allopurinol | 160 |
| Colchicine | 154 |
| Duloxetine Hcl | 149 |
| Leflunomide | 148 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How Carly Skamra, M.D. fits within the Rheumatology Physician landscape nationally.
6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider
Carly Skamra, M.D.'s 4,990 claims are above the specialty average of 2,054.
Nearby Rheumatology Physician Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Skamra.
Dr. Gina Adel
MD
Eau Claire, WI
Dr. Suraiya Afroz
D.O.
Neenah, WI
Dr. John Albert
MD
Glendale, WI
Dr. Isabelle Amigues
MD
Green Bay, WI
Dr. Jon Arnason
MD
Madison, WI
Compare Rheumatology 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 Wisconsin medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Rheumatology 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
What is Carly Skamra, M.D.'s specialty? ▼
Carly Skamra, M.D. specializes in Rheumatology Physician and practices in Waukesha, Wisconsin. Credentials: M.D..
How much does Carly Skamra, M.D. prescribe under Medicare Part D? ▼
In 2023, Carly Skamra, M.D. wrote 4,990 Medicare Part D claims totaling $3.1M in drug costs for 684 beneficiaries.
Where is Carly Skamra, M.D. located? ▼
Carly Skamra, M.D. is located at 20800 SWENSON DR STE 175, Waukesha, WI, 53186. Phone: (262) 785-1964.
What is Carly Skamra, M.D.'s NPI number? ▼
Carly Skamra, M.D.'s National Provider Identifier (NPI) is 1275670275, issued on 01/30/2007.
Does Carly Skamra, M.D. prescribe more brand-name or generic drugs? ▼
Carly Skamra, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $2.9M in brand drug costs.
Does Carly Skamra, M.D. prescribe opioids? ▼
Yes, Carly Skamra, M.D. had 323 opioid claims in 2023 with an opioid prescribing rate of 6.5%.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does Carly Skamra, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Carly Skamra, M.D.'s most frequently prescribed drugs include Methotrexate, Hydroxychloroquine Sulfate, Folic Acid. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carly Skamra, M.D. accept Medicare? ▼
Carly Skamra, M.D. appears in CMS Medicare data with 4,990 Part D claims and 684 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carly Skamra, M.D.'s credentials? ▼
Carly Skamra, M.D.'s NPI is 1275670275 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
View source datasets and methodology notes
- 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.