2026 NPPES data Neurology Physician NPI 1295891109 M.D.
Verify on CMS →

CAROL MOHEBAN, M.D.

Neurology Physician in BURLINGTON, Massachusetts. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
3K
Medicare Part D claims · 407 beneficiaries · Neurology Physician avg: 1K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.4157/100
▲ 8 pts above national avg 83.1 · [object Object]

What the federal data shows

CAROL MOHEBAN, M.D. reported a CMS MIPS final score of 91.4157/100 — above the 83.1 national average — and filed 2,529 Medicare Part D claims in 2023.

91.4157/100
MIPS score · +8 vs avg
3K
Part D claims, 2023
94%
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.

CAROL MOHEBAN, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

91 Top 37% higher than 63% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

CAROL MOHEBAN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 CAROL MOHEBAN, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 12/28/2006

NPI 1295891109

Primary specialty

Neurology Physician

Mid-sized

19,866 US NPIs in this specialty

Medicare Part D claims

2,529 93% vs specialty avg

2023 prescription claims

Specialty avg: 1,309

MIPS final score

91.4157/100 8.315700000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Neurology Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Neurology Physician share within Massachusetts

1. Neurology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neurology Physician share within Massachusetts

Medicare quality performance — MIPS

CAROL MOHEBAN, M.D.'s 2023 MIPS final score plotted against the Neurology Physician national average

High performer (top quartile)
MIPS Final Score
91.4157/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurology Physician) — 91.4157/100 vs national avg 83.1

0%100%National avg83%91.4%
MIPS final score (Neurology Physician) — 91.4157/100 vs national avg 83.1

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).

CAROL MOHEBAN, M.D. appears in the CMS NPPES registry as a Neurology Physician provider holding M.D. credentials at LAHEY CLINIC, BURLINGTON, MA, 01805, with a listed phone of (978) 538-4690. NPI 1295891109 was issued on 12/28/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MOHEBAN 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 2,529 prescription claims written by this provider, covering 407 Medicare beneficiaries and totaling roughly $864K in drug spend, split 6% brand-name and 94% generic by claim count. 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 91.4157/100 for the 2023 performance year (Quality 76.877), compared with the national average of 83.1.

Neurology Physician is a mid-sized specialty nationwide, with 19,866 enrolled providers across 54 states and an average of 1,309 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

LAHEY CLINIC
BURLINGTON, MA 01805

Provider Details

NPI 1295891109
Specialty Neurology Physician
Credentials M.D.
Gender Female
NPI Issued 12/28/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

91.4157
Final Score
Avg: 83.1
76.877
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where CAROL MOHEBAN, 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.

LAHEY CLINIC INC
PEABODY, MA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to CAROL MOHEBAN, M.D.. To verify CAROL MOHEBAN, M.D.'s current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

CAROL MOHEBAN, M.D. — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 2,529 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.

2,529
Total Claims
$864K
Total Drug Cost
407
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,261
Total Day Supply
123,629
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$608K
Generic Drug Cost
$255K

Patient Demographics

Average Patient Age
72.6 years
Avg HCC Risk Score
1.34
Gender Split
67% female / 33% male
Age Distribution
<65: 83, 65-74: 112, 75-84: 151, 85+: 61

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What CAROL MOHEBAN, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Donepezil Hcl
287
Memantine Hcl Er
Memantine Hcl
225
Levetiracetam
192
Gabapentin
182
Carbidopa-Levodopa
Carbidopa/Levodopa
138
Topiramate
126
Sumatriptan Succinate
75
Divalproex Sodium
65
Butalbital-Acetaminophen-Caffe
Butalb/Acetaminophen/Caffeine
63
Phenobarbital
53

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Neurology Physician Overview

How CAROL MOHEBAN, M.D. fits within the Neurology Physician landscape nationally.

19,866
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider

CAROL MOHEBAN, M.D.'s 2,529 claims are above the specialty average of 1,309.

Nearby Neurology Physician Providers in Massachusetts

Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as MOHEBAN.

Compare Neurology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CAROL MOHEBAN, M.D.'s specialty?
CAROL MOHEBAN, M.D. specializes in Neurology Physician and practices in BURLINGTON, Massachusetts. Credentials: M.D..
How much does CAROL MOHEBAN, M.D. prescribe under Medicare Part D?
In 2023, CAROL MOHEBAN, M.D. wrote 2,529 Medicare Part D claims totaling $864K in drug costs for 407 beneficiaries.
What is CAROL MOHEBAN, M.D.'s Medicare quality score?
CAROL MOHEBAN, M.D. has a CMS MIPS Final Score of 91.4157/100 (Quality: 76.877). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CAROL MOHEBAN, M.D. located?
CAROL MOHEBAN, M.D. is located at LAHEY CLINIC, BURLINGTON, MA, 01805. Phone: (978) 538-4690.
What is CAROL MOHEBAN, M.D.'s NPI number?
CAROL MOHEBAN, M.D.'s National Provider Identifier (NPI) is 1295891109, issued on 12/28/2006.
Does CAROL MOHEBAN, M.D. prescribe more brand-name or generic drugs?
CAROL MOHEBAN, M.D.'s prescribing is 6% brand-name and 94% generic drugs by claim count, with $608K in brand drug costs.
How many Neurology Physician providers are there in the US?
There are 19,866 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
What drugs does CAROL MOHEBAN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CAROL MOHEBAN, M.D.'s most frequently prescribed drugs include Donepezil Hcl, Memantine Hcl Er, Levetiracetam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CAROL MOHEBAN, M.D. accept Medicare?
CAROL MOHEBAN, M.D. appears in CMS Medicare data with 2,529 Part D claims and 407 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CAROL MOHEBAN, M.D.'s credentials?
CAROL MOHEBAN, M.D.'s NPI is 1295891109 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

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