2026 NPPES data Midwife NPI 1245432996 PA
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CAROLINE LOWRY, PA

Midwife in ARCATA, California. 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
2K
Medicare Part D claims · 182 beneficiaries · Midwife avg: 118
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$138.17
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CAROLINE LOWRY, PA is a Midwife ([object Object]) practicing in ARCATA, California with a Medicare Part D prescribing footprint of 2K claims across 182 beneficiaries — 14% brand-name prescribing . Industry payments of $138.17 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CAROLINE LOWRY, PA filed 2,028 Medicare Part D claims in 2023 across ARCATA, California. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

CAROLINE LOWRY, PA at a glance

Quality data not reported

NPI registry status

Active

Issued 06/04/2007

NPI 1245432996

Primary specialty

Midwife

Mid-sized

5,918 US NPIs in this specialty

Medicare Part D claims

2,028 1619% vs specialty avg

2023 prescription claims

Specialty avg: 118

Specialty distribution in California

How Midwife compares to other specialties among California providers

California providers

Midwife share within California

1. Midwife42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Midwife share within California

Specialty board-certification context

Estimated specialty board-certified rate — Midwife (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Midwife ABMS/AOA estimate

Est. board-certified rate (Midwife) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Midwife) — ABMS / AOA estimate

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).

CAROLINE LOWRY, PA is a Midwife provider practicing in ARCATA, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA. NPI: 1245432996. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

CAROLINE LOWRY, PA appears in the CMS NPPES registry as a Midwife provider holding PA credentials at 785 18TH ST, ARCATA, CA, 95521, with a listed phone of (707) 822-2481. NPI 1245432996 was issued on 06/04/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LOWRY 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 2,028 prescription claims written by this provider, covering 182 Medicare beneficiaries and totaling roughly $209K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 8.9%. 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.

Midwife is a mid-sized specialty nationwide, with 5,918 enrolled providers across 54 states and an average of 118 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

785 18TH ST
ARCATA, CA 95521

Provider Details

NPI 1245432996
Specialty Midwife
Credentials PA
Gender Female
NPI Issued 06/04/2007

Hospital and facility affiliations

Facilities where CAROLINE LOWRY, PA 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.

OPEN DOOR COMMUNITY HEALTH CENTERS
ARCATA, CA

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 CAROLINE LOWRY, PA. Source: openpaymentsdata.cms.gov.

Total received

$138

Largest payer

HEARTFLOW, 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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to CAROLINE LOWRY, PA. To verify CAROLINE LOWRY, PA's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

CAROLINE LOWRY, PA — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 2,028 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.

2,028
Total Claims
$209K
Total Drug Cost
182
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,601
Total Day Supply
103,316
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$151K
Generic Drug Cost
$57K
Opioid Claims
181 (8.9% rate)
Antibiotic Claims
27

Patient Demographics

Average Patient Age
68.8 years
Avg HCC Risk Score
0.97
Gender Split
73% female / 27% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gabapentin
115
Lisinopril
79
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
68
Hydrochlorothiazide
53
Atorvastatin Calcium
51
Levothyroxine Sodium
51
Amlodipine Besylate
44
Citalopram Hbr
Citalopram Hydrobromide
44
Fluoxetine Hcl
44
Pantoprazole Sodium
42

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

Midwife Overview

How CAROLINE LOWRY, PA fits within the Midwife landscape nationally.

5,918
Midwife Providers in US
54
States with Midwife
118
Avg Claims per Provider

CAROLINE LOWRY, PA's 2,028 claims are above the specialty average of 118.

Nearby Midwife Providers in California

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

Compare Midwife nationally: see state-by-state distribution →

Frequently Asked Questions

What is CAROLINE LOWRY, PA's specialty?
CAROLINE LOWRY, PA specializes in Midwife and practices in ARCATA, California. Credentials: PA.
How much does CAROLINE LOWRY, PA prescribe under Medicare Part D?
In 2023, CAROLINE LOWRY, PA wrote 2,028 Medicare Part D claims totaling $209K in drug costs for 182 beneficiaries.
Where is CAROLINE LOWRY, PA located?
CAROLINE LOWRY, PA is located at 785 18TH ST, ARCATA, CA, 95521. Phone: (707) 822-2481.
What is CAROLINE LOWRY, PA's NPI number?
CAROLINE LOWRY, PA's National Provider Identifier (NPI) is 1245432996, issued on 06/04/2007.
Does CAROLINE LOWRY, PA prescribe more brand-name or generic drugs?
CAROLINE LOWRY, PA's prescribing is 14% brand-name and 86% generic drugs by claim count, with $151K in brand drug costs.
Does CAROLINE LOWRY, PA prescribe opioids?
Yes, CAROLINE LOWRY, PA had 181 opioid claims in 2023 with an opioid prescribing rate of 8.9%.
How many Midwife providers are there in the US?
There are 5,918 Midwife providers across 54 states in the US. The average Midwife provider writes 118 Medicare Part D claims per year.
What drugs does CAROLINE LOWRY, PA prescribe most often?
Based on 2023 Medicare Part D data, CAROLINE LOWRY, PA's most frequently prescribed drugs include Gabapentin, Lisinopril, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CAROLINE LOWRY, PA accept Medicare?
CAROLINE LOWRY, PA appears in CMS Medicare data with 2,028 Part D claims and 182 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CAROLINE LOWRY, PA's credentials?
CAROLINE LOWRY, PA's NPI is 1245432996 with credentials PA. 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.
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