2026 NPPES data Obstetrics Physician NPI 1104487933 MD
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CAROLINE WELCHMAN, MD

Obstetrics Physician in ROANOKE, Virginia. 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
33
Medicare Part D claims · 19 beneficiaries · Obstetrics Physician avg: 319
MIPS score
83.7753/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$317.82
14 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CAROLINE WELCHMAN, MD is a Obstetrics Physician ([object Object]) practicing in ROANOKE, Virginia with a Medicare Part D prescribing footprint of 33 claims across 19 beneficiaries . Their CMS MIPS Final Score of 83.7753/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $317.82 across 14 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CAROLINE WELCHMAN, MD reported a CMS MIPS final score of 83.7753 out of 100, above the 83.1 national average, and filed 33 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

CAROLINE WELCHMAN, MD 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).

CAROLINE WELCHMAN, MD at a glance

Near national average

NPI registry status

Active

Issued 06/24/2019

NPI 1104487933

Primary specialty

Obstetrics Physician

Niche

1,402 US NPIs in this specialty

Medicare Part D claims

33 90% vs specialty avg

2023 prescription claims

Specialty avg: 319

MIPS final score

83.7753/100 0.6753000000000071% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Obstetrics Physician compares to other specialties among Virginia providers

Virginia providers

Obstetrics Physician share within Virginia

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

Medicare quality performance — MIPS

CAROLINE WELCHMAN, MD's 2023 MIPS final score plotted against the Obstetrics Physician national average

Near national average
MIPS Final Score
83.7753/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Obstetrics Physician) — 83.7753/100 vs national avg 83.1

0%100%National avg83%83.8%
MIPS final score (Obstetrics Physician) — 83.7753/100 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).

CAROLINE WELCHMAN, MD is a Obstetrics Physician provider practicing in ROANOKE, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1104487933. 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 WELCHMAN, MD appears in the CMS NPPES registry as a Obstetrics Physician provider holding MD credentials at 21 HIGHLAND AVE SE STE 200, ROANOKE, VA, 24013, with a listed phone of (540) 982-8881. NPI 1104487933 was issued on 06/24/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WELCHMAN 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 33 prescription claims written by this provider, covering 19 Medicare beneficiaries and totaling roughly $2K in drug spend. 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 83.7753/100 for the 2023 performance year (Quality 85.4477, Cost 60.47), compared with the national average of 83.1.

Obstetrics Physician is a narrow specialty nationwide, with 1,402 enrolled providers across 54 states and an average of 319 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

21 HIGHLAND AVE SE STE 200
ROANOKE, VA 24013

Provider Details

NPI 1104487933
Specialty Obstetrics Physician
Credentials MD
Gender Female
NPI Issued 06/24/2019

CMS Quality Score (MIPS)

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

83.7753
Final Score
Avg: 83.1
85.4477
Quality
60.47
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CAROLINE WELCHMAN, MD 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.

MID-ATLANTIC WOMENS CARE PLC
ROANOKE, VA

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 WELCHMAN, MD. Source: openpaymentsdata.cms.gov.

Total received

$318

Largest payer

Hologic Sales and Service, LLC

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

33
Total Claims
$2K
Total Drug Cost
19
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
42
Total Day Supply
931
Generic Drug Cost
$853

Patient Demographics

Average Patient Age
55.8 years
Avg HCC Risk Score
1.04
Gender Split
100% female / 0% male

Obstetrics Physician Overview

How CAROLINE WELCHMAN, MD fits within the Obstetrics Physician landscape nationally.

1,402
Obstetrics Physician Providers in US
54
States with Obstetrics Physician
319
Avg Claims per Provider

CAROLINE WELCHMAN, MD's 33 claims are below the specialty average of 319.

Nearby Obstetrics Physician Providers in Virginia

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

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

Frequently Asked Questions

What is CAROLINE WELCHMAN, MD's specialty?
CAROLINE WELCHMAN, MD specializes in Obstetrics Physician and practices in ROANOKE, Virginia. Credentials: MD.
How much does CAROLINE WELCHMAN, MD prescribe under Medicare Part D?
In 2023, CAROLINE WELCHMAN, MD wrote 33 Medicare Part D claims totaling $2K in drug costs for 19 beneficiaries.
What is CAROLINE WELCHMAN, MD's Medicare quality score?
CAROLINE WELCHMAN, MD has a CMS MIPS Final Score of 83.7753/100 (Quality: 85.4477, Cost: 60.47). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CAROLINE WELCHMAN, MD located?
CAROLINE WELCHMAN, MD is located at 21 HIGHLAND AVE SE STE 200, ROANOKE, VA, 24013. Phone: (540) 982-8881.
What is CAROLINE WELCHMAN, MD's NPI number?
CAROLINE WELCHMAN, MD's National Provider Identifier (NPI) is 1104487933, issued on 06/24/2019.
How many Obstetrics Physician providers are there in the US?
There are 1,402 Obstetrics Physician providers across 54 states in the US. The average Obstetrics Physician provider writes 319 Medicare Part D claims per year.
Does CAROLINE WELCHMAN, MD accept Medicare?
CAROLINE WELCHMAN, MD appears in CMS Medicare data with 33 Part D claims and 19 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CAROLINE WELCHMAN, MD's credentials?
CAROLINE WELCHMAN, MD's NPI is 1104487933 with credentials MD. 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