2026 NPPES data Cardiovascular Disease Physician NPI 1225258593 M.D.
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CAROLYN BEHM, M.D.

Cardiovascular Disease Physician in CHARLOTTESVILLE, 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
2K
Medicare Part D claims · 275 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.1228/100
▲ 0 pts above national avg 83.1 · [object Object]
Industry payments
$13.87
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CAROLYN BEHM, M.D. reported a CMS MIPS final score of 83.1228/100 — above the 83.1 national average — and filed 1,615 Medicare Part D claims in 2023.

83.1228/100
MIPS score · +0 vs avg
2K
Part D claims, 2023
87%
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.

CAROLYN BEHM, 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

83 42nd percentile higher than 42% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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)

CAROLYN BEHM, 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 CAROLYN BEHM, M.D.?

Near national average

NPI registry status

Active

Issued 04/27/2007

NPI 1225258593

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

1,615 47% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

83.1228/100 0.022800000000003706% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Cardiovascular Disease Physician compares to other specialties among Virginia providers

Virginia providers

Cardiovascular Disease Physician share within Virginia

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

Medicare quality performance — MIPS

CAROLYN BEHM, M.D.'s 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

Near national average
MIPS Final Score
83.1228/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 83.1228/100 vs national avg 83.1

0%100%National avg83%83.1%
MIPS final score (Cardiovascular Disease Physician) — 83.1228/100 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).

CAROLYN BEHM, M.D. is a Cardiovascular Disease Physician provider practicing in CHARLOTTESVILLE, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1225258593. 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.

CAROLYN BEHM, M.D. appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding M.D. credentials at 650 PETER JEFFERSON PKWY, CHARLOTTESVILLE, VA, 22911, with a listed phone of (434) 293-4072. NPI 1225258593 was issued on 04/27/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BEHM 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 1,615 prescription claims written by this provider, covering 275 Medicare beneficiaries and totaling roughly $284K in drug spend, split 13% brand-name and 87% 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 83.1228/100 for the 2023 performance year (Quality 66.2456), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

650 PETER JEFFERSON PKWY
CHARLOTTESVILLE, VA 22911

Provider Details

NPI 1225258593
Specialty Cardiovascular Disease Physician
Credentials M.D.
Gender Female
NPI Issued 04/27/2007

CMS Quality Score (MIPS)

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

83.1228
Final Score
Avg: 83.1
66.2456
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where CAROLYN BEHM, 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.

CARDIOVASCULAR ASSOCIATES OF CHARLOTTESVILLE, PLC
CHARLOTTESVILLE, 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 CAROLYN BEHM, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$14

Largest payer

Boston Scientific Corporation

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

CAROLYN BEHM, M.D. — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 1,615 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.

1,615
Total Claims
$284K
Total Drug Cost
275
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,309
Total Day Supply
128,654
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$262K
Generic Drug Cost
$23K

Patient Demographics

Average Patient Age
75.9 years
Avg HCC Risk Score
1.28
Gender Split
55% female / 45% male
Age Distribution
<65: 15, 65-74: 101, 75-84: 116, 85+: 43

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Metoprolol Succinate
302
Atorvastatin Calcium
183
Amlodipine Besylate
178
Eliquis
Apixaban
151
Furosemide
106
Rosuvastatin Calcium
99
Lisinopril
93
Losartan Potassium
81
Isosorbide Mononitrate Er
Isosorbide Mononitrate
41
Pravastatin Sodium
39

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

Cardiovascular Disease Physician Overview

How CAROLYN BEHM, M.D. fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

CAROLYN BEHM, M.D.'s 1,615 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Virginia

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

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CAROLYN BEHM, M.D.'s specialty?
CAROLYN BEHM, M.D. specializes in Cardiovascular Disease Physician and practices in CHARLOTTESVILLE, Virginia. Credentials: M.D..
How much does CAROLYN BEHM, M.D. prescribe under Medicare Part D?
In 2023, CAROLYN BEHM, M.D. wrote 1,615 Medicare Part D claims totaling $284K in drug costs for 275 beneficiaries.
What is CAROLYN BEHM, M.D.'s Medicare quality score?
CAROLYN BEHM, M.D. has a CMS MIPS Final Score of 83.1228/100 (Quality: 66.2456). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CAROLYN BEHM, M.D. located?
CAROLYN BEHM, M.D. is located at 650 PETER JEFFERSON PKWY, CHARLOTTESVILLE, VA, 22911. Phone: (434) 293-4072.
What is CAROLYN BEHM, M.D.'s NPI number?
CAROLYN BEHM, M.D.'s National Provider Identifier (NPI) is 1225258593, issued on 04/27/2007.
Does CAROLYN BEHM, M.D. prescribe more brand-name or generic drugs?
CAROLYN BEHM, M.D.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $262K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does CAROLYN BEHM, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CAROLYN BEHM, M.D.'s most frequently prescribed drugs include Metoprolol Succinate, Atorvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CAROLYN BEHM, M.D. accept Medicare?
CAROLYN BEHM, M.D. appears in CMS Medicare data with 1,615 Part D claims and 275 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CAROLYN BEHM, M.D.'s credentials?
CAROLYN BEHM, M.D.'s NPI is 1225258593 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