NPI registry status
Active
2026 NPPES data Ophthalmic Plastic and Reconstructive Surgery Physician NPI 1093716532 MD
Verify on CMS → Carolyn Repke, MD
Ophthalmic Plastic and Reconstructive Surgery Physician in Philadelphia, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 303 in Ophthalmic Plastic and Reconstructive Surgery 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
3K
Medicare Part D claims · 601 beneficiaries · Ophthalmic Plastic and Reconstructive Surgery Physician avg: 642
Generic prescribing
67%
generic claims · 33% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.7/100
▲ 14 pts above national avg 83.5 · Exceptional
Industry payments
$188.59
4 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Carolyn Repke, MD reported a CMS MIPS final score of 97.7/100 - above the 83.5 national average - and filed 2,623 Medicare Part D claims in 2024.
- 97.7/100
- MIPS score · +14 vs avg
- 3K
- Part D claims, 2024
- 67%
- 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.
Federal trust snapshot
What official records show about Carolyn Repke, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1093716532), first enumerated 08/09/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 2,623 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 97.7/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$188.59 in reported industry payments (4 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Carolyn Repke, MD's individual license status. Verify directly with the state medical board.
Source: PA-BOM annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1093716532 · Ophthalmic Plastic and Reconstructive Surgery Physician
NPI-10 · ENUM-LEGACY · TAX-TRACE · MIPS-ELITE · RX-MID · BOOK-THIN · PHOTO-FINISH
- NPI-10 1093716532
- ENUM-LEGACY 2005
- TAX-TRACE 303
- MIPS-ELITE 97.7/100
- RX-MID 2,623
- BOOK-THIN 16 in Pennsylvania
- PHOTO-FINISH Hassan Shah · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Benjamin Campbel…
Benjamin Campbell, MD
97.3 MIPS pts
- Caroline Vargaso…
Caroline Vargason, MD,
97.6 MIPS pts
- Repke · this pro…
Repke · this provider
97.7 MIPS pts
- Hassan Shah · near
Hassan Shah
97.7 MIPS pts
- Mark Mayo, MD · …
Mark Mayo, MD
97.8 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Carolyn Repke, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
98 ≥ 84th percentile 84% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Carolyn Repke, MD sits
This provider among ophthalmic plastic and reconstructive surgery physician peers
Across the 123 ophthalmic plastic and reconstructive surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Carolyn Repke, MD writes more Part D claims than 96% of them and scores higher on MIPS quality than 88% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one ophthalmic plastic and reconstructive surgery physician peer from a representative sample of 60; the gold marker is Carolyn Repke, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Carolyn Repke, 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).
What does the federal data show about Carolyn Repke, MD?
High performer (top quartile)Primary specialty
Ophthalmic Plastic and Reconstructive Surgery Physician
Medicare Part D claims
2,623 309% vs specialty avg
MIPS final score
97.7/100 14.2 pts vs avg
Specialty distribution in Pennsylvania
How Ophthalmic Plastic and Reconstructive Surgery Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Carolyn Repke, MD's 2023 MIPS final score plotted against the Ophthalmic Plastic and Reconstructive Surgery Physician national average
- MIPS Final Score
- 97.7/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1093716532 |
|---|---|
| Specialty | Ophthalmic Plastic and Reconstructive Surgery Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 08/09/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.683
Final Score
Measured-score avg: 83.5
95.3659
Quality
Reporting: Group practice
Hospital and facility affiliations
Facilities where Carolyn Repke, 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.
Philadelphia Eye Associates
Philadelphia, PA
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 Repke, MD. Source: openpaymentsdata.cms.gov.
Total received
$189
Largest payer
Alcon Vision 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.
License & disciplinary context - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Carolyn Repke, MD. To verify Carolyn Repke, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Carolyn Repke, MD - brand share 33.0%
Ophthalmic Plastic and Reconstructive Surgery Physician average
33% brand-name claims vs 67% generic, on 2,623 2024 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 2024.
2,623
Total Claims
$303K
Total Drug Cost
601
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,751.233
- Total Day Supply
- 99,843
- Brand vs Generic
- 33% brand / 67% generic
- Brand Drug Cost
- $262K
- Generic Drug Cost
- $40K
Patient Demographics
- Average Patient Age
- 75.6 years
- Avg HCC Risk Score
- 1.38
- Gender Split
- 70% female / 30% male
- Age Distribution
- <65: 25, 65-74: 266, 75-84: 225, 85+: 85
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Carolyn Repke, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Latanoprost
Latanoprost
751 claims
- Erythromycin
Erythromycin
436 claims
- Prednisolone Acetate 239
Prednisolone Acetate
239 claims
- Ketorolac Trometha… 208
Ketorolac Tromethamine
208 claims
- Dorzolamide-Timolol 160
Dorzolamide-Timolol
160 claims
- Timolol Maleate 128
Timolol Maleate
128 claims
- Cyclosporine 96
Cyclosporine
96 claims
- Lumigan 92
Lumigan
92 claims
| Drug | Claims |
|---|---|
| Latanoprost | 751 |
| Erythromycin Erythromycin Base | 436 |
| Prednisolone Acetate | 239 |
| Ketorolac Tromethamine | 208 |
| Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat | 160 |
| Timolol Maleate | 128 |
| Cyclosporine | 96 |
| Lumigan Bimatoprost | 92 |
| Neomycin-Polymyxin-Dexameth Neomycin/Polymyxin B/Dexametha | 92 |
| Brimonidine Tartrate | 79 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Ophthalmic Plastic and Reconstructive Surgery Physician in PA →
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Ophthalmic Plastic and Reconstructive Surgery Physician Overview
How Carolyn Repke, MD fits within the Ophthalmic Plastic and Reconstructive Surgery Physician landscape nationally.
303
Ophthalmic Plastic and Reconstructive Surgery Physician Providers in US
44
States with Ophthalmic Plastic and Reconstructive Surgery Physician
642
Avg Claims per Provider
Carolyn Repke, MD's 2,623 claims are above the specialty average of 642.
Nationwide Ophthalmic Plastic and Reconstructive Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Repke, both outside Pennsylvania so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (97.7 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Ophthalmic Plastic and Reconstructive Surgery Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Repke.
One of 16 Ophthalmic Plastic and Reconstructive Surgery Physician providers enrolled in Pennsylvania, 5 are shown here.
Frequently Asked Questions
What is Carolyn Repke, MD's specialty? ▼
Carolyn Repke, MD specializes in Ophthalmic Plastic and Reconstructive Surgery Physician and practices in Philadelphia, Pennsylvania. Credentials: MD.
How much does Carolyn Repke, MD prescribe under Medicare Part D? ▼
In 2024, Carolyn Repke, MD wrote 2,623 Medicare Part D claims totaling $303K in drug costs for 601 beneficiaries.
What is Carolyn Repke, MD's Medicare quality score? ▼
Carolyn Repke, MD has a CMS MIPS Final Score of 97.7/100 (Quality: 95.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Carolyn Repke, MD located? ▼
Carolyn Repke, MD is located at 1930 S BROAD ST UNIT 9, Philadelphia, PA, 19145. Phone: (215) 339-8100.
What is Carolyn Repke, MD's NPI number? ▼
Carolyn Repke, MD's National Provider Identifier (NPI) is 1093716532, issued on 08/09/2005.
Does Carolyn Repke, MD prescribe more brand-name or generic drugs? ▼
Carolyn Repke, MD's prescribing is 33% brand-name and 67% generic drugs by claim count, with $262K in brand drug costs.
How many Ophthalmic Plastic and Reconstructive Surgery Physician providers are there in the US? ▼
There are 303 Ophthalmic Plastic and Reconstructive Surgery Physician providers across 44 states in the US. The average Ophthalmic Plastic and Reconstructive Surgery Physician provider writes 642 Medicare Part D claims per year.
What drugs does Carolyn Repke, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Carolyn Repke, MD's most frequently prescribed drugs include Latanoprost, Erythromycin, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carolyn Repke, MD accept Medicare? ▼
Carolyn Repke, MD appears in CMS Medicare data with 2,623 Part D claims and 601 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carolyn Repke, MD's credentials? ▼
Carolyn Repke, MD's NPI is 1093716532 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
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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.