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. 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 · 550 beneficiaries · Ophthalmic Plastic and Reconstructive Surgery Physician avg: 624
Generic prescribing
67%
generic claims · 33% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.683/100
▲ 15 pts above national avg 83.1 · [object Object]
Industry payments
$188.59
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CAROLYN REPKE, MD is a Ophthalmic Plastic and Reconstructive Surgery Physician ([object Object]) practicing in PHILADELPHIA, Pennsylvania with a Medicare Part D prescribing footprint of 2K claims across 550 beneficiaries — 33% brand-name prescribing . Their CMS MIPS Final Score of 97.683/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $188.59 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CAROLYN REPKE, MD reported a CMS MIPS final score of 97.683 out of 100, above the 83.1 national average, and filed 2,256 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)

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).

CAROLYN REPKE, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/09/2005

NPI 1093716532

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery Physician

Rare

291 US NPIs in this specialty

Medicare Part D claims

2,256 262% vs specialty avg

2023 prescription claims

Specialty avg: 624

MIPS final score

97.683/100 14.583000000000013% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Ophthalmic Plastic and Reconstructive Surgery Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Ophthalmic Plastic and Reconstructive Surgery Physician share within Pennsylvania

1. Ophthalmic Plastic and Reconstructive Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmic Plastic and Reconstructive Surgery Physician share within Pennsylvania

Medicare quality performance — MIPS

CAROLYN REPKE, MD's 2023 MIPS final score plotted against the Ophthalmic Plastic and Reconstructive Surgery Physician national average

High performer (top quartile)
MIPS Final Score
97.683/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmic Plastic and Reconstructive Surgery Physician) — 97.683/100 vs national avg 83.1

0%100%National avg83%97.7%
MIPS final score (Ophthalmic Plastic and Reconstructive Surgery Physician) — 97.683/100 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 REPKE, MD is a Ophthalmic Plastic and Reconstructive Surgery Physician provider practicing in PHILADELPHIA, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1093716532. 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 REPKE, MD appears in the CMS NPPES registry as a Ophthalmic Plastic and Reconstructive Surgery Physician provider holding MD credentials at 1930 S BROAD ST UNIT 9, PHILADELPHIA, PA, 19145, with a listed phone of (215) 339-8100. NPI 1093716532 was issued on 08/09/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what REPKE 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 2,256 prescription claims written by this provider, covering 550 Medicare beneficiaries and totaling roughly $409K in drug spend, split 33% brand-name and 67% 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 97.683/100 for the 2023 performance year (Quality 95.3659), compared with the national average of 83.1.

Ophthalmic Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 291 enrolled providers across 46 states and an average of 624 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

1930 S BROAD ST UNIT 9
PHILADELPHIA, PA 19145

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
Avg: 83.1
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%
Specialty average (est.)

33% brand-name claims vs 67% generic, on 2,256 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.

2,256
Total Claims
$409K
Total Drug Cost
550
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,245
Total Day Supply
86,713
Brand vs Generic
33% brand / 67% generic
Brand Drug Cost
$372K
Generic Drug Cost
$37K
Antibiotic Claims
12

Patient Demographics

Average Patient Age
76.0 years
Avg HCC Risk Score
1.51
Gender Split
67% female / 33% male
Age Distribution
<65: 25, 65-74: 235, 75-84: 193, 85+: 97

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Latanoprost
661
Erythromycin
Erythromycin Base
368
Prednisolone Acetate
203
Ketorolac Tromethamine
170
Timolol Maleate
128
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
103
Lumigan
Bimatoprost
102
Restasis
Cyclosporine
85
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
75
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
51

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

Ophthalmic Plastic and Reconstructive Surgery Physician Overview

How CAROLYN REPKE, MD fits within the Ophthalmic Plastic and Reconstructive Surgery Physician landscape nationally.

291
Ophthalmic Plastic and Reconstructive Surgery Physician Providers in US
46
States with Ophthalmic Plastic and Reconstructive Surgery Physician
624
Avg Claims per Provider

CAROLYN REPKE, MD's 2,256 claims are above the specialty average of 624.

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.

Compare Ophthalmic Plastic and Reconstructive Surgery Physician nationally: see state-by-state distribution →

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 2023, CAROLYN REPKE, MD wrote 2,256 Medicare Part D claims totaling $409K in drug costs for 550 beneficiaries.
What is CAROLYN REPKE, MD's Medicare quality score?
CAROLYN REPKE, MD has a CMS MIPS Final Score of 97.683/100 (Quality: 95.3659). The national average MIPS Final Score is 83.1. 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 $372K in brand drug costs.
How many Ophthalmic Plastic and Reconstructive Surgery Physician providers are there in the US?
There are 291 Ophthalmic Plastic and Reconstructive Surgery Physician providers across 46 states in the US. The average Ophthalmic Plastic and Reconstructive Surgery Physician provider writes 624 Medicare Part D claims per year.
What drugs does CAROLYN REPKE, MD prescribe most often?
Based on 2023 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 2,256 Part D claims and 550 Medicare beneficiaries in 2023. 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

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