2026 NPPES data Gynecology Physician NPI 1720159056 M.D.
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CAROLYN WILSON, M.D.

Gynecology 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
661
Medicare Part D claims · 264 beneficiaries · Gynecology Physician avg: 295
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.3949/100
▼ 4 pts below national avg 83.1 · [object Object]

What the federal data shows

CAROLYN WILSON, M.D. reported a CMS MIPS final score of 79.3949/100 — below the 83.1 national average — and filed 661 Medicare Part D claims in 2023.

79.3949/100
MIPS score · -4 vs avg
661
Part D claims, 2023
80%
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 WILSON, 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

79 30th percentile higher than 30% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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 WILSON, 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 WILSON, M.D.?

Near national average

NPI registry status

Active

Issued 11/10/2006

NPI 1720159056

Primary specialty

Gynecology Physician

Niche

3,902 US NPIs in this specialty

Medicare Part D claims

661 124% vs specialty avg

2023 prescription claims

Specialty avg: 295

MIPS final score

79.3949/100 3.7050999999999874% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Gynecology Physician compares to other specialties among Virginia providers

Virginia providers

Gynecology Physician share within Virginia

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

Medicare quality performance — MIPS

CAROLYN WILSON, M.D.'s 2023 MIPS final score plotted against the Gynecology Physician national average

Near national average
MIPS Final Score
79.3949/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gynecology Physician) — 79.3949/100 vs national avg 83.1

0%100%National avg83%79.4%
MIPS final score (Gynecology Physician) — 79.3949/100 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 WILSON, M.D. appears in the CMS NPPES registry as a Gynecology Physician provider holding M.D. credentials at 2955 IVY RD STE 104, CHARLOTTESVILLE, VA, 22903, with a listed phone of (434) 243-4720. NPI 1720159056 was issued on 11/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WILSON 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 661 prescription claims written by this provider, covering 264 Medicare beneficiaries and totaling roughly $94K in drug spend, split 20% brand-name and 80% 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 79.3949/100 for the 2023 performance year (Quality 73.6607, Cost 57.6556), compared with the national average of 83.1.

Gynecology Physician is a narrow specialty nationwide, with 3,902 enrolled providers across 53 states and an average of 295 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

2955 IVY RD STE 104
CHARLOTTESVILLE, VA 22903

Provider Details

NPI 1720159056
Specialty Gynecology Physician
Credentials M.D.
Gender Female
NPI Issued 11/10/2006

CMS Quality Score (MIPS)

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

79.3949
Final Score
Avg: 83.1
73.6607
Quality
57.6556
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CAROLYN WILSON, 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.

UNIVERSITY OF VIRGINIA PHYSICIANS GROUP
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).

Brand vs generic prescribing mix · Typical

CAROLYN WILSON, M.D. — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 661 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.

661
Total Claims
$94K
Total Drug Cost
264
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,542
Total Day Supply
44,665
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$48K
Generic Drug Cost
$46K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
70.7 years
Avg HCC Risk Score
0.67
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

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

What CAROLYN WILSON, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Estradiol
208
Clobetasol Propionate
69
Estradiol (Twice Weekly)
Estradiol
52
Yuvafem
Estradiol
32
Valacyclovir
Valacyclovir Hcl
31
Intrarosa
Prasterone (Dhea)
16
Terconazole
14
Estring
Estradiol
13
Dotti
Estradiol
12
Metronidazole
12

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

Gynecology Physician Overview

How CAROLYN WILSON, M.D. fits within the Gynecology Physician landscape nationally.

3,902
Gynecology Physician Providers in US
53
States with Gynecology Physician
295
Avg Claims per Provider

CAROLYN WILSON, M.D.'s 661 claims are above the specialty average of 295.

Nearby Gynecology Physician Providers in Virginia

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

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

Frequently Asked Questions

What is CAROLYN WILSON, M.D.'s specialty?
CAROLYN WILSON, M.D. specializes in Gynecology Physician and practices in CHARLOTTESVILLE, Virginia. Credentials: M.D..
How much does CAROLYN WILSON, M.D. prescribe under Medicare Part D?
In 2023, CAROLYN WILSON, M.D. wrote 661 Medicare Part D claims totaling $94K in drug costs for 264 beneficiaries.
What is CAROLYN WILSON, M.D.'s Medicare quality score?
CAROLYN WILSON, M.D. has a CMS MIPS Final Score of 79.3949/100 (Quality: 73.6607, Cost: 57.6556). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CAROLYN WILSON, M.D. located?
CAROLYN WILSON, M.D. is located at 2955 IVY RD STE 104, CHARLOTTESVILLE, VA, 22903. Phone: (434) 243-4720.
What is CAROLYN WILSON, M.D.'s NPI number?
CAROLYN WILSON, M.D.'s National Provider Identifier (NPI) is 1720159056, issued on 11/10/2006.
Does CAROLYN WILSON, M.D. prescribe more brand-name or generic drugs?
CAROLYN WILSON, M.D.'s prescribing is 20% brand-name and 80% generic drugs by claim count, with $48K in brand drug costs.
How many Gynecology Physician providers are there in the US?
There are 3,902 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 295 Medicare Part D claims per year.
What drugs does CAROLYN WILSON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CAROLYN WILSON, M.D.'s most frequently prescribed drugs include Estradiol, Clobetasol Propionate, Estradiol (Twice Weekly). This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CAROLYN WILSON, M.D. accept Medicare?
CAROLYN WILSON, M.D. appears in CMS Medicare data with 661 Part D claims and 264 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CAROLYN WILSON, M.D.'s credentials?
CAROLYN WILSON, M.D.'s NPI is 1720159056 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