2026 NPPES data Surgical Physician Assistant NPI 1346656980
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CATHERINE CARLSON

Surgical Physician Assistant in GAINESVILLE, Georgia. 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
433
Medicare Part D claims · 175 beneficiaries · Surgical Physician Assistant avg: 316
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.0111/100
▲ 6 pts above national avg 83.1 · [object Object]
Industry payments
$281.38
10 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CATHERINE CARLSON is a Surgical Physician Assistant ([object Object]) practicing in GAINESVILLE, Georgia with a Medicare Part D prescribing footprint of 433 claims across 175 beneficiaries — 3% brand-name prescribing . Their CMS MIPS Final Score of 89.0111/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $281.38 across 10 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CATHERINE CARLSON reported a CMS MIPS final score of 89.0111 out of 100, above the 83.1 national average, and filed 433 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

CATHERINE CARLSON at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/03/2014

NPI 1346656980

Primary specialty

Surgical Physician Assistant

Mid-sized

16,119 US NPIs in this specialty

Medicare Part D claims

433 37% vs specialty avg

2023 prescription claims

Specialty avg: 316

MIPS final score

89.0111/100 5.911100000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Surgical Physician Assistant compares to other specialties among Georgia providers

Georgia providers

Surgical Physician Assistant share within Georgia

1. Surgical Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgical Physician Assistant share within Georgia

Medicare quality performance — MIPS

CATHERINE CARLSON's 2023 MIPS final score plotted against the Surgical Physician Assistant national average

High performer (top quartile)
MIPS Final Score
89.0111/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgical Physician Assistant) — 89.0111/100 vs national avg 83.1

0%100%National avg83%89%
MIPS final score (Surgical Physician Assistant) — 89.0111/100 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).

CATHERINE CARLSON is a Surgical Physician Assistant provider practicing in GAINESVILLE, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1346656980. 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.

CATHERINE CARLSON appears in the CMS NPPES registry as a Surgical Physician Assistant provider at 1315 JESSE JEWELL PKWY NE, GAINESVILLE, GA, 30501, with a listed phone of (770) 219-6520. NPI 1346656980 was issued on 07/03/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARLSON 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 433 prescription claims written by this provider, covering 175 Medicare beneficiaries and totaling roughly $58K in drug spend, split 3% brand-name and 97% 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 89.0111/100 for the 2023 performance year (Quality 78.0222), compared with the national average of 83.1.

Surgical Physician Assistant is a mid-sized specialty nationwide, with 16,119 enrolled providers across 54 states and an average of 316 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

1315 JESSE JEWELL PKWY NE
GAINESVILLE, GA 30501

Provider Details

NPI 1346656980
Specialty Surgical Physician Assistant
Gender Female
NPI Issued 07/03/2014

CMS Quality Score (MIPS)

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

89.0111
Final Score
Avg: 83.1
78.0222
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where CATHERINE CARLSON 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.

CENTRAL IOWA DERMATOLOGY LLC
ALTOONA, IA
GWINNETT DERMATOLOGY, PC D/B/A GEORGIA DERMATOLOGY PARTNERS
BRASELTON, GA

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 CATHERINE CARLSON. Source: openpaymentsdata.cms.gov.

Total received

$281

Largest payer

Janssen Biotech, Inc.

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 · Generic-heavy

CATHERINE CARLSON — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 433 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.

433
Total Claims
$58K
Total Drug Cost
175
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
491
Total Day Supply
12,909
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$39K
Generic Drug Cost
$18K
Antibiotic Claims
28

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
1.13
Gender Split
65% female / 35% male
Age Distribution
<65: 11, 65-74: 86, 75-84: 55, 85+: 23

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Triamcinolone Acetonide
114
Ketoconazole
73
Fluocinonide
40
Betamethasone Dipropionate
38
Clobetasol Propionate
27
Clindamycin Phosphate
21
Doxycycline Monohydrate
16
Metronidazole
15
Mupirocin
15

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

Surgical Physician Assistant Overview

How CATHERINE CARLSON fits within the Surgical Physician Assistant landscape nationally.

16,119
Surgical Physician Assistant Providers in US
54
States with Surgical Physician Assistant
316
Avg Claims per Provider

CATHERINE CARLSON's 433 claims are above the specialty average of 316.

Nearby Surgical Physician Assistant Providers in Georgia

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

Compare Surgical Physician Assistant nationally: see state-by-state distribution →

Frequently Asked Questions

What is CATHERINE CARLSON's specialty?
CATHERINE CARLSON specializes in Surgical Physician Assistant and practices in GAINESVILLE, Georgia.
How much does CATHERINE CARLSON prescribe under Medicare Part D?
In 2023, CATHERINE CARLSON wrote 433 Medicare Part D claims totaling $58K in drug costs for 175 beneficiaries.
What is CATHERINE CARLSON's Medicare quality score?
CATHERINE CARLSON has a CMS MIPS Final Score of 89.0111/100 (Quality: 78.0222). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CATHERINE CARLSON located?
CATHERINE CARLSON is located at 1315 JESSE JEWELL PKWY NE, GAINESVILLE, GA, 30501. Phone: (770) 219-6520.
What is CATHERINE CARLSON's NPI number?
CATHERINE CARLSON's National Provider Identifier (NPI) is 1346656980, issued on 07/03/2014.
Does CATHERINE CARLSON prescribe more brand-name or generic drugs?
CATHERINE CARLSON's prescribing is 3% brand-name and 97% generic drugs by claim count, with $39K in brand drug costs.
How many Surgical Physician Assistant providers are there in the US?
There are 16,119 Surgical Physician Assistant providers across 54 states in the US. The average Surgical Physician Assistant provider writes 316 Medicare Part D claims per year.
What drugs does CATHERINE CARLSON prescribe most often?
Based on 2023 Medicare Part D data, CATHERINE CARLSON's most frequently prescribed drugs include Triamcinolone Acetonide, Ketoconazole, Fluocinonide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CATHERINE CARLSON accept Medicare?
CATHERINE CARLSON appears in CMS Medicare data with 433 Part D claims and 175 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CATHERINE CARLSON's credentials?
CATHERINE CARLSON's NPI is 1346656980. 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