2026 NPPES data Clinical Cardiac Electrophysiology Physician NPI 1174504252 M.D.
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CHARLES ATHILL, M.D.

Clinical Cardiac Electrophysiology Physician in SAN DIEGO, California. 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
1K
Medicare Part D claims · 283 beneficiaries · Clinical Cardiac Electrophysiology Physician avg: 2K
Generic prescribing
72%
generic claims · 28% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.7534/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$31.0K
109 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CHARLES ATHILL, M.D. is a Clinical Cardiac Electrophysiology Physician ([object Object]) practicing in SAN DIEGO, California with a Medicare Part D prescribing footprint of 1K claims across 283 beneficiaries — 28% brand-name prescribing . Their CMS MIPS Final Score of 77.7534/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $31.0K across 109 transactions are disclosed under CMS Open Payments (Sunshine Act).

What the federal data shows

CHARLES ATHILL, M.D. reported a CMS MIPS final score of 77.7534/100 — below the 83.1 national average — and filed 1,376 Medicare Part D claims in 2023.

77.7534/100
MIPS score · -5 vs avg
1K
Part D claims, 2023
72%
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.

CHARLES ATHILL, 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

78 24th percentile higher than 24% 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)

CHARLES ATHILL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

CHARLES ATHILL, M.D. at a glance

Below national average

NPI registry status

Active

Issued 11/07/2005

NPI 1174504252

Primary specialty

Clinical Cardiac Electrophysiology Physician

Niche

1,570 US NPIs in this specialty

Medicare Part D claims

1,376 14% vs specialty avg

2023 prescription claims

Specialty avg: 1,596

MIPS final score

77.7534/100 5.346599999999995% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Clinical Cardiac Electrophysiology Physician compares to other specialties among California providers

California providers

Clinical Cardiac Electrophysiology Physician share within California

1. Clinical Cardiac Electrophysiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Cardiac Electrophysiology Physician share within California

Medicare quality performance — MIPS

CHARLES ATHILL, M.D.'s 2023 MIPS final score plotted against the Clinical Cardiac Electrophysiology Physician national average

Below national average
MIPS Final Score
77.7534/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Clinical Cardiac Electrophysiology Physician) — 77.7534/100 vs national avg 83.1

0%100%National avg83%77.8%
MIPS final score (Clinical Cardiac Electrophysiology Physician) — 77.7534/100 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).

CHARLES ATHILL, M.D. is a Clinical Cardiac Electrophysiology Physician provider practicing in SAN DIEGO, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1174504252. 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.

CHARLES ATHILL, M.D. appears in the CMS NPPES registry as a Clinical Cardiac Electrophysiology Physician provider holding M.D. credentials at 3131 BERGER AVE, SAN DIEGO, CA, 92123, with a listed phone of (858) 244-6800. NPI 1174504252 was issued on 11/07/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ATHILL 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 1,376 prescription claims written by this provider, covering 283 Medicare beneficiaries and totaling roughly $496K in drug spend, split 28% brand-name and 72% 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 77.7534/100 for the 2023 performance year (Quality 61.3566, Cost 66.7792), compared with the national average of 83.1.

Clinical Cardiac Electrophysiology Physician is a narrow specialty nationwide, with 1,570 enrolled providers across 52 states and an average of 1,596 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

3131 BERGER AVE
SAN DIEGO, CA 92123

Provider Details

NPI 1174504252
Specialty Clinical Cardiac Electrophysiology Physician
Credentials M.D.
Gender Male
NPI Issued 11/07/2005

CMS Quality Score (MIPS)

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

77.7534
Final Score
Avg: 83.1
61.3566
Quality
66.7792
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where CHARLES ATHILL, 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.

EMERGENCY AND ACUTE CARE MEDICAL CORPORATION
SAN DIEGO, CA
SAN DIEGO CARDIAC CENTER MEDICAL GROUP INC.
SAN DIEGO, CA

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 CHARLES ATHILL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$31.0K

Largest payer

Medical Device Business Services, 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.

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to CHARLES ATHILL, M.D.. To verify CHARLES ATHILL, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

CHARLES ATHILL, M.D. — brand share 28.0%
Specialty average (est.)

28% brand-name claims vs 72% generic, on 1,376 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.

1,376
Total Claims
$496K
Total Drug Cost
283
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,444
Total Day Supply
102,622
Brand vs Generic
28% brand / 72% generic
Brand Drug Cost
$451K
Generic Drug Cost
$45K

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
1.56
Gender Split
43% female / 57% male

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
185
Eliquis
Apixaban
166
Xarelto
Rivaroxaban
136
Flecainide Acetate
90
Dofetilide
69
Metoprolol Tartrate
64
Sotalol
Sotalol Hcl
51
Rosuvastatin Calcium
49
Amiodarone Hcl
48
Atorvastatin Calcium
45

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

Clinical Cardiac Electrophysiology Physician Overview

How CHARLES ATHILL, M.D. fits within the Clinical Cardiac Electrophysiology Physician landscape nationally.

1,570
Clinical Cardiac Electrophysiology Physician Providers in US
52
States with Clinical Cardiac Electrophysiology Physician
1,596
Avg Claims per Provider

CHARLES ATHILL, M.D.'s 1,376 claims are below the specialty average of 1,596.

Nearby Clinical Cardiac Electrophysiology Physician Providers in California

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

Compare Clinical Cardiac Electrophysiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CHARLES ATHILL, M.D.'s specialty?
CHARLES ATHILL, M.D. specializes in Clinical Cardiac Electrophysiology Physician and practices in SAN DIEGO, California. Credentials: M.D..
How much does CHARLES ATHILL, M.D. prescribe under Medicare Part D?
In 2023, CHARLES ATHILL, M.D. wrote 1,376 Medicare Part D claims totaling $496K in drug costs for 283 beneficiaries.
What is CHARLES ATHILL, M.D.'s Medicare quality score?
CHARLES ATHILL, M.D. has a CMS MIPS Final Score of 77.7534/100 (Quality: 61.3566, Cost: 66.7792). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CHARLES ATHILL, M.D. located?
CHARLES ATHILL, M.D. is located at 3131 BERGER AVE, SAN DIEGO, CA, 92123. Phone: (858) 244-6800.
What is CHARLES ATHILL, M.D.'s NPI number?
CHARLES ATHILL, M.D.'s National Provider Identifier (NPI) is 1174504252, issued on 11/07/2005.
Does CHARLES ATHILL, M.D. prescribe more brand-name or generic drugs?
CHARLES ATHILL, M.D.'s prescribing is 28% brand-name and 72% generic drugs by claim count, with $451K in brand drug costs.
How many Clinical Cardiac Electrophysiology Physician providers are there in the US?
There are 1,570 Clinical Cardiac Electrophysiology Physician providers across 52 states in the US. The average Clinical Cardiac Electrophysiology Physician provider writes 1,596 Medicare Part D claims per year.
What drugs does CHARLES ATHILL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CHARLES ATHILL, M.D.'s most frequently prescribed drugs include Metoprolol Succinate, Eliquis, Xarelto. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CHARLES ATHILL, M.D. accept Medicare?
CHARLES ATHILL, M.D. appears in CMS Medicare data with 1,376 Part D claims and 283 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CHARLES ATHILL, M.D.'s credentials?
CHARLES ATHILL, M.D.'s NPI is 1174504252 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