2026 NPPES data Advanced Heart Failure and Transplant Cardiology Physician NPI 1205921574 M.D.
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CHARLES CAMPBELL, M.D.

Advanced Heart Failure and Transplant Cardiology Physician in BLAIRSVILLE, 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
7K
Medicare Part D claims · 774 beneficiaries · Advanced Heart Failure and Transplant Cardiology Physician avg: 2K
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.8/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$965.56
40 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CHARLES CAMPBELL, M.D. reported a CMS MIPS final score of 90.8/100 — above the 83.1 national average — and filed 6,939 Medicare Part D claims in 2023.

90.8/100
MIPS score · +8 vs avg
7K
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.

CHARLES CAMPBELL, 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

91 Top 40% higher than 60% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 CAMPBELL, 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 CHARLES CAMPBELL, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 10/04/2006

NPI 1205921574

Primary specialty

Advanced Heart Failure and Transplant Cardiology Physician

Niche

510 US NPIs in this specialty

Medicare Part D claims

6,939 294% vs specialty avg

2023 prescription claims

Specialty avg: 1,762

MIPS final score

90.8/100 7.700000000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Advanced Heart Failure and Transplant Cardiology Physician compares to other specialties among Georgia providers

Georgia providers

Advanced Heart Failure and Transplant Cardiology Physician share within Georgia

1. Advanced Heart Failure and Transplant Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Advanced Heart Failure and Transplant Cardiology Physician share within Georgia

Medicare quality performance — MIPS

CHARLES CAMPBELL, M.D.'s 2023 MIPS final score plotted against the Advanced Heart Failure and Transplant Cardiology Physician national average

High performer (top quartile)
MIPS Final Score
90.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Advanced Heart Failure and Transplant Cardiology Physician) — 90.8/100 vs national avg 83.1

0%100%National avg83%90.8%
MIPS final score (Advanced Heart Failure and Transplant Cardiology Physician) — 90.8/100 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 CAMPBELL, M.D. appears in the CMS NPPES registry as a Advanced Heart Failure and Transplant Cardiology Physician provider holding M.D. credentials at 19 DOCTORS WAY STE C, BLAIRSVILLE, GA, 30512, with a listed phone of (706) 439-6380. NPI 1205921574 was issued on 10/04/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CAMPBELL 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 6,939 prescription claims written by this provider, covering 774 Medicare beneficiaries and totaling roughly $1.5 million 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 90.8/100 for the 2023 performance year, compared with the national average of 83.1.

Advanced Heart Failure and Transplant Cardiology Physician is a narrow specialty nationwide, with 510 enrolled providers across 48 states and an average of 1,762 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

19 DOCTORS WAY STE C
BLAIRSVILLE, GA 30512

Provider Details

NPI 1205921574
Specialty Advanced Heart Failure and Transplant Cardiology Physician
Credentials M.D.
Gender Male
NPI Issued 10/04/2006

CMS Quality Score (MIPS)

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

90.8
Final Score
Avg: 83.1
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CHARLES CAMPBELL, 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.

PIEDMONT CARDIOLOGY OF ATLANTA, LLC
BLAIRSVILLE, 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 CHARLES CAMPBELL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$966

Largest payer

Abbott Laboratories

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 · Typical

CHARLES CAMPBELL, M.D. — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 6,939 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.

6,939
Total Claims
$1.5M
Total Drug Cost
774
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
15,952
Total Day Supply
474,475
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$1.3M
Generic Drug Cost
$107K
Antibiotic Claims
27

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
1.58
Gender Split
44% female / 56% male
Age Distribution
<65: 45, 65-74: 322, 75-84: 318, 85+: 89

Top Prescribed Drugs (Medicare Part D)

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

What CHARLES CAMPBELL, 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
Eliquis
Apixaban
557
Rosuvastatin Calcium
541
Metoprolol Succinate
530
Atorvastatin Calcium
434
Ezetimibe
320
Carvedilol
301
Metoprolol Tartrate
299
Clopidogrel
Clopidogrel Bisulfate
275
Losartan Potassium
275
Amlodipine Besylate
256

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

Advanced Heart Failure and Transplant Cardiology Physician Overview

How CHARLES CAMPBELL, M.D. fits within the Advanced Heart Failure and Transplant Cardiology Physician landscape nationally.

510
Advanced Heart Failure and Transplant Cardiology Physician Providers in US
48
States with Advanced Heart Failure and Transplant Cardiology Physician
1,762
Avg Claims per Provider

CHARLES CAMPBELL, M.D.'s 6,939 claims are above the specialty average of 1,762.

Nearby Advanced Heart Failure and Transplant Cardiology Physician Providers in Georgia

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

Compare Advanced Heart Failure and Transplant Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CHARLES CAMPBELL, M.D.'s specialty?
CHARLES CAMPBELL, M.D. specializes in Advanced Heart Failure and Transplant Cardiology Physician and practices in BLAIRSVILLE, Georgia. Credentials: M.D..
How much does CHARLES CAMPBELL, M.D. prescribe under Medicare Part D?
In 2023, CHARLES CAMPBELL, M.D. wrote 6,939 Medicare Part D claims totaling $1.5M in drug costs for 774 beneficiaries.
What is CHARLES CAMPBELL, M.D.'s Medicare quality score?
CHARLES CAMPBELL, M.D. has a CMS MIPS Final Score of 90.8/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CHARLES CAMPBELL, M.D. located?
CHARLES CAMPBELL, M.D. is located at 19 DOCTORS WAY STE C, BLAIRSVILLE, GA, 30512. Phone: (706) 439-6380.
What is CHARLES CAMPBELL, M.D.'s NPI number?
CHARLES CAMPBELL, M.D.'s National Provider Identifier (NPI) is 1205921574, issued on 10/04/2006.
Does CHARLES CAMPBELL, M.D. prescribe more brand-name or generic drugs?
CHARLES CAMPBELL, M.D.'s prescribing is 20% brand-name and 80% generic drugs by claim count, with $1.3M in brand drug costs.
How many Advanced Heart Failure and Transplant Cardiology Physician providers are there in the US?
There are 510 Advanced Heart Failure and Transplant Cardiology Physician providers across 48 states in the US. The average Advanced Heart Failure and Transplant Cardiology Physician provider writes 1,762 Medicare Part D claims per year.
What drugs does CHARLES CAMPBELL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CHARLES CAMPBELL, M.D.'s most frequently prescribed drugs include Eliquis, Rosuvastatin Calcium, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CHARLES CAMPBELL, M.D. accept Medicare?
CHARLES CAMPBELL, M.D. appears in CMS Medicare data with 6,939 Part D claims and 774 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CHARLES CAMPBELL, M.D.'s credentials?
CHARLES CAMPBELL, M.D.'s NPI is 1205921574 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