2026 NPPES data Anesthesiology Physician NPI 1013233428 MD
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CHRISTINA JULIAN, MD

Anesthesiology Physician in PUYALLUP, Washington. 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
473
Medicare Part D claims · 107 beneficiaries · Anesthesiology Physician avg: 860
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
59.9509/100
▼ 23 pts below national avg 83.1 · [object Object]
Industry payments
$177.86
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CHRISTINA JULIAN, MD reported a CMS MIPS final score of 59.9509/100 — below the 83.1 national average — and filed 473 Medicare Part D claims in 2023.

59.9509/100
MIPS score · -23 vs avg
473
Part D claims, 2023
90%
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.

CHRISTINA JULIAN, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

60 5th percentile higher than 5% 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%). This entry sits in this band. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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)

CHRISTINA JULIAN, 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).

What does the federal data show about CHRISTINA JULIAN, MD?

Below national average

NPI registry status

Active

Issued 04/09/2010

NPI 1013233428

Primary specialty

Anesthesiology Physician

High-volume

56,398 US NPIs in this specialty

Medicare Part D claims

473 45% vs specialty avg

2023 prescription claims

Specialty avg: 860

MIPS final score

59.9509/100 23.149099999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Washington

How Anesthesiology Physician compares to other specialties among Washington providers

Washington providers

Anesthesiology Physician share within Washington

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

Medicare quality performance — MIPS

CHRISTINA JULIAN, MD's 2023 MIPS final score plotted against the Anesthesiology Physician national average

Below national average
MIPS Final Score
59.9509/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Anesthesiology Physician) — 59.9509/100 vs national avg 83.1

0%100%National avg83%60%
MIPS final score (Anesthesiology Physician) — 59.9509/100 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).

CHRISTINA JULIAN, MD appears in the CMS NPPES registry as a Anesthesiology Physician provider holding MD credentials at 1519 3RD ST SE STE 101, PUYALLUP, WA, 98372, with a listed phone of (253) 841-8939. NPI 1013233428 was issued on 04/09/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JULIAN 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 473 prescription claims written by this provider, covering 107 Medicare beneficiaries and totaling roughly $49K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 63.0%. 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 59.9509/100 for the 2023 performance year (Quality 75.3479, Cost 43.655), compared with the national average of 83.1.

Anesthesiology Physician is a high-volume specialty nationwide, with 56,398 enrolled providers across 56 states and an average of 860 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

1519 3RD ST SE STE 101
PUYALLUP, WA 98372

Provider Details

NPI 1013233428
Specialty Anesthesiology Physician
Credentials MD
Gender Female
NPI Issued 04/09/2010

CMS Quality Score (MIPS)

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

59.9509
Final Score
Avg: 83.1
75.3479
Quality
43.655
Cost
37
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CHRISTINA JULIAN, 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.

ACUTE PAIN MANAGEMENT PLLC
BELLEVUE, WA

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 CHRISTINA JULIAN, MD. Source: openpaymentsdata.cms.gov.

Total received

$178

Largest payer

ABBVIE 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 — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to CHRISTINA JULIAN, MD. To verify CHRISTINA JULIAN, MD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

CHRISTINA JULIAN, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 473 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.

473
Total Claims
$49K
Total Drug Cost
107
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
496
Total Day Supply
13,993
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$31K
Generic Drug Cost
$19K
Opioid Claims
298 (63.0% rate)

Patient Demographics

Average Patient Age
72.1 years
Avg HCC Risk Score
1.47
Gender Split
69% female / 31% male

Top Prescribed Drugs (Medicare Part D)

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

What CHRISTINA JULIAN, MD 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
Oxycodone Hcl
85
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
61
Gabapentin
32
Hydromorphone Hcl
32
Pregabalin
29
Morphine Sulfate Er
Morphine Sulfate
28
Fentanyl
20
Cyclobenzaprine Hcl
15
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
14
Tramadol Hcl
14

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

Anesthesiology Physician Overview

How CHRISTINA JULIAN, MD fits within the Anesthesiology Physician landscape nationally.

56,398
Anesthesiology Physician Providers in US
56
States with Anesthesiology Physician
860
Avg Claims per Provider

CHRISTINA JULIAN, MD's 473 claims are below the specialty average of 860.

Nearby Anesthesiology Physician Providers in Washington

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

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

Frequently Asked Questions

What is CHRISTINA JULIAN, MD's specialty?
CHRISTINA JULIAN, MD specializes in Anesthesiology Physician and practices in PUYALLUP, Washington. Credentials: MD.
How much does CHRISTINA JULIAN, MD prescribe under Medicare Part D?
In 2023, CHRISTINA JULIAN, MD wrote 473 Medicare Part D claims totaling $49K in drug costs for 107 beneficiaries.
What is CHRISTINA JULIAN, MD's Medicare quality score?
CHRISTINA JULIAN, MD has a CMS MIPS Final Score of 59.9509/100 (Quality: 75.3479, Cost: 43.655). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CHRISTINA JULIAN, MD located?
CHRISTINA JULIAN, MD is located at 1519 3RD ST SE STE 101, PUYALLUP, WA, 98372. Phone: (253) 841-8939.
What is CHRISTINA JULIAN, MD's NPI number?
CHRISTINA JULIAN, MD's National Provider Identifier (NPI) is 1013233428, issued on 04/09/2010.
Does CHRISTINA JULIAN, MD prescribe more brand-name or generic drugs?
CHRISTINA JULIAN, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $31K in brand drug costs.
Does CHRISTINA JULIAN, MD prescribe opioids?
Yes, CHRISTINA JULIAN, MD had 298 opioid claims in 2023 with an opioid prescribing rate of 63.0%.
How many Anesthesiology Physician providers are there in the US?
There are 56,398 Anesthesiology Physician providers across 56 states in the US. The average Anesthesiology Physician provider writes 860 Medicare Part D claims per year.
What drugs does CHRISTINA JULIAN, MD prescribe most often?
Based on 2023 Medicare Part D data, CHRISTINA JULIAN, MD's most frequently prescribed drugs include Oxycodone Hcl, Hydrocodone-Acetaminophen, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CHRISTINA JULIAN, MD accept Medicare?
CHRISTINA JULIAN, MD appears in CMS Medicare data with 473 Part D claims and 107 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CHRISTINA JULIAN, MD's credentials?
CHRISTINA JULIAN, MD's NPI is 1013233428 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