2026 NPPES data Geriatric Psychiatry Physician NPI 1457434870 MD
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Cletus Carvalho, MD

Geriatric Psychiatry Physician in Lexington, Kentucky. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 785 in Geriatric Psychiatry Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
646
Medicare Part D claims · 147 beneficiaries · Geriatric Psychiatry Physician avg: 2K
MIPS score
79.8/100
▼ 3 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Cletus Carvalho, MD reported a CMS MIPS final score of 79.8/100 - below the 83.1 national average - and filed 646 Medicare Part D claims in 2023.

79.8/100
MIPS score · -3 vs avg
646
Part D claims, 2023
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.

Cletus Carvalho, MD's MIPS score vs every scored U.S. clinician

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

80 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+: 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

Where Cletus Carvalho, MD sits

This provider among geriatric psychiatry physician peers

Across the 114 geriatric psychiatry physician providers who report both Medicare Part D prescribing and a MIPS quality score, Cletus Carvalho, MD writes more Part D claims than 43% of them and scores higher on MIPS quality than 37% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.647.370.994.5Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 72Cletus Carvalho, MD-Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 37
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one geriatric psychiatry physician peer from a representative sample of 60; the gold marker is Cletus Carvalho, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Cletus Carvalho, 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 Cletus Carvalho, MD?

Near national average

NPI registry status

Active

Issued 10/21/2006

NPI 1457434870

Primary specialty

Geriatric Psychiatry Physician

Niche

785 US NPIs in this specialty

Medicare Part D claims

646 59% vs specialty avg

2023 prescription claims

Specialty avg: 1,586

MIPS final score

79.8/100 3.3 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Geriatric Psychiatry Physician compares to other specialties among Kentucky providers

Kentucky providers

Largest specialties in Kentucky (% of in-state providers)

Family Nurse Practitioner - 5.9%Family Nurse Practitioner5.9%Student in an Organized Health Care Education/Training Program - 5.2%Student in an Organized Health Care Education/Training Program5.2%Pharmacist - 4.8%Pharmacist4.8%Mental Health Counselor - 4.6%Mental Health Counselor4.6%Clinical Social Worker - 4.1%Clinical Social Worker4.1%Physical Therapist - 3.7%Physical Therapist3.7%Geriatric Psychiatry Physician - 0%Geriatric Psychiatry Physician0%
Largest specialties in Kentucky (% of in-state providers)

Medicare quality performance, MIPS

Cletus Carvalho, MD's 2023 MIPS final score plotted against the Geriatric Psychiatry Physician national average

Near national average
MIPS Final Score
79.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Geriatric Psychiatry Physician) - 79.8/100 vs national avg 83.1

0%100%National avg83%79.8%
MIPS final score (Geriatric Psychiatry Physician) - 79.8/100 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).

Cletus Carvalho, MD appears in the CMS NPPES registry as a Geriatric Psychiatry Physician provider holding MD credentials at 3070 LAKECREST CIR # 400-197, Lexington, KY, 40513, with a listed phone of (859) 263-3888. NPI 1457434870 was issued on 10/21/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Carvalho 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 646 prescription claims written by this provider, covering 147 Medicare beneficiaries and totaling roughly $16K in drug spend. 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 79.8/100 for the 2023 performance year (Quality 58.4, Cost 71.1), compared with the national average of 83.1.

Geriatric Psychiatry Physician is a narrow specialty nationwide, with 785 enrolled providers across 46 states and an average of 1,586 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

3070 LAKECREST CIR # 400-197
Lexington, KY 40513

Provider Details

NPI 1457434870
Specialty Geriatric Psychiatry Physician
Credentials MD
Gender Male
NPI Issued 10/21/2006

CMS Quality Score (MIPS)

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

79.8487
Final Score
Avg: 83.1
58.4337
Quality
71.0619
Cost
84
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Cletus Carvalho, 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.

St. Claire Medical Center Inc
Morehead, KY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

646
Total Claims
$16K
Total Drug Cost
147
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
659
Total Day Supply
18,368
Generic Drug Cost
$12K

Patient Demographics

Average Patient Age
60.8 years
Avg HCC Risk Score
1.61
Gender Split
68% female / 32% male
Age Distribution
<65: 78, 65-74: 41, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What Cletus Carvalho, 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
Clonazepam
87
Hydroxyzine Hcl
71
Mirtazapine
67
Alprazolam
63
Risperidone
47
Sertraline Hcl
30
Zolpidem Tartrate
29
Olanzapine
19
Diazepam
15
Lisinopril
15

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

Geriatric Psychiatry Physician Overview

How Cletus Carvalho, MD fits within the Geriatric Psychiatry Physician landscape nationally.

785
Geriatric Psychiatry Physician Providers in US
46
States with Geriatric Psychiatry Physician
1,586
Avg Claims per Provider

Cletus Carvalho, MD's 646 claims are below the specialty average of 1,586.

Nearby Geriatric Psychiatry Physician Providers in Kentucky

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

Compare Geriatric Psychiatry Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Kentucky medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Geriatric Psychiatry Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Cletus Carvalho, MD's specialty?
Cletus Carvalho, MD specializes in Geriatric Psychiatry Physician and practices in Lexington, Kentucky. Credentials: MD.
How much does Cletus Carvalho, MD prescribe under Medicare Part D?
In 2023, Cletus Carvalho, MD wrote 646 Medicare Part D claims totaling $16K in drug costs for 147 beneficiaries.
What is Cletus Carvalho, MD's Medicare quality score?
Cletus Carvalho, MD has a CMS MIPS Final Score of 79.8/100 (Quality: 58.4, Cost: 71.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Cletus Carvalho, MD located?
Cletus Carvalho, MD is located at 3070 LAKECREST CIR # 400-197, Lexington, KY, 40513. Phone: (859) 263-3888.
What is Cletus Carvalho, MD's NPI number?
Cletus Carvalho, MD's National Provider Identifier (NPI) is 1457434870, issued on 10/21/2006.
How many Geriatric Psychiatry Physician providers are there in the US?
There are 785 Geriatric Psychiatry Physician providers across 46 states in the US. The average Geriatric Psychiatry Physician provider writes 1,586 Medicare Part D claims per year.
What drugs does Cletus Carvalho, MD prescribe most often?
Based on 2023 Medicare Part D data, Cletus Carvalho, MD's most frequently prescribed drugs include Clonazepam, Hydroxyzine Hcl, Mirtazapine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Cletus Carvalho, MD accept Medicare?
Cletus Carvalho, MD appears in CMS Medicare data with 646 Part D claims and 147 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Cletus Carvalho, MD's credentials?
Cletus Carvalho, MD's NPI is 1457434870 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

Compiled from official public sources by the PlainDoctor editorial team.