2026 NPPES data Chiropractor NPI 1578539854 NP
Verify on CMS →

DENISE KARSTEN, NP

Chiropractor in SYRACUSE, New York. 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
522
Medicare Part D claims · 126 beneficiaries · Chiropractor avg: 824
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.4732/100
▲ 3 pts above national avg 83.1 · [object Object]

What the federal data shows

DENISE KARSTEN, NP reported a CMS MIPS final score of 86.4732/100 — above the 83.1 national average — and filed 522 Medicare Part D claims in 2023.

86.4732/100
MIPS score · +3 vs avg
522
Part D claims, 2023
88%
generic prescribing

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.

DENISE KARSTEN, NP's MIPS score vs every scored U.S. clinician

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

86 Top 48% higher than 52% 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%). This entry sits in this band. 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

What does the federal data show about DENISE KARSTEN, NP?

High performer (top quartile)

NPI registry status

Active

Issued 02/27/2006

NPI 1578539854

Primary specialty

Chiropractor

High-volume

95,153 US NPIs in this specialty

Medicare Part D claims

522 37% vs specialty avg

2023 prescription claims

Specialty avg: 824

MIPS final score

86.4732/100 3.3732000000000113% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Chiropractor compares to other specialties among New York providers

New York providers

Chiropractor share within New York

1. Chiropractor42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Chiropractor share within New York

Medicare quality performance — MIPS

DENISE KARSTEN, NP's 2023 MIPS final score plotted against the Chiropractor national average

High performer (top quartile)
MIPS Final Score
86.4732/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Chiropractor) — 86.4732/100 vs national avg 83.1

0%100%National avg83%86.5%
MIPS final score (Chiropractor) — 86.4732/100 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).

DENISE KARSTEN, NP appears in the CMS NPPES registry as a Chiropractor provider holding NP credentials at 725 IRVING AVE STE 503, SYRACUSE, NY, 13210, with a listed phone of (315) 464-4470. NPI 1578539854 was issued on 02/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KARSTEN 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 522 prescription claims written by this provider, covering 126 Medicare beneficiaries and totaling roughly $46K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 61.3%. 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 86.4732/100 for the 2023 performance year (Quality 78.8533, Cost 50.5668), compared with the national average of 83.1.

Chiropractor is a high-volume specialty nationwide, with 95,153 enrolled providers across 56 states and an average of 824 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

725 IRVING AVE STE 503
SYRACUSE, NY 13210

Provider Details

NPI 1578539854
Specialty Chiropractor
Credentials NP
Gender Female
NPI Issued 02/27/2006

CMS Quality Score (MIPS)

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

86.4732
Final Score
Avg: 83.1
78.8533
Quality
50.5668
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where DENISE KARSTEN, NP 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.

SUNY HEALTH SCIENCE CENTER AT SYRACUSE
SYRACUSE, NY

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

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to DENISE KARSTEN, NP. To verify DENISE KARSTEN, NP's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

DENISE KARSTEN, NP — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 522 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.

522
Total Claims
$46K
Total Drug Cost
126
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
527
Total Day Supply
12,288
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$28K
Generic Drug Cost
$18K
Opioid Claims
320 (61.3% rate)

Patient Demographics

Average Patient Age
70.3 years
Avg HCC Risk Score
2.73
Gender Split
48% female / 52% male

Top Prescribed Drugs (Medicare Part D)

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

What DENISE KARSTEN, NP 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
111
Gabapentin
63
Morphine Sulfate Er
Morphine Sulfate
42
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
41
Morphine Sulfate
32
Fentanyl
28
Xtampza Er
Oxycodone Myristate
19
Prochlorperazine Maleate
13
Hydromorphone Hcl
12
Naloxone Hcl
12

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

Chiropractor Overview

How DENISE KARSTEN, NP fits within the Chiropractor landscape nationally.

95,153
Chiropractor Providers in US
56
States with Chiropractor
824
Avg Claims per Provider

DENISE KARSTEN, NP's 522 claims are below the specialty average of 824.

Nearby Chiropractor Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as KARSTEN.

Compare Chiropractor nationally: see state-by-state distribution →

Frequently Asked Questions

What is DENISE KARSTEN, NP's specialty?
DENISE KARSTEN, NP specializes in Chiropractor and practices in SYRACUSE, New York. Credentials: NP.
How much does DENISE KARSTEN, NP prescribe under Medicare Part D?
In 2023, DENISE KARSTEN, NP wrote 522 Medicare Part D claims totaling $46K in drug costs for 126 beneficiaries.
What is DENISE KARSTEN, NP's Medicare quality score?
DENISE KARSTEN, NP has a CMS MIPS Final Score of 86.4732/100 (Quality: 78.8533, Cost: 50.5668). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DENISE KARSTEN, NP located?
DENISE KARSTEN, NP is located at 725 IRVING AVE STE 503, SYRACUSE, NY, 13210. Phone: (315) 464-4470.
What is DENISE KARSTEN, NP's NPI number?
DENISE KARSTEN, NP's National Provider Identifier (NPI) is 1578539854, issued on 02/27/2006.
Does DENISE KARSTEN, NP prescribe more brand-name or generic drugs?
DENISE KARSTEN, NP's prescribing is 12% brand-name and 88% generic drugs by claim count, with $28K in brand drug costs.
Does DENISE KARSTEN, NP prescribe opioids?
Yes, DENISE KARSTEN, NP had 320 opioid claims in 2023 with an opioid prescribing rate of 61.3%.
How many Chiropractor providers are there in the US?
There are 95,153 Chiropractor providers across 56 states in the US. The average Chiropractor provider writes 824 Medicare Part D claims per year.
What drugs does DENISE KARSTEN, NP prescribe most often?
Based on 2023 Medicare Part D data, DENISE KARSTEN, NP's most frequently prescribed drugs include Oxycodone Hcl, Gabapentin, Morphine Sulfate Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DENISE KARSTEN, NP accept Medicare?
DENISE KARSTEN, NP appears in CMS Medicare data with 522 Part D claims and 126 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DENISE KARSTEN, NP's credentials?
DENISE KARSTEN, NP's NPI is 1578539854 with credentials NP. 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