2026 NPPES data Plastic and Reconstructive Surgery Physician NPI 1396791232 MD
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HEATHER KARU, MD

Plastic and Reconstructive Surgery Physician in SIOUX FALLS, South Dakota. 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
12
Medicare Part D claims · Plastic and Reconstructive Surgery Physician avg: 86
MIPS score
77.9984/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$25.6K
72 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

HEATHER KARU, MD reported a CMS MIPS final score of 77.9984/100 — below the 83.1 national average — and filed 12 Medicare Part D claims in 2023.

77.9984/100
MIPS score · -5 vs avg
12
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.

HEATHER KARU, MD'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)

HEATHER KARU, 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 HEATHER KARU, MD?

Below national average

NPI registry status

Active

Issued 05/25/2006

NPI 1396791232

Primary specialty

Plastic and Reconstructive Surgery Physician

Niche

2,352 US NPIs in this specialty

Medicare Part D claims

12 86% vs specialty avg

2023 prescription claims

Specialty avg: 86

MIPS final score

77.9984/100 5.101599999999991% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in South Dakota

How Plastic and Reconstructive Surgery Physician compares to other specialties among South Dakota providers

South Dakota providers

Plastic and Reconstructive Surgery Physician share within South Dakota

1. Plastic and Reconstructive Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic and Reconstructive Surgery Physician share within South Dakota

Medicare quality performance — MIPS

HEATHER KARU, MD's 2023 MIPS final score plotted against the Plastic and Reconstructive Surgery Physician national average

Below national average
MIPS Final Score
77.9984/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic and Reconstructive Surgery Physician) — 77.9984/100 vs national avg 83.1

0%100%National avg83%78%
MIPS final score (Plastic and Reconstructive Surgery Physician) — 77.9984/100 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).

HEATHER KARU, MD appears in the CMS NPPES registry as a Plastic and Reconstructive Surgery Physician provider holding MD credentials at 1500 W 22ND ST, SIOUX FALLS, SD, 57105, with a listed phone of (605) 328-0000. NPI 1396791232 was issued on 05/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KARU 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 12 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $122 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 77.9984/100 for the 2023 performance year (Quality 80.1358, Cost 47.3589), compared with the national average of 83.1.

Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 2,352 enrolled providers across 54 states and an average of 86 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

1500 W 22ND ST
SIOUX FALLS, SD 57105

Provider Details

NPI 1396791232
Specialty Plastic and Reconstructive Surgery Physician
Credentials MD
Gender Female
NPI Issued 05/25/2006

CMS Quality Score (MIPS)

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

77.9984
Final Score
Avg: 83.1
80.1358
Quality
47.3589
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where HEATHER KARU, 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.

SANFORD CLINIC
SIOUX FALLS, SD

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 HEATHER KARU, MD. Source: openpaymentsdata.cms.gov.

Total received

$25.6K

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.

Medicare Part D Prescribing Data

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

12
Total Claims
$122
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
24
Total Day Supply
596
Brand Drug Cost
$0
Generic Drug Cost
$122

Patient Demographics

Average Patient Age
64.8 years
Avg HCC Risk Score
1.75

Plastic and Reconstructive Surgery Physician Overview

How HEATHER KARU, MD fits within the Plastic and Reconstructive Surgery Physician landscape nationally.

2,352
Plastic and Reconstructive Surgery Physician Providers in US
54
States with Plastic and Reconstructive Surgery Physician
86
Avg Claims per Provider

HEATHER KARU, MD's 12 claims are below the specialty average of 86.

Nearby Plastic and Reconstructive Surgery Physician Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as KARU.

Compare Plastic and Reconstructive Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HEATHER KARU, MD's specialty?
HEATHER KARU, MD specializes in Plastic and Reconstructive Surgery Physician and practices in SIOUX FALLS, South Dakota. Credentials: MD.
How much does HEATHER KARU, MD prescribe under Medicare Part D?
In 2023, HEATHER KARU, MD wrote 12 Medicare Part D claims totaling $122 in drug costs for N/A beneficiaries.
What is HEATHER KARU, MD's Medicare quality score?
HEATHER KARU, MD has a CMS MIPS Final Score of 77.9984/100 (Quality: 80.1358, Cost: 47.3589). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HEATHER KARU, MD located?
HEATHER KARU, MD is located at 1500 W 22ND ST, SIOUX FALLS, SD, 57105. Phone: (605) 328-0000.
What is HEATHER KARU, MD's NPI number?
HEATHER KARU, MD's National Provider Identifier (NPI) is 1396791232, issued on 05/25/2006.
How many Plastic and Reconstructive Surgery Physician providers are there in the US?
There are 2,352 Plastic and Reconstructive Surgery Physician providers across 54 states in the US. The average Plastic and Reconstructive Surgery Physician provider writes 86 Medicare Part D claims per year.
Does HEATHER KARU, MD accept Medicare?
HEATHER KARU, MD appears in CMS Medicare data with 12 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HEATHER KARU, MD's credentials?
HEATHER KARU, MD's NPI is 1396791232 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