Herbert Karpelman, D.P.M.
Podiatrist in Cheshire, Connecticut.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,498 in Podiatrist, 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.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Herbert Karpelman, D.P.M. reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 129 Medicare Part D claims in 2023.
- 75/100
- MIPS score · -8 vs avg
- 129
- Part D claims, 2023
- 83%
- 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.
Herbert Karpelman, D.P.M.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
75 15th percentile higher than 15% of 477,587 scored providers
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 Herbert Karpelman, D.P.M. sits
This provider among podiatrist peers
Across the 2,987 podiatrist providers who report both Medicare Part D prescribing and a MIPS quality score, Herbert Karpelman, D.P.M. writes more Part D claims than 31% 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
Each dot is one podiatrist peer from a representative sample of 60; the gold marker is Herbert Karpelman, D.P.M.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Herbert Karpelman, D.P.M.?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Connecticut
How Podiatrist compares to other specialties among Connecticut providers
Podiatrist ranks #71 among Connecticut's specialties (0.2% of in-state providers)
Each bar is a specialty's share of the Connecticut provider total, by primary NUCC taxonomy. The highlighted bar is Podiatrist; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Herbert Karpelman, D.P.M.'s 2023 MIPS final score plotted against the Podiatrist national average
- MIPS Final Score
- 75/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Podiatrist) - 75/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Specialty volume Podiatrist US NPIs
75/100 MIPS final score - 8.1 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Podiatrist.
How MIPS and board certification work
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).
Herbert Karpelman, D.P.M. appears in the CMS NPPES registry as a Podiatrist provider holding D.P.M. credentials at 97 MAIN ST, Cheshire, CT, 06410, with a listed phone of (203) 272-4324. NPI 1093771669 was issued on 04/24/2006.
Medicare Part D records for calendar year 2023 show 129 prescription claims written by this provider, covering 60 Medicare beneficiaries and totaling roughly $8K in drug spend, split 17% brand-name and 83% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.
Podiatrist is a mid-sized specialty nationwide, with 10,498 enrolled providers across 54 states and an average of 304 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
Provider Details
| NPI | 1093771669 |
|---|---|
| Specialty | Podiatrist |
| Credentials | D.P.M. |
| Gender | Male |
| NPI Issued | 04/24/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Herbert Karpelman, D.P.M.'s current license status, disciplinary history, and board certifications with the Connecticut Department of Public Health in Connecticut before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1093771669 is the unique 10-digit identifier CMS uses to link Karpelman across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Individual
Brand vs generic prescribing mix · Typical
17% brand-name claims vs 83% generic, on 129 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.
Prescribing Breakdown
- 30-Day Fills
- 156
- Total Day Supply
- 3,989
- Brand vs Generic
- 17% brand / 83% generic
- Brand Drug Cost
- $5K
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 77.2 years
- Avg HCC Risk Score
- 1.36
- Gender Split
- 45% female / 55% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Herbert Karpelman, D.P.M. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Ketoconazole
Ketoconazole
22 claims
- Meloxicam
Meloxicam
18 claims
- Diclofenac Sodium
Diclofenac Sodium
16 claims
- Silver Sulfadiazine
Silver Sulfadiazine
16 claims
- Gabapentin
Gabapentin
14 claims
| Drug | Claims |
|---|---|
| Ketoconazole | 22 |
| Meloxicam | 18 |
| Diclofenac Sodium | 16 |
| Silver Sulfadiazine | 16 |
| Gabapentin | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Podiatrist Overview
How Herbert Karpelman, D.P.M. fits within the Podiatrist landscape nationally.
Herbert Karpelman, D.P.M.'s 129 claims are below the specialty average of 304.
Nearby Podiatrist Providers in Connecticut
Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as Karpelman.
Compare Podiatrist 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 Connecticut medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Podiatrist 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.
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Frequently Asked Questions
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Data Sources
View source datasets and methodology notes
- 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