2026 NPPES data Pediatric Endocrinology Physician NPI 1194989475 M.D.
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JULIA CARTAYA, M.D.

Pediatric Endocrinology Physician in SAINT LOUIS, Missouri. 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
13
Medicare Part D claims · Pediatric Endocrinology Physician avg: 151
Generic prescribing
8%
generic claims · 92% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.5711/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$115.64
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JULIA CARTAYA, M.D. is a Pediatric Endocrinology Physician ([object Object]) practicing in SAINT LOUIS, Missouri with a Medicare Part D prescribing footprint of 13 claims — 92% brand-name prescribing . Their CMS MIPS Final Score of 81.5711/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $115.64 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JULIA CARTAYA, M.D. reported a CMS MIPS final score of 81.5711 out of 100, below the 83.1 national average, and filed 13 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JULIA CARTAYA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JULIA CARTAYA, M.D. at a glance

Near national average

NPI registry status

Active

Issued 07/15/2008

NPI 1194989475

Primary specialty

Pediatric Endocrinology Physician

Niche

1,457 US NPIs in this specialty

Medicare Part D claims

13 91% vs specialty avg

2023 prescription claims

Specialty avg: 151

MIPS final score

81.5711/100 1.528899999999993% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Pediatric Endocrinology Physician compares to other specialties among Missouri providers

Missouri providers

Pediatric Endocrinology Physician share within Missouri

1. Pediatric Endocrinology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Endocrinology Physician share within Missouri

Medicare quality performance — MIPS

JULIA CARTAYA, M.D.'s 2023 MIPS final score plotted against the Pediatric Endocrinology Physician national average

Near national average
MIPS Final Score
81.5711/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Endocrinology Physician) — 81.5711/100 vs national avg 83.1

0%100%National avg83%81.6%
MIPS final score (Pediatric Endocrinology Physician) — 81.5711/100 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).

JULIA CARTAYA, M.D. is a Pediatric Endocrinology Physician provider practicing in SAINT LOUIS, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1194989475. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JULIA CARTAYA, M.D. appears in the CMS NPPES registry as a Pediatric Endocrinology Physician provider holding M.D. credentials at 1465 S GRAND BLVD, SAINT LOUIS, MO, 63104, with a listed phone of (314) 577-5648. NPI 1194989475 was issued on 07/15/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARTAYA 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 13 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $97 in drug spend, split 92% brand-name and 8% generic by claim count. 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 81.5711/100 for the 2023 performance year (Quality 76.0913, Cost 54.2831), compared with the national average of 83.1.

Pediatric Endocrinology Physician is a narrow specialty nationwide, with 1,457 enrolled providers across 51 states and an average of 151 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

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

Provider Details

NPI 1194989475
Specialty Pediatric Endocrinology Physician
Credentials M.D.
Gender Female
NPI Issued 07/15/2008

CMS Quality Score (MIPS)

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

81.5711
Final Score
Avg: 83.1
76.0913
Quality
54.2831
Cost
100
Promoting Interoperability

Reporting: Group practice

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 JULIA CARTAYA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$116

Largest payer

Insulet Corporation

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.

Brand vs generic prescribing mix · Brand-heavy

JULIA CARTAYA, M.D. — brand share 92.0%
Specialty average (est.)

92% brand-name claims vs 8% generic, on 13 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.

13
Total Claims
$97
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
13
Total Day Supply
365
Brand vs Generic
92% brand / 8% generic
Brand Drug Cost
$87

Patient Demographics

Average Patient Age
37.5 years
Avg HCC Risk Score
1.16

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Levothyroxine Sodium
12

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

Pediatric Endocrinology Physician Overview

How JULIA CARTAYA, M.D. fits within the Pediatric Endocrinology Physician landscape nationally.

1,457
Pediatric Endocrinology Physician Providers in US
51
States with Pediatric Endocrinology Physician
151
Avg Claims per Provider

JULIA CARTAYA, M.D.'s 13 claims are below the specialty average of 151.

Nearby Pediatric Endocrinology Physician Providers in Missouri

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

Compare Pediatric Endocrinology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JULIA CARTAYA, M.D.'s specialty?
JULIA CARTAYA, M.D. specializes in Pediatric Endocrinology Physician and practices in SAINT LOUIS, Missouri. Credentials: M.D..
How much does JULIA CARTAYA, M.D. prescribe under Medicare Part D?
In 2023, JULIA CARTAYA, M.D. wrote 13 Medicare Part D claims totaling $97 in drug costs for N/A beneficiaries.
What is JULIA CARTAYA, M.D.'s Medicare quality score?
JULIA CARTAYA, M.D. has a CMS MIPS Final Score of 81.5711/100 (Quality: 76.0913, Cost: 54.2831). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JULIA CARTAYA, M.D. located?
JULIA CARTAYA, M.D. is located at 1465 S GRAND BLVD, SAINT LOUIS, MO, 63104. Phone: (314) 577-5648.
What is JULIA CARTAYA, M.D.'s NPI number?
JULIA CARTAYA, M.D.'s National Provider Identifier (NPI) is 1194989475, issued on 07/15/2008.
Does JULIA CARTAYA, M.D. prescribe more brand-name or generic drugs?
JULIA CARTAYA, M.D.'s prescribing is 92% brand-name and 8% generic drugs by claim count, with $87 in brand drug costs.
How many Pediatric Endocrinology Physician providers are there in the US?
There are 1,457 Pediatric Endocrinology Physician providers across 51 states in the US. The average Pediatric Endocrinology Physician provider writes 151 Medicare Part D claims per year.
What drugs does JULIA CARTAYA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JULIA CARTAYA, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JULIA CARTAYA, M.D. accept Medicare?
JULIA CARTAYA, M.D. appears in CMS Medicare data with 13 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 JULIA CARTAYA, M.D.'s credentials?
JULIA CARTAYA, M.D.'s NPI is 1194989475 with credentials M.D.. 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