2026 NPPES data Psychiatry Physician NPI 1912949462 M.D.
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KAREN BILLMIRE, M.D.

Psychiatry Physician in ASHEBORO, North Carolina. 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
45
Medicare Part D claims · Psychiatry Physician avg: 1K
Generic prescribing
62%
generic claims · 38% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: KAREN BILLMIRE, M.D. is a Psychiatry Physician ([object Object]) practicing in ASHEBORO, North Carolina with a Medicare Part D prescribing footprint of 45 claims — 38% brand-name prescribing .

What stands out: KAREN BILLMIRE, M.D. filed 45 Medicare Part D claims in 2023 across ASHEBORO, North Carolina. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

KAREN BILLMIRE, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

KAREN BILLMIRE, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 06/11/2006

NPI 1912949462

Primary specialty

Psychiatry Physician

High-volume

53,104 US NPIs in this specialty

Medicare Part D claims

45 96% vs specialty avg

2023 prescription claims

Specialty avg: 1,038

Specialty distribution in North Carolina

How Psychiatry Physician compares to other specialties among North Carolina providers

North Carolina providers

Psychiatry Physician share within North Carolina

1. Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatry Physician share within North Carolina

Specialty board-certification context

Estimated specialty board-certified rate — Psychiatry Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Psychiatry Physician ABMS/AOA estimate

Est. board-certified rate (Psychiatry Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Psychiatry Physician) — ABMS / AOA estimate

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).

KAREN BILLMIRE, M.D. is a Psychiatry Physician provider practicing in ASHEBORO, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1912949462. 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.

KAREN BILLMIRE, M.D. appears in the CMS NPPES registry as a Psychiatry Physician provider holding M.D. credentials at 110 W WALKER AVE, ASHEBORO, NC, 27203, with a listed phone of (336) 633-7000. NPI 1912949462 was issued on 06/11/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BILLMIRE 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 45 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $62K in drug spend, split 38% brand-name and 62% 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.

Psychiatry Physician is a high-volume specialty nationwide, with 53,104 enrolled providers across 56 states and an average of 1,038 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

110 W WALKER AVE
ASHEBORO, NC 27203

Provider Details

NPI 1912949462
Specialty Psychiatry Physician
Credentials M.D.
Gender Female
NPI Issued 06/11/2006

Brand vs generic prescribing mix · Above average

KAREN BILLMIRE, M.D. — brand share 38.0%
Specialty average (est.)

38% brand-name claims vs 62% generic, on 45 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.

45
Total Claims
$62K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
47
Total Day Supply
1,328
Brand vs Generic
38% brand / 62% generic
Brand Drug Cost
$60K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
48.7 years
Avg HCC Risk Score
0.83

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Invega Sustenna
Paliperidone Palmitate
14

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

Psychiatry Physician Overview

How KAREN BILLMIRE, M.D. fits within the Psychiatry Physician landscape nationally.

53,104
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider

KAREN BILLMIRE, M.D.'s 45 claims are below the specialty average of 1,038.

Nearby Psychiatry Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as BILLMIRE.

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

Frequently Asked Questions

What is KAREN BILLMIRE, M.D.'s specialty?
KAREN BILLMIRE, M.D. specializes in Psychiatry Physician and practices in ASHEBORO, North Carolina. Credentials: M.D..
How much does KAREN BILLMIRE, M.D. prescribe under Medicare Part D?
In 2023, KAREN BILLMIRE, M.D. wrote 45 Medicare Part D claims totaling $62K in drug costs for N/A beneficiaries.
Where is KAREN BILLMIRE, M.D. located?
KAREN BILLMIRE, M.D. is located at 110 W WALKER AVE, ASHEBORO, NC, 27203. Phone: (336) 633-7000.
What is KAREN BILLMIRE, M.D.'s NPI number?
KAREN BILLMIRE, M.D.'s National Provider Identifier (NPI) is 1912949462, issued on 06/11/2006.
Does KAREN BILLMIRE, M.D. prescribe more brand-name or generic drugs?
KAREN BILLMIRE, M.D.'s prescribing is 38% brand-name and 62% generic drugs by claim count, with $60K in brand drug costs.
How many Psychiatry Physician providers are there in the US?
There are 53,104 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
What drugs does KAREN BILLMIRE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KAREN BILLMIRE, M.D.'s most frequently prescribed drugs include Invega Sustenna. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAREN BILLMIRE, M.D. accept Medicare?
KAREN BILLMIRE, M.D. appears in CMS Medicare data with 45 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 KAREN BILLMIRE, M.D.'s credentials?
KAREN BILLMIRE, M.D.'s NPI is 1912949462 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.
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