2026 NPPES data Adult Health Nurse Practitioner NPI 1700949260 NP-C
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KAREN CARLOY, NP-C

Adult Health Nurse Practitioner in CALDWELL, Idaho. 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
193
Medicare Part D claims · 58 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.4571/100
▲ 8 pts above national avg 83.1 · [object Object]
What the federal data reveals: KAREN CARLOY, NP-C is a Adult Health Nurse Practitioner ([object Object]) practicing in CALDWELL, Idaho with a Medicare Part D prescribing footprint of 193 claims across 58 beneficiaries — 17% brand-name prescribing . Their CMS MIPS Final Score of 91.4571/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: KAREN CARLOY, NP-C reported a CMS MIPS final score of 91.4571 out of 100, above the 83.1 national average, and filed 193 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

KAREN CARLOY, NP-C at a glance

High performer (top quartile)

NPI registry status

Active

Issued 12/18/2006

NPI 1700949260

Primary specialty

Adult Health Nurse Practitioner

Mid-sized

29,492 US NPIs in this specialty

Medicare Part D claims

193 84% vs specialty avg

2023 prescription claims

Specialty avg: 1,201

MIPS final score

91.4571/100 8.357100000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Idaho

How Adult Health Nurse Practitioner compares to other specialties among Idaho providers

Idaho providers

Adult Health Nurse Practitioner share within Idaho

1. Adult Health Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Health Nurse Practitioner share within Idaho

Medicare quality performance — MIPS

KAREN CARLOY, NP-C's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
91.4571/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Health Nurse Practitioner) — 91.4571/100 vs national avg 83.1

0%100%National avg83%91.5%
MIPS final score (Adult Health Nurse Practitioner) — 91.4571/100 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).

KAREN CARLOY, NP-C is a Adult Health Nurse Practitioner provider practicing in CALDWELL, Idaho, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: NP-C. NPI: 1700949260. 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 CARLOY, NP-C appears in the CMS NPPES registry as a Adult Health Nurse Practitioner provider holding NP-C credentials at 315 ELM STREET, CALDWELL, ID, 83605, with a listed phone of (208) 454-2035. NPI 1700949260 was issued on 12/18/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARLOY 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 193 prescription claims written by this provider, covering 58 Medicare beneficiaries and totaling roughly $11K in drug spend, split 17% brand-name and 83% 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 91.4571/100 for the 2023 performance year (Quality 93.6688, Cost 77.855), compared with the national average of 83.1.

Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,492 enrolled providers across 55 states and an average of 1,201 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

315 ELM STREET
CALDWELL, ID 83605

Provider Details

NPI 1700949260
Specialty Adult Health Nurse Practitioner
Credentials NP-C
Gender Female
NPI Issued 12/18/2006

CMS Quality Score (MIPS)

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

91.4571
Final Score
Avg: 83.1
93.6688
Quality
77.855
Cost
100
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Typical

KAREN CARLOY, NP-C — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 193 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.

193
Total Claims
$11K
Total Drug Cost
58
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
526
Total Day Supply
15,454
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$4K
Generic Drug Cost
$7K
Antibiotic Claims
13

Patient Demographics

Average Patient Age
69.4 years
Avg HCC Risk Score
0.63
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Estradiol
55
Estradiol (Twice Weekly)
Estradiol
17
Levothyroxine Sodium
16
Medroxyprogesterone Acetate
13
Alendronate Sodium
11

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

Adult Health Nurse Practitioner Overview

How KAREN CARLOY, NP-C fits within the Adult Health Nurse Practitioner landscape nationally.

29,492
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider

KAREN CARLOY, NP-C's 193 claims are below the specialty average of 1,201.

Nearby Adult Health Nurse Practitioner Providers in Idaho

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

Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is KAREN CARLOY, NP-C's specialty?
KAREN CARLOY, NP-C specializes in Adult Health Nurse Practitioner and practices in CALDWELL, Idaho. Credentials: NP-C.
How much does KAREN CARLOY, NP-C prescribe under Medicare Part D?
In 2023, KAREN CARLOY, NP-C wrote 193 Medicare Part D claims totaling $11K in drug costs for 58 beneficiaries.
What is KAREN CARLOY, NP-C's Medicare quality score?
KAREN CARLOY, NP-C has a CMS MIPS Final Score of 91.4571/100 (Quality: 93.6688, Cost: 77.855). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KAREN CARLOY, NP-C located?
KAREN CARLOY, NP-C is located at 315 ELM STREET, CALDWELL, ID, 83605. Phone: (208) 454-2035.
What is KAREN CARLOY, NP-C's NPI number?
KAREN CARLOY, NP-C's National Provider Identifier (NPI) is 1700949260, issued on 12/18/2006.
Does KAREN CARLOY, NP-C prescribe more brand-name or generic drugs?
KAREN CARLOY, NP-C's prescribing is 17% brand-name and 83% generic drugs by claim count, with $4K in brand drug costs.
How many Adult Health Nurse Practitioner providers are there in the US?
There are 29,492 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
What drugs does KAREN CARLOY, NP-C prescribe most often?
Based on 2023 Medicare Part D data, KAREN CARLOY, NP-C's most frequently prescribed drugs include Estradiol, Estradiol (Twice Weekly), Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAREN CARLOY, NP-C accept Medicare?
KAREN CARLOY, NP-C appears in CMS Medicare data with 193 Part D claims and 58 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAREN CARLOY, NP-C's credentials?
KAREN CARLOY, NP-C's NPI is 1700949260 with credentials NP-C. 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