2026 NPPES data Pediatric Neurodevelopmental Disabilities Physician NPI 1255441994 MD
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Karen Carter, MD

Pediatric Neurodevelopmental Disabilities Physician in Augusta, Georgia. 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
12K
Medicare Part D claims · 252 beneficiaries · Pediatric Neurodevelopmental Disabilities Physician avg: 386
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.8K
94 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Karen Carter, MD filed 11,803 Medicare Part D claims in 2023 as a Pediatric Neurodevelopmental Disabilities Physician in Augusta, Georgia, prescribing 93% generic.

12K
Part D claims, 2023
93%
generic prescribing
$1.8K
industry payments (Sunshine Act)

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.

Karen Carter, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

11,803 Top 2% higher than 98% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

Karen Carter, MD 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).

What does the federal data show about Karen Carter, MD?

Quality data not reported

NPI registry status

Active

Issued 08/30/2006

NPI 1255441994

Primary specialty

Pediatric Neurodevelopmental Disabilities Physician

Rare

285 US NPIs in this specialty

Medicare Part D claims

11,803 31× vs specialty avg

2023 prescription claims

Specialty avg: 386

Specialty distribution in Georgia

How Pediatric Neurodevelopmental Disabilities Physician compares to other specialties among Georgia providers

Georgia providers

Pediatric Neurodevelopmental Disabilities Physician share within Georgia

1. Pediatric Neurodevelopmental Disabilities Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Neurodevelopmental Disabilities Physician share within Georgia

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Neurodevelopmental Disabilities Physician (ABMS / AOA reference)

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

Est. board-certified rate (Pediatric Neurodevelopmental Disabilities Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Neurodevelopmental Disabilities 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 Carter, MD appears in the CMS NPPES registry as a Pediatric Neurodevelopmental Disabilities Physician provider holding MD credentials at 1303 D'ANTIGNAC STREET, Augusta, GA, 30901, with a listed phone of (706) 396-0600. NPI 1255441994 was issued on 08/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Carter 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 11,803 prescription claims written by this provider, covering 252 Medicare beneficiaries and totaling roughly $937K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 0.4%. 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.

Pediatric Neurodevelopmental Disabilities Physician is a narrow specialty nationwide, with 285 enrolled providers across 41 states and an average of 386 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

1303 D'ANTIGNAC STREET
Augusta, GA 30901

Provider Details

NPI 1255441994
Specialty Pediatric Neurodevelopmental Disabilities Physician
Credentials MD
Gender Female
NPI Issued 08/30/2006

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 Karen Carter, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.8K

Largest payer

Supernus Pharmaceuticals, 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.

Brand vs generic prescribing mix · Generic-heavy

Karen Carter, MD — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 11,803 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.

11,803
Total Claims
$937K
Total Drug Cost
252
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
13,412
Total Day Supply
379,292
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$516K
Generic Drug Cost
$420K
Opioid Claims
53 (0.4% rate)
Antibiotic Claims
140

Patient Demographics

Average Patient Age
38.6 years
Avg HCC Risk Score
0.86
Gender Split
38% female / 62% male
Age Distribution
<65: 229, 65-74: 19, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What Karen Carter, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Trazodone Hcl
806
Risperidone
521
Clonidine Hcl
386
Quetiapine Fumarate
303
Doxepin Hcl
254
Famotidine
254
Divalproex Sodium
251
Levothyroxine Sodium
235
Simvastatin
221
Lamotrigine
209

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

Pediatric Neurodevelopmental Disabilities Physician Overview

How Karen Carter, MD fits within the Pediatric Neurodevelopmental Disabilities Physician landscape nationally.

285
Pediatric Neurodevelopmental Disabilities Physician Providers in US
41
States with Pediatric Neurodevelopmental Disabilities Physician
386
Avg Claims per Provider

Karen Carter, MD's 11,803 claims are above the specialty average of 386.

Nearby Pediatric Neurodevelopmental Disabilities Physician Providers in Georgia

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

Compare Pediatric Neurodevelopmental Disabilities Physician 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 Georgia medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Pediatric Neurodevelopmental Disabilities Physician 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.

Frequently Asked Questions

What is Karen Carter, MD's specialty?
Karen Carter, MD specializes in Pediatric Neurodevelopmental Disabilities Physician and practices in Augusta, Georgia. Credentials: MD.
How much does Karen Carter, MD prescribe under Medicare Part D?
In 2023, Karen Carter, MD wrote 11,803 Medicare Part D claims totaling $937K in drug costs for 252 beneficiaries.
Where is Karen Carter, MD located?
Karen Carter, MD is located at 1303 D'ANTIGNAC STREET, Augusta, GA, 30901. Phone: (706) 396-0600.
What is Karen Carter, MD's NPI number?
Karen Carter, MD's National Provider Identifier (NPI) is 1255441994, issued on 08/30/2006.
Does Karen Carter, MD prescribe more brand-name or generic drugs?
Karen Carter, MD's prescribing is 7% brand-name and 93% generic drugs by claim count, with $516K in brand drug costs.
Does Karen Carter, MD prescribe opioids?
Yes, Karen Carter, MD had 53 opioid claims in 2023 with an opioid prescribing rate of 0.4%.
How many Pediatric Neurodevelopmental Disabilities Physician providers are there in the US?
There are 285 Pediatric Neurodevelopmental Disabilities Physician providers across 41 states in the US. The average Pediatric Neurodevelopmental Disabilities Physician provider writes 386 Medicare Part D claims per year.
What drugs does Karen Carter, MD prescribe most often?
Based on 2023 Medicare Part D data, Karen Carter, MD's most frequently prescribed drugs include Trazodone Hcl, Risperidone, Clonidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Karen Carter, MD accept Medicare?
Karen Carter, MD appears in CMS Medicare data with 11,803 Part D claims and 252 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Karen Carter, MD's credentials?
Karen Carter, MD's NPI is 1255441994 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.
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