NPI registry status
Active
2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1063611101 MD
Verify on CMS → KAREN CREED, MD
Student in an Organized Health Care Education/Training Program in ATLANTA, 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
140
Medicare Part D claims · 40 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.6733/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$438.57
17 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
KAREN CREED, MD reported a CMS MIPS final score of 89.6733/100 — above the 83.1 national average — and filed 140 Medicare Part D claims in 2023.
- 89.6733/100
- MIPS score · +7 vs avg
- 140
- Part D claims, 2023
- 84%
- generic prescribing
- $438.57
- 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 CREED, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
90 Top 42% higher than 58% 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
What does the federal data show about KAREN CREED, MD?
High performer (top quartile)Primary specialty
Student in an Organized Health Care Education/Training Program
Medicare Part D claims
140 69% vs specialty avg
MIPS final score
89.6733/100 6.573300000000003% pts
Specialty distribution in Georgia
How Student in an Organized Health Care Education/Training Program compares to other specialties among Georgia providers
Student in an Organized Health Care Education/Training Program share within Georgia
Medicare quality performance — MIPS
KAREN CREED, MD's 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average
- MIPS Final Score
- 89.6733/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Student in an Organized Health Care Education/Training Program) — 89.6733/100 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 CREED, MD appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding MD credentials at 980 JOHNSON FERRY ROAD NE, ATLANTA, GA, 30342, with a listed phone of (404) 252-3898. NPI 1063611101 was issued on 07/17/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CREED 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 140 prescription claims written by this provider, covering 40 Medicare beneficiaries and totaling roughly $8K in drug spend, split 16% brand-name and 84% 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 89.6733/100 for the 2023 performance year (Quality 97.8656, Cost 67.7122), compared with the national average of 83.1.
Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 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 | 1063611101 |
|---|---|
| Specialty | Student in an Organized Health Care Education/Training Program |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 07/17/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
89.6733
Final Score
Avg: 83.1
97.8656
Quality
67.7122
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where KAREN CREED, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
FLORIDA WOMAN CARE LLC
ATLANTA, GA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 CREED, MD. Source: openpaymentsdata.cms.gov.
Total received
$439
Largest payer
Astellas Pharma US 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 · Typical
KAREN CREED, MD — brand share 16.0%
Specialty average (est.)
16% brand-name claims vs 84% generic, on 140 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.
140
Total Claims
$8K
Total Drug Cost
40
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 351
- Total Day Supply
- 10,096
- Brand vs Generic
- 16% brand / 84% generic
- Brand Drug Cost
- $1K
- Generic Drug Cost
- $6K
Patient Demographics
- Average Patient Age
- 73.0 years
- Avg HCC Risk Score
- 0.71
- 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 | 38 |
| Estradiol (Twice Weekly) Estradiol | 20 |
| Progesterone "Progesterone | N/A |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Student in an Organized Health Care Education/Training Program in GA →
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Student in an Organized Health Care Education/Training Program Overview
How KAREN CREED, MD fits within the Student in an Organized Health Care Education/Training Program landscape nationally.
331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider
KAREN CREED, MD's 140 claims are below the specialty average of 459.
Nearby Student in an Organized Health Care Education/Training Program Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as CREED.
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Frequently Asked Questions
What is KAREN CREED, MD's specialty? ▼
KAREN CREED, MD specializes in Student in an Organized Health Care Education/Training Program and practices in ATLANTA, Georgia. Credentials: MD.
How much does KAREN CREED, MD prescribe under Medicare Part D? ▼
In 2023, KAREN CREED, MD wrote 140 Medicare Part D claims totaling $8K in drug costs for 40 beneficiaries.
What is KAREN CREED, MD's Medicare quality score? ▼
KAREN CREED, MD has a CMS MIPS Final Score of 89.6733/100 (Quality: 97.8656, Cost: 67.7122). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KAREN CREED, MD located? ▼
KAREN CREED, MD is located at 980 JOHNSON FERRY ROAD NE, ATLANTA, GA, 30342. Phone: (404) 252-3898.
What is KAREN CREED, MD's NPI number? ▼
KAREN CREED, MD's National Provider Identifier (NPI) is 1063611101, issued on 07/17/2007.
Does KAREN CREED, MD prescribe more brand-name or generic drugs? ▼
KAREN CREED, MD's prescribing is 16% brand-name and 84% generic drugs by claim count, with $1K in brand drug costs.
How many Student in an Organized Health Care Education/Training Program providers are there in the US? ▼
There are 331,761 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does KAREN CREED, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, KAREN CREED, MD's most frequently prescribed drugs include Estradiol, Estradiol (Twice Weekly), Progesterone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAREN CREED, MD accept Medicare? ▼
KAREN CREED, MD appears in CMS Medicare data with 140 Part D claims and 40 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAREN CREED, MD's credentials? ▼
KAREN CREED, MD's NPI is 1063611101 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.
- 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