2026 NPPES data Specialist NPI 1205888765 M.D.
Verify on CMS →

KAREN ELLER, M.D.

Specialist in BEAUFORT, South 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
673
Medicare Part D claims · 193 beneficiaries · Specialist avg: 1K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.2519/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$977.3
32 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KAREN ELLER, M.D. is a Specialist ([object Object]) practicing in BEAUFORT, South Carolina with a Medicare Part D prescribing footprint of 673 claims across 193 beneficiaries — 4% brand-name prescribing . Their CMS MIPS Final Score of 77.2519/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $977.3 across 32 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KAREN ELLER, M.D. reported a CMS MIPS final score of 77.2519 out of 100, below the 83.1 national average, and filed 673 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

KAREN ELLER, M.D. at a glance

Below national average

NPI registry status

Active

Issued 05/16/2006

NPI 1205888765

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

673 54% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

77.2519/100 5.848099999999988% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in South Carolina

How Specialist compares to other specialties among South Carolina providers

South Carolina providers

Specialist share within South Carolina

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within South Carolina

Medicare quality performance — MIPS

KAREN ELLER, M.D.'s 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
77.2519/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 77.2519/100 vs national avg 83.1

0%100%National avg83%77.3%
MIPS final score (Specialist) — 77.2519/100 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 ELLER, M.D. is a Specialist provider practicing in BEAUFORT, South Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1205888765. 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 ELLER, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 41A MARSHELLEN DR, BEAUFORT, SC, 29902, with a listed phone of (843) 522-3456. NPI 1205888765 was issued on 05/16/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ELLER 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 673 prescription claims written by this provider, covering 193 Medicare beneficiaries and totaling roughly $43K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 11.3%. 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 77.2519/100 for the 2023 performance year (Quality 100, Cost 24.173), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

41A MARSHELLEN DR
BEAUFORT, SC 29902

Provider Details

NPI 1205888765
Specialty Specialist
Credentials M.D.
Gender Female
NPI Issued 05/16/2006

CMS Quality Score (MIPS)

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

77.2519
Final Score
Avg: 83.1
100
Quality
24.173
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where KAREN ELLER, M.D. 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.

CORA SOUTH CAROLINA LLC
BEAUFORT, SC
PALMETTO PAIN CENTER PA
BEAUFORT, SC

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 ELLER, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$977

Largest payer

Boston Scientific 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 · Generic-heavy

KAREN ELLER, M.D. — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 673 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.

673
Total Claims
$43K
Total Drug Cost
193
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
996
Total Day Supply
27,726
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$27K
Generic Drug Cost
$16K
Opioid Claims
76 (11.3% rate)
Antibiotic Claims
23

Patient Demographics

Average Patient Age
72.8 years
Avg HCC Risk Score
1.28
Gender Split
63% female / 37% male
Age Distribution
<65: 23, 65-74: 94, 75-84: 58, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gabapentin
145
Celecoxib
72
Duloxetine Hcl
61
Pregabalin
46
Meloxicam
44
Tizanidine Hcl
37
Tramadol Hcl
25
Naproxen
23
Diclofenac Sodium
22
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
18

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

Specialist Overview

How KAREN ELLER, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

KAREN ELLER, M.D.'s 673 claims are below the specialty average of 1,474.

Nearby Specialist Providers in South Carolina

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is KAREN ELLER, M.D.'s specialty?
KAREN ELLER, M.D. specializes in Specialist and practices in BEAUFORT, South Carolina. Credentials: M.D..
How much does KAREN ELLER, M.D. prescribe under Medicare Part D?
In 2023, KAREN ELLER, M.D. wrote 673 Medicare Part D claims totaling $43K in drug costs for 193 beneficiaries.
What is KAREN ELLER, M.D.'s Medicare quality score?
KAREN ELLER, M.D. has a CMS MIPS Final Score of 77.2519/100 (Quality: 100, Cost: 24.173). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KAREN ELLER, M.D. located?
KAREN ELLER, M.D. is located at 41A MARSHELLEN DR, BEAUFORT, SC, 29902. Phone: (843) 522-3456.
What is KAREN ELLER, M.D.'s NPI number?
KAREN ELLER, M.D.'s National Provider Identifier (NPI) is 1205888765, issued on 05/16/2006.
Does KAREN ELLER, M.D. prescribe more brand-name or generic drugs?
KAREN ELLER, M.D.'s prescribing is 4% brand-name and 96% generic drugs by claim count, with $27K in brand drug costs.
Does KAREN ELLER, M.D. prescribe opioids?
Yes, KAREN ELLER, M.D. had 76 opioid claims in 2023 with an opioid prescribing rate of 11.3%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does KAREN ELLER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KAREN ELLER, M.D.'s most frequently prescribed drugs include Gabapentin, Celecoxib, Duloxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAREN ELLER, M.D. accept Medicare?
KAREN ELLER, M.D. appears in CMS Medicare data with 673 Part D claims and 193 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAREN ELLER, M.D.'s credentials?
KAREN ELLER, M.D.'s NPI is 1205888765 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