NPI registry status
Active
2026 NPPES data Nurse Practitioner NPI 1063870194
Verify on CMS → Karen Fryhling
Nurse Practitioner in Mobridge, South Dakota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 87,700 in Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
223
Medicare Part D claims · 112 beneficiaries · Nurse Practitioner avg: 1K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.3/100
▲ 7 pts above national avg 83.1 · Exceptional
Industry payments
$199.47
12 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Karen Fryhling reported a CMS MIPS final score of 90.3/100 - above the 83.1 national average - and filed 223 Medicare Part D claims in 2023.
- 90.3/100
- MIPS score · +7 vs avg
- 223
- Part D claims, 2023
- 93%
- generic prescribing
- $199.47
- 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 Fryhling'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 40% higher than 60% 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
Where Karen Fryhling sits
This provider among nurse practitioner peers
Across the 13,476 nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Karen Fryhling writes more Part D claims than 37% of them and scores higher on MIPS quality than 61% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one nurse practitioner peer from a representative sample of 60; the gold marker is Karen Fryhling. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Karen Fryhling?
High performer (top quartile)Primary specialty
Nurse Practitioner
Medicare Part D claims
223 79% vs specialty avg
MIPS final score
90.3/100 7.2 pts vs avg
Specialty distribution in South Dakota
How Nurse Practitioner compares to other specialties among South Dakota providers
Medicare quality performance, MIPS
Karen Fryhling's 2023 MIPS final score plotted against the Nurse Practitioner national average
- MIPS Final Score
- 90.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Nurse Practitioner) - 90.3/100 vs national avg 83.1
How MIPS and board certification work
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 Fryhling appears in the CMS NPPES registry as a Nurse Practitioner provider at 1309 10TH AVE W, Mobridge, SD, 57601, with a listed phone of (605) 845-3692. NPI 1063870194 was issued on 02/03/2016.
Medicare Part D records for calendar year 2023 show 223 prescription claims written by this provider, covering 112 Medicare beneficiaries and totaling roughly $6K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 5.4%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.3/100 for the 2023 performance year (Quality 79.5), compared with the national average of 83.1.
Nurse Practitioner is a high-volume specialty nationwide, with 87,700 enrolled providers across 56 states and an average of 1,084 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 | 1063870194 |
|---|---|
| Specialty | Nurse Practitioner |
| Gender | Female |
| NPI Issued | 02/03/2016 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.2553
Final Score
Avg: 83.1
79.4691
Quality
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Karen Fryhling 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.
Mobridge Regional Hospital
Mobridge, SD
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 Fryhling. Source: openpaymentsdata.cms.gov.
Total received
$199
Largest payer
Lilly USA, LLC
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 Fryhling - brand share 7.0%
Nurse Practitioner average
7% brand-name claims vs 93% generic, on 223 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.
223
Total Claims
$6K
Total Drug Cost
112
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 317
- Total Day Supply
- 6,742
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $4K
- Generic Drug Cost
- $2K
- Opioid Claims
- 12 (5.4% rate)
- Antibiotic Claims
- 71
Patient Demographics
- Average Patient Age
- 74.4 years
- Avg HCC Risk Score
- 1.18
- Gender Split
- 71% female / 29% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Karen Fryhling prescribes most
Top Medicare Part D drugs by claim count, 2023
- Azithromycin
Azithromycin
23 claims
- Sulfamethoxazole-T…
Sulfamethoxazole-Trimethoprim
16 claims
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
12 claims
| Drug | Claims |
|---|---|
| Azithromycin | 23 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 16 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Nurse Practitioner Overview
How Karen Fryhling fits within the Nurse Practitioner landscape nationally.
87,700
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider
Karen Fryhling's 223 claims are below the specialty average of 1,084.
Nearby Nurse Practitioner Providers in South Dakota
Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as Fryhling.
Dr. Melissa Aberle
MS, CNP
Rapid City, SD
Dr. Logan Adamek
ACNPC-AG
Sioux Falls, SD
Dr. Lauren Albers
CNP
Rapid City, SD
Dr. Emily Andersen
CNP
Sioux Falls, SD
Dr. Anna Anderson
NP
Sioux Falls, SD
Compare Nurse Practitioner 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 South Dakota medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Nurse Practitioner 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.
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Medical Specialties Explained
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Understanding Medicare Claims Data
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Explore South Dakota
Frequently Asked Questions
What is Karen Fryhling's specialty? ▼
Karen Fryhling specializes in Nurse Practitioner and practices in Mobridge, South Dakota.
How much does Karen Fryhling prescribe under Medicare Part D? ▼
In 2023, Karen Fryhling wrote 223 Medicare Part D claims totaling $6K in drug costs for 112 beneficiaries.
What is Karen Fryhling's Medicare quality score? ▼
Karen Fryhling has a CMS MIPS Final Score of 90.3/100 (Quality: 79.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Karen Fryhling located? ▼
Karen Fryhling is located at 1309 10TH AVE W, Mobridge, SD, 57601. Phone: (605) 845-3692.
What is Karen Fryhling's NPI number? ▼
Karen Fryhling's National Provider Identifier (NPI) is 1063870194, issued on 02/03/2016.
Does Karen Fryhling prescribe more brand-name or generic drugs? ▼
Karen Fryhling's prescribing is 7% brand-name and 93% generic drugs by claim count, with $4K in brand drug costs.
Does Karen Fryhling prescribe opioids? ▼
Yes, Karen Fryhling had 12 opioid claims in 2023 with an opioid prescribing rate of 5.4%.
How many Nurse Practitioner providers are there in the US? ▼
There are 87,700 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
What drugs does Karen Fryhling prescribe most often? ▼
Based on 2023 Medicare Part D data, Karen Fryhling's most frequently prescribed drugs include Azithromycin, Sulfamethoxazole-Trimethoprim, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Karen Fryhling accept Medicare? ▼
Karen Fryhling appears in CMS Medicare data with 223 Part D claims and 112 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Karen Fryhling's credentials? ▼
Karen Fryhling's NPI is 1063870194. 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.