2026 NPPES data Internal Medicine Physician NPI 1003983776 M.D.
Verify on CMS →

KAREN NIEHAUS, M.D.

Internal Medicine Physician in LINCOLN CITY, Oregon. 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
10K
Medicare Part D claims · 622 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.2753/100
▲ 7 pts above national avg 83.1 · [object Object]

What the federal data shows

KAREN NIEHAUS, M.D. reported a CMS MIPS final score of 90.2753/100 — above the 83.1 national average — and filed 9,774 Medicare Part D claims in 2023.

90.2753/100
MIPS score · +7 vs avg
10K
Part D claims, 2023
89%
generic prescribing
Likely
board-certified (heuristic)

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 NIEHAUS, M.D.'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

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

KAREN NIEHAUS, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about KAREN NIEHAUS, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 11/29/2006

NPI 1003983776

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

9,774 260% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

90.2753/100 7.175300000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Oregon

How Internal Medicine Physician compares to other specialties among Oregon providers

Oregon providers

Internal Medicine Physician share within Oregon

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Oregon

Medicare quality performance — MIPS

KAREN NIEHAUS, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
90.2753/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 90.2753/100 vs national avg 83.1

0%100%National avg83%90.3%
MIPS final score (Internal Medicine Physician) — 90.2753/100 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 NIEHAUS, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 825 NW HIGHWAY 101, LINCOLN CITY, OR, 97367, with a listed phone of (541) 996-7480. NPI 1003983776 was issued on 11/29/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NIEHAUS 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 9,774 prescription claims written by this provider, covering 622 Medicare beneficiaries and totaling roughly $739K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 2.9%. 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 90.2753/100 for the 2023 performance year (Quality 92.2261, Cost 66.9551), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

825 NW HIGHWAY 101
LINCOLN CITY, OR 97367

Provider Details

NPI 1003983776
Specialty Internal Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 11/29/2006

CMS Quality Score (MIPS)

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

90.2753
Final Score
Avg: 83.1
92.2261
Quality
66.9551
Cost
100
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Typical

KAREN NIEHAUS, M.D. — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 9,774 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.

9,774
Total Claims
$739K
Total Drug Cost
622
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
21,387
Total Day Supply
622,497
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$513K
Generic Drug Cost
$222K
Opioid Claims
285 (2.9% rate)
Antibiotic Claims
116

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
1.05
Gender Split
67% female / 33% male
Age Distribution
<65: 41, 65-74: 295, 75-84: 211, 85+: 75

Top Prescribed Drugs (Medicare Part D)

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

What KAREN NIEHAUS, M.D. 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
Losartan Potassium
586
Metoprolol Succinate
517
Levothyroxine Sodium
501
Atorvastatin Calcium
443
Amlodipine Besylate
393
Lisinopril
378
Rosuvastatin Calcium
274
Gabapentin
269
Potassium Chloride
242
Omeprazole
219

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

Internal Medicine Physician Overview

How KAREN NIEHAUS, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

KAREN NIEHAUS, M.D.'s 9,774 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Oregon

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KAREN NIEHAUS, M.D.'s specialty?
KAREN NIEHAUS, M.D. specializes in Internal Medicine Physician and practices in LINCOLN CITY, Oregon. Credentials: M.D..
How much does KAREN NIEHAUS, M.D. prescribe under Medicare Part D?
In 2023, KAREN NIEHAUS, M.D. wrote 9,774 Medicare Part D claims totaling $739K in drug costs for 622 beneficiaries.
What is KAREN NIEHAUS, M.D.'s Medicare quality score?
KAREN NIEHAUS, M.D. has a CMS MIPS Final Score of 90.2753/100 (Quality: 92.2261, Cost: 66.9551). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KAREN NIEHAUS, M.D. located?
KAREN NIEHAUS, M.D. is located at 825 NW HIGHWAY 101, LINCOLN CITY, OR, 97367. Phone: (541) 996-7480.
What is KAREN NIEHAUS, M.D.'s NPI number?
KAREN NIEHAUS, M.D.'s National Provider Identifier (NPI) is 1003983776, issued on 11/29/2006.
Does KAREN NIEHAUS, M.D. prescribe more brand-name or generic drugs?
KAREN NIEHAUS, M.D.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $513K in brand drug costs.
Does KAREN NIEHAUS, M.D. prescribe opioids?
Yes, KAREN NIEHAUS, M.D. had 285 opioid claims in 2023 with an opioid prescribing rate of 2.9%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does KAREN NIEHAUS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KAREN NIEHAUS, M.D.'s most frequently prescribed drugs include Losartan Potassium, Metoprolol Succinate, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAREN NIEHAUS, M.D. accept Medicare?
KAREN NIEHAUS, M.D. appears in CMS Medicare data with 9,774 Part D claims and 622 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAREN NIEHAUS, M.D.'s credentials?
KAREN NIEHAUS, M.D.'s NPI is 1003983776 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