NPI registry status
Active
2026 NPPES data Obstetrics & Gynecology Physician NPI 1285619510 MD
Verify on CMS → Karen Playforth, MD
Obstetrics & Gynecology Physician in Lexington, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 44,326 in Obstetrics & Gynecology Physician, 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.
MIPS score
95.5/100
▲ 12 pts above national avg 83.5 · Exceptional
Industry payments
$24.74
1 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Karen Playforth, MD reported a CMS MIPS final score of 95.5/100 - above the 83.5 national average.
- 95.5/100
- MIPS score · +12 vs avg
- Likely
- board-certified (heuristic)
- ≥78th
- pct among measured MIPS (lower-bound band)
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.
CMS NPPES provider registry desk
NPI 1285619510 · Obstetrics & Gynecology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-ELITE · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1285619510
- ENUM-LEGACY 2005
- TAX-MID 44K Obstetrics &
- MIPS-ELITE 95.5/100
- BOOK-LIGHT 510 in Kentucky
- PHOTO-FINISH Thomas Edwards · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Playforth · this…
Playforth · this provider
95.5 MIPS pts
- Otto Umana · hig…
Otto Umana
95.5 MIPS pts
- Thomas Edwards ·…
Thomas Edwards
95.5 MIPS pts
- Mary Montague · …
Mary Montague
95.5 MIPS pts
- Seamus O'Broin ·…
Seamus O'Broin
95.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Karen Playforth, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
96 ≥ 78th percentile 78% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
✓
Board certification likely (heuristic, not verified)
Karen Playforth, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Playforth, MD?
High performer (top quartile)Primary specialty
Obstetrics & Gynecology Physician
MIPS final score
95.5/100 12 pts vs avg
Specialty distribution in Kentucky
How Obstetrics & Gynecology Physician compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Karen Playforth, MD's 2023 MIPS final score plotted against the Obstetrics & Gynecology Physician national average
- MIPS Final Score
- 95.5/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1285619510 |
|---|---|
| Specialty | Obstetrics & Gynecology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 12/09/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
95.5077
Final Score
Measured-score avg: 83.5
89.5953
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Karen Playforth, 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.
Baptist Health Medical Group Inc
Lexington, KY
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 Playforth, MD. Source: openpaymentsdata.cms.gov.
Total received
$25
Largest payer
Insulet 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.
Obstetrics & Gynecology Physician Overview
How Karen Playforth, MD fits within the Obstetrics & Gynecology Physician landscape nationally.
44,326
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
179
Avg Claims per Provider
Nationwide Obstetrics & Gynecology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Playforth, both outside Kentucky so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (95.5 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Obstetrics & Gynecology Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Playforth.
One of 510 Obstetrics & Gynecology Physician providers enrolled in Kentucky, 5 are shown here.
Dr. Jonathan Abbott
M.D.
Hopkinsville, KY
Dr. Mark Ackermann
M.D.
Lebanon, KY
Dr. Natalie Adams
DO
Lakeside Park, KY
Dr. John Adkins
M.D.
Lexington, KY
Dr. Gary Ahnquist
MD
Danville, KY
Compare Obstetrics & Gynecology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Karen Playforth, MD's specialty? ▼
Karen Playforth, MD specializes in Obstetrics & Gynecology Physician and practices in Lexington, Kentucky. Credentials: MD.
What is Karen Playforth, MD's Medicare quality score? ▼
Karen Playforth, MD has a CMS MIPS Final Score of 95.5/100 (Quality: 89.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Karen Playforth, MD located? ▼
Karen Playforth, MD is located at 800 ROSE ST, Lexington, KY, 40536. Phone: (859) 218-5692.
What is Karen Playforth, MD's NPI number? ▼
Karen Playforth, MD's National Provider Identifier (NPI) is 1285619510, issued on 12/09/2005.
How many Obstetrics & Gynecology Physician providers are there in the US? ▼
There are 44,326 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 179 Medicare Part D claims per year.
Does Karen Playforth, MD accept Medicare? ▼
Karen Playforth, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Karen Playforth, MD's credentials? ▼
Karen Playforth, MD's NPI is 1285619510 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
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.
- 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
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.