2026 NPPES data Anatomic Pathology Physician NPI 1255535829 M.D.
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KAREN RADCLIFFE, M.D.

Anatomic Pathology Physician in LEAGUE CITY, Texas. 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
63
Medicare Part D claims · Anatomic Pathology Physician avg: 214
Generic prescribing
73%
generic claims · 27% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: KAREN RADCLIFFE, M.D. is a Anatomic Pathology Physician ([object Object]) practicing in LEAGUE CITY, Texas with a Medicare Part D prescribing footprint of 63 claims — 27% brand-name prescribing .

What stands out: KAREN RADCLIFFE, M.D. filed 63 Medicare Part D claims in 2023 across LEAGUE CITY, Texas. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

KAREN RADCLIFFE, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

KAREN RADCLIFFE, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 06/14/2007

NPI 1255535829

Primary specialty

Anatomic Pathology Physician

Niche

2,597 US NPIs in this specialty

Medicare Part D claims

63 71% vs specialty avg

2023 prescription claims

Specialty avg: 214

Specialty distribution in Texas

How Anatomic Pathology Physician compares to other specialties among Texas providers

Texas providers

Anatomic Pathology Physician share within Texas

1. Anatomic Pathology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Anatomic Pathology Physician share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Anatomic Pathology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Anatomic Pathology Physician ABMS/AOA estimate

Est. board-certified rate (Anatomic Pathology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Anatomic Pathology Physician) — ABMS / AOA estimate

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 RADCLIFFE, M.D. is a Anatomic Pathology Physician provider practicing in LEAGUE CITY, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1255535829. 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 RADCLIFFE, M.D. appears in the CMS NPPES registry as a Anatomic Pathology Physician provider holding M.D. credentials at 201 ENTERPRISE AVENUE, LEAGUE CITY, TX, 77573, with a listed phone of (832) 848-0444. NPI 1255535829 was issued on 06/14/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RADCLIFFE 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 63 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $13K in drug spend, split 27% brand-name and 73% 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.

Anatomic Pathology Physician is a narrow specialty nationwide, with 2,597 enrolled providers across 54 states and an average of 214 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

201 ENTERPRISE AVENUE
LEAGUE CITY, TX 77573

Provider Details

NPI 1255535829
Specialty Anatomic Pathology Physician
Credentials M.D.
Gender Female
NPI Issued 06/14/2007

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to KAREN RADCLIFFE, M.D.. To verify KAREN RADCLIFFE, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

KAREN RADCLIFFE, M.D. — brand share 27.0%
Specialty average (est.)

27% brand-name claims vs 73% generic, on 63 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.

63
Total Claims
$13K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
63
Total Day Supply
1,602
Brand vs Generic
27% brand / 73% generic
Brand Drug Cost
$8K
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
58.1 years
Avg HCC Risk Score
0.84

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
44

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

Anatomic Pathology Physician Overview

How KAREN RADCLIFFE, M.D. fits within the Anatomic Pathology Physician landscape nationally.

2,597
Anatomic Pathology Physician Providers in US
54
States with Anatomic Pathology Physician
214
Avg Claims per Provider

KAREN RADCLIFFE, M.D.'s 63 claims are below the specialty average of 214.

Nearby Anatomic Pathology Physician Providers in Texas

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

Compare Anatomic Pathology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KAREN RADCLIFFE, M.D.'s specialty?
KAREN RADCLIFFE, M.D. specializes in Anatomic Pathology Physician and practices in LEAGUE CITY, Texas. Credentials: M.D..
How much does KAREN RADCLIFFE, M.D. prescribe under Medicare Part D?
In 2023, KAREN RADCLIFFE, M.D. wrote 63 Medicare Part D claims totaling $13K in drug costs for N/A beneficiaries.
Where is KAREN RADCLIFFE, M.D. located?
KAREN RADCLIFFE, M.D. is located at 201 ENTERPRISE AVENUE, LEAGUE CITY, TX, 77573. Phone: (832) 848-0444.
What is KAREN RADCLIFFE, M.D.'s NPI number?
KAREN RADCLIFFE, M.D.'s National Provider Identifier (NPI) is 1255535829, issued on 06/14/2007.
Does KAREN RADCLIFFE, M.D. prescribe more brand-name or generic drugs?
KAREN RADCLIFFE, M.D.'s prescribing is 27% brand-name and 73% generic drugs by claim count, with $8K in brand drug costs.
How many Anatomic Pathology Physician providers are there in the US?
There are 2,597 Anatomic Pathology Physician providers across 54 states in the US. The average Anatomic Pathology Physician provider writes 214 Medicare Part D claims per year.
What drugs does KAREN RADCLIFFE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KAREN RADCLIFFE, M.D.'s most frequently prescribed drugs include Buprenorphine-Naloxone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAREN RADCLIFFE, M.D. accept Medicare?
KAREN RADCLIFFE, M.D. appears in CMS Medicare data with 63 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAREN RADCLIFFE, M.D.'s credentials?
KAREN RADCLIFFE, M.D.'s NPI is 1255535829 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.
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