2026 NPPES data Family Medicine Physician NPI 1811061328 D.O.
Verify on CMS →

Karen Randall, D.O.

Family Medicine Physician in Pueblo, Colorado. 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
111
Medicare Part D claims · 80 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
83.4/100
▲ 0 pts above national avg 83.1 · [object Object]

What the federal data shows

Karen Randall, D.O. reported a CMS MIPS final score of 83.4/100 — above the 83.1 national average — and filed 111 Medicare Part D claims in 2023.

83.4/100
MIPS score · +0 vs avg
111
Part D claims, 2023
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 Randall, D.O.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

83 42nd percentile higher than 42% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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 Randall, D.O. 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 Randall, D.O.?

Near national average

NPI registry status

Active

Issued 11/17/2006

NPI 1811061328

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

111 97% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

83.4/100 0.3 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Colorado

How Family Medicine Physician compares to other specialties among Colorado providers

Colorado providers

Family Medicine Physician share within Colorado

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

Medicare quality performance — MIPS

Karen Randall, D.O.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

Near national average
MIPS Final Score
83.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 83.4/100 vs national avg 83.1

0%100%National avg83%83.4%
MIPS final score (Family Medicine Physician) — 83.4/100 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 Randall, D.O. appears in the CMS NPPES registry as a Family Medicine Physician provider holding D.O. credentials at 400 W 16TH ST, Pueblo, CO, 81003, with a listed phone of (719) 584-4306. NPI 1811061328 was issued on 11/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Randall 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 111 prescription claims written by this provider, covering 80 Medicare beneficiaries and totaling roughly $1K in drug spend, with an opioid prescribing rate of 24.3%. 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 83.4/100 for the 2023 performance year (Quality 80, Cost 61.1), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

400 W 16TH ST
Pueblo, CO 81003

Provider Details

NPI 1811061328
Specialty Family Medicine Physician
Credentials D.O.
Gender Female
NPI Issued 11/17/2006

CMS Quality Score (MIPS)

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

83.4304
Final Score
Avg: 83.1
80
Quality
61.0993
Cost

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

111
Total Claims
$1K
Total Drug Cost
80
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
113
Total Day Supply
962
Generic Drug Cost
$1K
Opioid Claims
27 (24.3% rate)
Antibiotic Claims
35

Patient Demographics

Average Patient Age
69.4 years
Avg HCC Risk Score
1.75
Gender Split
56% female / 44% 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 Randall, D.O. 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
Cephalexin
13
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
13
Doxycycline Hyclate
11

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

Family Medicine Physician Overview

How Karen Randall, D.O. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Karen Randall, D.O.'s 111 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Colorado

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

Compare Family Medicine Physician 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 Colorado medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine Physician 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.

Frequently Asked Questions

What is Karen Randall, D.O.'s specialty?
Karen Randall, D.O. specializes in Family Medicine Physician and practices in Pueblo, Colorado. Credentials: D.O..
How much does Karen Randall, D.O. prescribe under Medicare Part D?
In 2023, Karen Randall, D.O. wrote 111 Medicare Part D claims totaling $1K in drug costs for 80 beneficiaries.
What is Karen Randall, D.O.'s Medicare quality score?
Karen Randall, D.O. has a CMS MIPS Final Score of 83.4/100 (Quality: 80, Cost: 61.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Karen Randall, D.O. located?
Karen Randall, D.O. is located at 400 W 16TH ST, Pueblo, CO, 81003. Phone: (719) 584-4306.
What is Karen Randall, D.O.'s NPI number?
Karen Randall, D.O.'s National Provider Identifier (NPI) is 1811061328, issued on 11/17/2006.
Does Karen Randall, D.O. prescribe opioids?
Yes, Karen Randall, D.O. had 27 opioid claims in 2023 with an opioid prescribing rate of 24.3%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Karen Randall, D.O. prescribe most often?
Based on 2023 Medicare Part D data, Karen Randall, D.O.'s most frequently prescribed drugs include Cephalexin, Hydrocodone-Acetaminophen, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Karen Randall, D.O. accept Medicare?
Karen Randall, D.O. appears in CMS Medicare data with 111 Part D claims and 80 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Karen Randall, D.O.'s credentials?
Karen Randall, D.O.'s NPI is 1811061328 with credentials D.O.. 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