2026 NPPES data Gynecology Physician NPI 1275627481 MD
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KAREN STUART, MD

Gynecology Physician in COLUMBUS, Georgia. 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
239
Medicare Part D claims · 78 beneficiaries · Gynecology Physician avg: 295
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.65/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$406.63
26 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KAREN STUART, MD reported a CMS MIPS final score of 91.65/100 — above the 83.1 national average — and filed 239 Medicare Part D claims in 2023.

91.65/100
MIPS score · +9 vs avg
239
Part D claims, 2023
77%
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 STUART, MD's MIPS score vs every scored U.S. clinician

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

92 Top 37% higher than 63% 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 STUART, 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 STUART, MD?

High performer (top quartile)

NPI registry status

Active

Issued 10/03/2006

NPI 1275627481

Primary specialty

Gynecology Physician

Niche

3,902 US NPIs in this specialty

Medicare Part D claims

239 19% vs specialty avg

2023 prescription claims

Specialty avg: 295

MIPS final score

91.65/100 8.550000000000011% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Gynecology Physician compares to other specialties among Georgia providers

Georgia providers

Gynecology Physician share within Georgia

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

Medicare quality performance — MIPS

KAREN STUART, MD's 2023 MIPS final score plotted against the Gynecology Physician national average

High performer (top quartile)
MIPS Final Score
91.65/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gynecology Physician) — 91.65/100 vs national avg 83.1

0%100%National avg83%91.7%
MIPS final score (Gynecology Physician) — 91.65/100 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 STUART, MD appears in the CMS NPPES registry as a Gynecology Physician provider holding MD credentials at 1201 18TH ST, COLUMBUS, GA, 31901, with a listed phone of (706) 322-4950. NPI 1275627481 was issued on 10/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what STUART 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 239 prescription claims written by this provider, covering 78 Medicare beneficiaries and totaling roughly $28K in drug spend, split 23% brand-name and 77% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.65/100 for the 2023 performance year, compared with the national average of 83.1.

Gynecology Physician is a narrow specialty nationwide, with 3,902 enrolled providers across 53 states and an average of 295 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

1201 18TH ST
COLUMBUS, GA 31901

Provider Details

NPI 1275627481
Specialty Gynecology Physician
Credentials MD
Gender Female
NPI Issued 10/03/2006

CMS Quality Score (MIPS)

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

91.65
Final Score
Avg: 83.1
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KAREN STUART, 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.

COLUMBUS AMBULATORY HEALTHCARE SERVICES, INC.
COLUMBUS, GA

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 STUART, MD. Source: openpaymentsdata.cms.gov.

Total received

$407

Largest payer

PFIZER INC.

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 · Typical

KAREN STUART, MD — brand share 23.0%
Specialty average (est.)

23% brand-name claims vs 77% generic, on 239 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.

239
Total Claims
$28K
Total Drug Cost
78
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
353
Total Day Supply
7,846
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$22K
Generic Drug Cost
$5K
Antibiotic Claims
19

Patient Demographics

Average Patient Age
67.8 years
Avg HCC Risk Score
1.28
Age Distribution
<65: 18, 65-74: 41, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What KAREN STUART, MD 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
Estradiol
43
Fluconazole
34
Clotrimazole-Betamethasone
Clotrimazole/Betamethasone Dip
27
Metronidazole
19
Myrbetriq
Mirabegron
16
Valacyclovir
Valacyclovir Hcl
14
Imvexxy
Estradiol
13

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

Gynecology Physician Overview

How KAREN STUART, MD fits within the Gynecology Physician landscape nationally.

3,902
Gynecology Physician Providers in US
53
States with Gynecology Physician
295
Avg Claims per Provider

KAREN STUART, MD's 239 claims are below the specialty average of 295.

Nearby Gynecology Physician Providers in Georgia

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

Compare Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KAREN STUART, MD's specialty?
KAREN STUART, MD specializes in Gynecology Physician and practices in COLUMBUS, Georgia. Credentials: MD.
How much does KAREN STUART, MD prescribe under Medicare Part D?
In 2023, KAREN STUART, MD wrote 239 Medicare Part D claims totaling $28K in drug costs for 78 beneficiaries.
What is KAREN STUART, MD's Medicare quality score?
KAREN STUART, MD has a CMS MIPS Final Score of 91.65/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KAREN STUART, MD located?
KAREN STUART, MD is located at 1201 18TH ST, COLUMBUS, GA, 31901. Phone: (706) 322-4950.
What is KAREN STUART, MD's NPI number?
KAREN STUART, MD's National Provider Identifier (NPI) is 1275627481, issued on 10/03/2006.
Does KAREN STUART, MD prescribe more brand-name or generic drugs?
KAREN STUART, MD's prescribing is 23% brand-name and 77% generic drugs by claim count, with $22K in brand drug costs.
How many Gynecology Physician providers are there in the US?
There are 3,902 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 295 Medicare Part D claims per year.
What drugs does KAREN STUART, MD prescribe most often?
Based on 2023 Medicare Part D data, KAREN STUART, MD's most frequently prescribed drugs include Estradiol, Fluconazole, Clotrimazole-Betamethasone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAREN STUART, MD accept Medicare?
KAREN STUART, MD appears in CMS Medicare data with 239 Part D claims and 78 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAREN STUART, MD's credentials?
KAREN STUART, MD's NPI is 1275627481 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

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