2026 NPPES data Specialist NPI 1194790378 M.D.
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KAREN WATSON, M.D.

Specialist in WAUWATOSA, Wisconsin. 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
106
Medicare Part D claims · 37 beneficiaries · Specialist avg: 1K
MIPS score
82.3961/100
▼ 1 pts below national avg 83.1 · [object Object]

What the federal data shows

KAREN WATSON, M.D. reported a CMS MIPS final score of 82.3961/100 — below the 83.1 national average — and filed 106 Medicare Part D claims in 2023.

82.3961/100
MIPS score · -1 vs avg
106
Part D claims, 2023

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 WATSON, 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

82 39th percentile higher than 39% 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

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

Near national average

NPI registry status

Active

Issued 02/21/2006

NPI 1194790378

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

106 93% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

82.3961/100 0.7038999999999902% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Specialist compares to other specialties among Wisconsin providers

Wisconsin providers

Specialist share within Wisconsin

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Wisconsin

Medicare quality performance — MIPS

KAREN WATSON, M.D.'s 2023 MIPS final score plotted against the Specialist national average

Near national average
MIPS Final Score
82.3961/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 82.3961/100 vs national avg 83.1

0%100%National avg83%82.4%
MIPS final score (Specialist) — 82.3961/100 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 WATSON, M.D. is a Specialist provider practicing in WAUWATOSA, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1194790378. 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 WATSON, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 201 N MAYFAIR RD, WAUWATOSA, WI, 53226, with a listed phone of (414) 771-8228. NPI 1194790378 was issued on 02/21/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WATSON 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 106 prescription claims written by this provider, covering 37 Medicare beneficiaries and totaling roughly $5K in drug spend. 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 82.3961/100 for the 2023 performance year (Quality 77.8816, Cost 74.3833), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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 N MAYFAIR RD
WAUWATOSA, WI 53226

Provider Details

NPI 1194790378
Specialty Specialist
Credentials M.D.
Gender Female
NPI Issued 02/21/2006

CMS Quality Score (MIPS)

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

82.3961
Final Score
Avg: 83.1
77.8816
Quality
74.3833
Cost
81
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KAREN WATSON, M.D. 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.

ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC
WAUWATOSA, WI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

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

106
Total Claims
$5K
Total Drug Cost
37
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
147
Total Day Supply
2,987
Generic Drug Cost
$3K
Antibiotic Claims
13

Patient Demographics

Average Patient Age
53.6 years
Avg HCC Risk Score
0.91
Age Distribution
<65: 22, 65-74: N/A, 75-84: N/A, 85+: 0

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Fluconazole
11

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

Specialist Overview

How KAREN WATSON, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

KAREN WATSON, M.D.'s 106 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Wisconsin

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is KAREN WATSON, M.D.'s specialty?
KAREN WATSON, M.D. specializes in Specialist and practices in WAUWATOSA, Wisconsin. Credentials: M.D..
How much does KAREN WATSON, M.D. prescribe under Medicare Part D?
In 2023, KAREN WATSON, M.D. wrote 106 Medicare Part D claims totaling $5K in drug costs for 37 beneficiaries.
What is KAREN WATSON, M.D.'s Medicare quality score?
KAREN WATSON, M.D. has a CMS MIPS Final Score of 82.3961/100 (Quality: 77.8816, Cost: 74.3833). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KAREN WATSON, M.D. located?
KAREN WATSON, M.D. is located at 201 N MAYFAIR RD, WAUWATOSA, WI, 53226. Phone: (414) 771-8228.
What is KAREN WATSON, M.D.'s NPI number?
KAREN WATSON, M.D.'s National Provider Identifier (NPI) is 1194790378, issued on 02/21/2006.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does KAREN WATSON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KAREN WATSON, M.D.'s most frequently prescribed drugs include Fluconazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAREN WATSON, M.D. accept Medicare?
KAREN WATSON, M.D. appears in CMS Medicare data with 106 Part D claims and 37 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAREN WATSON, M.D.'s credentials?
KAREN WATSON, M.D.'s NPI is 1194790378 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