2026 NPPES data Gynecologic Oncology Physician NPI 1013250604 M.D.
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KARI KUBALANZA, M.D.

Gynecologic Oncology Physician in MADISON, 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
213
Medicare Part D claims · 32 beneficiaries · Gynecologic Oncology Physician avg: 188
Generic prescribing
60%
generic claims · 40% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.1025/100
▲ 3 pts above national avg 83.1 · [object Object]
What the federal data reveals: KARI KUBALANZA, M.D. is a Gynecologic Oncology Physician ([object Object]) practicing in MADISON, Wisconsin with a Medicare Part D prescribing footprint of 213 claims across 32 beneficiaries — 40% brand-name prescribing . Their CMS MIPS Final Score of 86.1025/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: KARI KUBALANZA, M.D. reported a CMS MIPS final score of 86.1025 out of 100, above the 83.1 national average, and filed 213 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

KARI KUBALANZA, M.D. 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).

KARI KUBALANZA, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/01/2013

NPI 1013250604

Primary specialty

Gynecologic Oncology Physician

Niche

1,360 US NPIs in this specialty

Medicare Part D claims

213 13% vs specialty avg

2023 prescription claims

Specialty avg: 188

MIPS final score

86.1025/100 3.002500000000012% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Gynecologic Oncology Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Gynecologic Oncology Physician share within Wisconsin

1. Gynecologic Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gynecologic Oncology Physician share within Wisconsin

Medicare quality performance — MIPS

KARI KUBALANZA, M.D.'s 2023 MIPS final score plotted against the Gynecologic Oncology Physician national average

High performer (top quartile)
MIPS Final Score
86.1025/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gynecologic Oncology Physician) — 86.1025/100 vs national avg 83.1

0%100%National avg83%86.1%
MIPS final score (Gynecologic Oncology Physician) — 86.1025/100 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).

KARI KUBALANZA, M.D. is a Gynecologic Oncology Physician provider practicing in MADISON, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1013250604. 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.

KARI KUBALANZA, M.D. appears in the CMS NPPES registry as a Gynecologic Oncology Physician provider holding M.D. credentials at 600 HIGHLAND AVE, MADISON, WI, 53792, with a listed phone of (608) 915-0100. NPI 1013250604 was issued on 04/01/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KUBALANZA 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 213 prescription claims written by this provider, covering 32 Medicare beneficiaries and totaling roughly $669K in drug spend, split 40% brand-name and 60% generic by claim count, with an opioid prescribing rate of 6.6%. 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 86.1025/100 for the 2023 performance year (Quality 82.938, Cost 66.7384), compared with the national average of 83.1.

Gynecologic Oncology Physician is a narrow specialty nationwide, with 1,360 enrolled providers across 49 states and an average of 188 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

600 HIGHLAND AVE
MADISON, WI 53792

Provider Details

NPI 1013250604
Specialty Gynecologic Oncology Physician
Credentials M.D.
Gender Female
NPI Issued 04/01/2013

CMS Quality Score (MIPS)

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

86.1025
Final Score
Avg: 83.1
82.938
Quality
66.7384
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KARI KUBALANZA, 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.

UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
MADISON, 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).

Brand vs generic prescribing mix · Above average

KARI KUBALANZA, M.D. — brand share 40.0%
Specialty average (est.)

40% brand-name claims vs 60% generic, on 213 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.

213
Total Claims
$669K
Total Drug Cost
32
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
280
Total Day Supply
7,271
Brand vs Generic
40% brand / 60% generic
Brand Drug Cost
$666K
Generic Drug Cost
$3K
Opioid Claims
14 (6.6% rate)

Patient Demographics

Average Patient Age
69.7 years
Avg HCC Risk Score
2.35

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Letrozole
29
Anastrozole
26
Eliquis
Apixaban
24
Ibrance
Palbociclib
15
Ondansetron Odt
Ondansetron
15
Kisqali
Ribociclib Succinate
12
Verzenio
Abemaciclib
12

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

Gynecologic Oncology Physician Overview

How KARI KUBALANZA, M.D. fits within the Gynecologic Oncology Physician landscape nationally.

1,360
Gynecologic Oncology Physician Providers in US
49
States with Gynecologic Oncology Physician
188
Avg Claims per Provider

KARI KUBALANZA, M.D.'s 213 claims are above the specialty average of 188.

Nearby Gynecologic Oncology Physician Providers in Wisconsin

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

Compare Gynecologic Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KARI KUBALANZA, M.D.'s specialty?
KARI KUBALANZA, M.D. specializes in Gynecologic Oncology Physician and practices in MADISON, Wisconsin. Credentials: M.D..
How much does KARI KUBALANZA, M.D. prescribe under Medicare Part D?
In 2023, KARI KUBALANZA, M.D. wrote 213 Medicare Part D claims totaling $669K in drug costs for 32 beneficiaries.
What is KARI KUBALANZA, M.D.'s Medicare quality score?
KARI KUBALANZA, M.D. has a CMS MIPS Final Score of 86.1025/100 (Quality: 82.938, Cost: 66.7384). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KARI KUBALANZA, M.D. located?
KARI KUBALANZA, M.D. is located at 600 HIGHLAND AVE, MADISON, WI, 53792. Phone: (608) 915-0100.
What is KARI KUBALANZA, M.D.'s NPI number?
KARI KUBALANZA, M.D.'s National Provider Identifier (NPI) is 1013250604, issued on 04/01/2013.
Does KARI KUBALANZA, M.D. prescribe more brand-name or generic drugs?
KARI KUBALANZA, M.D.'s prescribing is 40% brand-name and 60% generic drugs by claim count, with $666K in brand drug costs.
Does KARI KUBALANZA, M.D. prescribe opioids?
Yes, KARI KUBALANZA, M.D. had 14 opioid claims in 2023 with an opioid prescribing rate of 6.6%.
How many Gynecologic Oncology Physician providers are there in the US?
There are 1,360 Gynecologic Oncology Physician providers across 49 states in the US. The average Gynecologic Oncology Physician provider writes 188 Medicare Part D claims per year.
What drugs does KARI KUBALANZA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KARI KUBALANZA, M.D.'s most frequently prescribed drugs include Letrozole, Anastrozole, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KARI KUBALANZA, M.D. accept Medicare?
KARI KUBALANZA, M.D. appears in CMS Medicare data with 213 Part D claims and 32 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KARI KUBALANZA, M.D.'s credentials?
KARI KUBALANZA, M.D.'s NPI is 1013250604 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