2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1972731917 M.D., M.P.H.
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KARL BOELLERT, M.D., M.P.H.

Physical Medicine & Rehabilitation Physician in GREENWOOD, South Carolina. 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
395
Medicare Part D claims · 184 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
MIPS score
96.0864/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$47.92
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KARL BOELLERT, M.D., M.P.H. reported a CMS MIPS final score of 96.0864/100 — above the 83.1 national average — and filed 395 Medicare Part D claims in 2023.

96.0864/100
MIPS score · +13 vs avg
395
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.

KARL BOELLERT, M.D., M.P.H.'s MIPS score vs every scored U.S. clinician

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

96 Top 17% higher than 83% 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)

KARL BOELLERT, M.D., M.P.H. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 KARL BOELLERT, M.D., M.P.H.?

High performer (top quartile)

NPI registry status

Active

Issued 06/29/2009

NPI 1972731917

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

395 49% vs specialty avg

2023 prescription claims

Specialty avg: 781

MIPS final score

96.0864/100 12.986400000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in South Carolina

How Physical Medicine & Rehabilitation Physician compares to other specialties among South Carolina providers

South Carolina providers

Physical Medicine & Rehabilitation Physician share within South Carolina

1. Physical Medicine & Rehabilitation Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Medicine & Rehabilitation Physician share within South Carolina

Medicare quality performance — MIPS

KARL BOELLERT, M.D., M.P.H.'s 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average

High performer (top quartile)
MIPS Final Score
96.0864/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physical Medicine & Rehabilitation Physician) — 96.0864/100 vs national avg 83.1

0%100%National avg83%96.1%
MIPS final score (Physical Medicine & Rehabilitation Physician) — 96.0864/100 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).

KARL BOELLERT, M.D., M.P.H. appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding M.D., M.P.H. credentials at 115 ACADEMY AVE, GREENWOOD, SC, 29646, with a listed phone of (864) 725-7272. NPI 1972731917 was issued on 06/29/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BOELLERT 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 395 prescription claims written by this provider, covering 184 Medicare beneficiaries and totaling roughly $6K in drug spend, with an opioid prescribing rate of 8.6%. 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 96.0864/100 for the 2023 performance year (Quality 92.1728), compared with the national average of 83.1.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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

115 ACADEMY AVE
GREENWOOD, SC 29646

Provider Details

NPI 1972731917
Specialty Physical Medicine & Rehabilitation Physician
Credentials M.D., M.P.H.
Gender Male
NPI Issued 06/29/2009

CMS Quality Score (MIPS)

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

96.0864
Final Score
Avg: 83.1
92.1728
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where KARL BOELLERT, M.D., M.P.H. 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.

SELF REGIONAL HEALTHCARE
★★★★☆ 4/5
GREENWOOD, SC
Acute Care Hospitals
CMS CCN: 420071
SELF MEDICAL GROUP
GREENWOOD, SC

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 KARL BOELLERT, M.D., M.P.H.. Source: openpaymentsdata.cms.gov.

Total received

$48

Largest payer

LivaNova USA, 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.

Medicare Part D Prescribing Data

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

395
Total Claims
$6K
Total Drug Cost
184
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
418
Total Day Supply
10,515
Generic Drug Cost
$6K
Opioid Claims
34 (8.6% rate)

Patient Demographics

Average Patient Age
71.3 years
Avg HCC Risk Score
1.30
Gender Split
62% female / 38% male

Top Prescribed Drugs (Medicare Part D)

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

What KARL BOELLERT, M.D., M.P.H. 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
Gabapentin
129
Pregabalin
116
Meloxicam
39
Tramadol Hcl
23
Lorazepam
20
Methylprednisolone
17

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

Physical Medicine & Rehabilitation Physician Overview

How KARL BOELLERT, M.D., M.P.H. fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

KARL BOELLERT, M.D., M.P.H.'s 395 claims are below the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in South Carolina

Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as BOELLERT.

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KARL BOELLERT, M.D., M.P.H.'s specialty?
KARL BOELLERT, M.D., M.P.H. specializes in Physical Medicine & Rehabilitation Physician and practices in GREENWOOD, South Carolina. Credentials: M.D., M.P.H..
How much does KARL BOELLERT, M.D., M.P.H. prescribe under Medicare Part D?
In 2023, KARL BOELLERT, M.D., M.P.H. wrote 395 Medicare Part D claims totaling $6K in drug costs for 184 beneficiaries.
What is KARL BOELLERT, M.D., M.P.H.'s Medicare quality score?
KARL BOELLERT, M.D., M.P.H. has a CMS MIPS Final Score of 96.0864/100 (Quality: 92.1728). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KARL BOELLERT, M.D., M.P.H. located?
KARL BOELLERT, M.D., M.P.H. is located at 115 ACADEMY AVE, GREENWOOD, SC, 29646. Phone: (864) 725-7272.
What is KARL BOELLERT, M.D., M.P.H.'s NPI number?
KARL BOELLERT, M.D., M.P.H.'s National Provider Identifier (NPI) is 1972731917, issued on 06/29/2009.
Does KARL BOELLERT, M.D., M.P.H. prescribe opioids?
Yes, KARL BOELLERT, M.D., M.P.H. had 34 opioid claims in 2023 with an opioid prescribing rate of 8.6%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does KARL BOELLERT, M.D., M.P.H. prescribe most often?
Based on 2023 Medicare Part D data, KARL BOELLERT, M.D., M.P.H.'s most frequently prescribed drugs include Gabapentin, Pregabalin, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KARL BOELLERT, M.D., M.P.H. accept Medicare?
KARL BOELLERT, M.D., M.P.H. appears in CMS Medicare data with 395 Part D claims and 184 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KARL BOELLERT, M.D., M.P.H.'s credentials?
KARL BOELLERT, M.D., M.P.H.'s NPI is 1972731917 with credentials M.D., M.P.H.. 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