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2026 NPPES data Family Medicine Physician NPI 1891803516 M.D.
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Karl Crudo, M.D.

Family Medicine Physician in Galveston, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 150,125 in Family Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
12K
Medicare Part D claims · 915 beneficiaries · Family Medicine Physician avg: 4K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 9 pts below national avg 83.5 · Mid-tier
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Karl Crudo, M.D. reported a CMS MIPS final score of 75/100 - below the 83.5 national average - and filed 12,488 Medicare Part D claims in 2024.

75/100
MIPS score · -9 vs avg
12K
Part D claims, 2024
90%
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.

Federal trust snapshot

What official records show about Karl Crudo, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1891803516), first enumerated 08/25/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 12,488 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 75/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • State context

    State board disciplinary context

    Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Karl Crudo, M.D.'s individual license status. Verify directly with the state medical board.

    Source: TMB annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1891803516 · Family Medicine Physician

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-BELOW · RX-HEAVY · BOOK-MID · PHOTO-FINISH

  • NPI-10 1891803516
  • ENUM-LEGACY 2006
  • TAX-MEGA 150K Family Medicine
  • MIPS-BELOW 75/100
  • RX-HEAVY 12K claims
  • BOOK-MID 10,592 in Texas
  • PHOTO-FINISH Charles Mouton · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Karl Crudo, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

75 ≥ 13th percentile 13% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Karl Crudo, M.D. sits

This provider among family medicine physician peers

Across the 21,266 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Karl Crudo, M.D. writes more Part D claims than 93% of them and scores higher on MIPS quality than 16% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 37Karl Crudo, M.D., Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 16
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Karl Crudo, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Karl Crudo, 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).

What does the federal data show about Karl Crudo, M.D.?

Below national average

NPI registry status

Active

Issued 08/25/2006

NPI 1891803516

Primary specialty

Family Medicine Physician

High-volume

150,125 US NPIs in this specialty

Medicare Part D claims

12,488 255% vs specialty avg

2024 prescription claims

Specialty avg: 3,519

MIPS final score

75/100 8.5 pts vs avg

Mid-tier band

vs 83.5 national avg

Specialty distribution in Texas

How Family Medicine Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician6%Student in an Organized Heal…5.3%Family Nurse Practitioner4.5%Professional Counselor4.4%Pharmacist4.3%Speech-Language Pathologist3.9%Family Medicine Physician2.4%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Karl Crudo, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
75/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%75%
MIPS final score (Family Medicine Physician) - 75/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

301 UNIVERSITY BLVD
Galveston, TX 77555
(409) 772-2222

Provider Details

NPI 1891803516
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 08/25/2006

CMS Quality Score (MIPS)

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

74.9614
Final Score
Measured-score avg: 83.5
73.7789
Quality
47.7591
Cost
94
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Karl Crudo, 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.

Utmb Faculty Group Practice
League City, TX

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

License & disciplinary context - Texas TMB 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Karl Crudo, M.D.. To verify Karl Crudo, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Karl Crudo, M.D. - brand share 10.0%
Family Medicine Physician average

10% brand-name claims vs 90% generic, on 12,488 2024 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 2024.

12,488
Total Claims
$1.0M
Total Drug Cost
915
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
28,744.033
Total Day Supply
850,330
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$815K
Generic Drug Cost
$187K
Opioid Claims
214 (1.7% rate)
Antibiotic Claims
65

Patient Demographics

Average Patient Age
71.9 years
Avg HCC Risk Score
1.36
Gender Split
48% female / 52% male
Age Distribution
<65: 87, 65-74: 526, 75-84: 243, 85+: 59

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Karl Crudo, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Atorvastatin Calcium
 1,036
Amlodipine Besylate
 658
Lisinopril
 450
Hydrochlorothiazide
 374
Gabapentin
 360
Levothyroxine Sodium
 331
Rosuvastatin Calcium
 313
Metformin Hcl
 310
Pantoprazole Sodium
 309
Losartan Potassium
 296

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

More Family Medicine Physician in TX → All providers in Texas → Compare specialties →

Family Medicine Physician Overview

How Karl Crudo, M.D. fits within the Family Medicine Physician landscape nationally.

150,125
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,519
Avg Claims per Provider

Karl Crudo, M.D.'s 12,488 claims are above the specialty average of 3,519.

Nationwide Family Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Crudo, both outside Texas so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (75 here).

Charles Mouton 75 TN Mariam Mufti 75 TN Steven Brown 75 AL Jacob Olson 75 TN

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

David Larson Fairfield, IA Patrick McCarville Valley, NE Ivar Frithsen Keene, NH Joe Davison Wichita, KS

Nearby Family Medicine Physician Providers in Texas

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

One of 10,592 Family Medicine Physician providers enrolled in Texas, 5 are shown here.

Dr. Srinivasa Aaluri
MD
El Paso, TX
Dr. Maira Aamir
MD
Shenandoah, TX
Dr. Fakhrudin Aaseemah Mohamed
M.D
Allen, TX
Dr. So Abad
MD
Wichita Falls, TX
Yoseph Abadi
Richardson, TX

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Karl Crudo, M.D.'s specialty? ▼
Karl Crudo, M.D. specializes in Family Medicine Physician and practices in Galveston, Texas. Credentials: M.D..
How much does Karl Crudo, M.D. prescribe under Medicare Part D? ▼
In 2024, Karl Crudo, M.D. wrote 12,488 Medicare Part D claims totaling $1.0M in drug costs for 915 beneficiaries.
What is Karl Crudo, M.D.'s Medicare quality score? ▼
Karl Crudo, M.D. has a CMS MIPS Final Score of 75/100 (Quality: 73.8, Cost: 47.8). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Karl Crudo, M.D. located? ▼
Karl Crudo, M.D. is located at 301 UNIVERSITY BLVD, Galveston, TX, 77555. Phone: (409) 772-2222.
What is Karl Crudo, M.D.'s NPI number? ▼
Karl Crudo, M.D.'s National Provider Identifier (NPI) is 1891803516, issued on 08/25/2006.
Does Karl Crudo, M.D. prescribe more brand-name or generic drugs? ▼
Karl Crudo, M.D.'s prescribing is 10% brand-name and 90% generic drugs by claim count, with $815K in brand drug costs.
Does Karl Crudo, M.D. prescribe opioids? ▼
Yes, Karl Crudo, M.D. had 214 opioid claims in 2024 with an opioid prescribing rate of 1.7%.
How many Family Medicine Physician providers are there in the US? ▼
There are 150,125 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,519 Medicare Part D claims per year.
What drugs does Karl Crudo, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Karl Crudo, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Karl Crudo, M.D. accept Medicare? ▼
Karl Crudo, M.D. appears in CMS Medicare data with 12,488 Part D claims and 915 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Karl Crudo, M.D.'s credentials? ▼
Karl Crudo, M.D.'s NPI is 1891803516 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

View source datasets and methodology notes
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 (2024). 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 August 2026 (NPPES) / 2024 (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

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.