2026 NPPES data Gastroenterology Physician NPI 1083061808 MD
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KARL MARETH, MD

Gastroenterology Physician in JASPER, 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
605
Medicare Part D claims · 275 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.8928/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$1.2K
56 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KARL MARETH, MD reported a CMS MIPS final score of 89.8928/100 — above the 83.1 national average — and filed 605 Medicare Part D claims in 2023.

89.8928/100
MIPS score · +7 vs avg
605
Part D claims, 2023
85%
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.

KARL MARETH, MD's MIPS score vs every scored U.S. clinician

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

90 Top 42% higher than 58% 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

Board certification likely (heuristic — not verified)

KARL MARETH, 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 KARL MARETH, MD?

High performer (top quartile)

NPI registry status

Active

Issued 05/22/2016

NPI 1083061808

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

605 27% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

89.8928/100 6.7928% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Gastroenterology Physician compares to other specialties among Georgia providers

Georgia providers

Gastroenterology Physician share within Georgia

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

Medicare quality performance — MIPS

KARL MARETH, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average

High performer (top quartile)
MIPS Final Score
89.8928/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 89.8928/100 vs national avg 83.1

0%100%National avg83%89.9%
MIPS final score (Gastroenterology Physician) — 89.8928/100 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 MARETH, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 134 MOUNTAINSIDE VILLAGE PKWY BLDG 500, JASPER, GA, 30143, with a listed phone of (706) 253-7340. NPI 1083061808 was issued on 05/22/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MARETH 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 605 prescription claims written by this provider, covering 275 Medicare beneficiaries and totaling roughly $87K in drug spend, split 15% brand-name and 85% 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 89.8928/100 for the 2023 performance year (Quality 79.7855), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

134 MOUNTAINSIDE VILLAGE PKWY BLDG 500
JASPER, GA 30143

Provider Details

NPI 1083061808
Specialty Gastroenterology Physician
Credentials MD
Gender Male
NPI Issued 05/22/2016

CMS Quality Score (MIPS)

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

89.8928
Final Score
Avg: 83.1
79.7855
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where KARL MARETH, 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.

DIGESTIVE HEALTHCARE OF GEORGIA
ATLANTA, 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 KARL MARETH, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.2K

Largest payer

Janssen Biotech, 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

KARL MARETH, MD — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 605 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.

605
Total Claims
$87K
Total Drug Cost
275
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
821
Total Day Supply
17,983
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$73K
Generic Drug Cost
$13K
Antibiotic Claims
28

Patient Demographics

Average Patient Age
70.2 years
Avg HCC Risk Score
1.11
Gender Split
61% female / 39% 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 MARETH, 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
Pantoprazole Sodium
163
Sucralfate
40
Omeprazole
38
Clenpiq
Sod Picosulf/Mag Ox/Citric Ac
37
Colestipol Hcl
23
Famotidine
19
Metronidazole
15
Dicyclomine Hcl
14
Creon
Lipase/Protease/Amylase
12
Gavilyte-C
"Peg3350/Sod Sulf
N/A

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

Gastroenterology Physician Overview

How KARL MARETH, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

KARL MARETH, MD's 605 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Georgia

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

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

Frequently Asked Questions

What is KARL MARETH, MD's specialty?
KARL MARETH, MD specializes in Gastroenterology Physician and practices in JASPER, Georgia. Credentials: MD.
How much does KARL MARETH, MD prescribe under Medicare Part D?
In 2023, KARL MARETH, MD wrote 605 Medicare Part D claims totaling $87K in drug costs for 275 beneficiaries.
What is KARL MARETH, MD's Medicare quality score?
KARL MARETH, MD has a CMS MIPS Final Score of 89.8928/100 (Quality: 79.7855). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KARL MARETH, MD located?
KARL MARETH, MD is located at 134 MOUNTAINSIDE VILLAGE PKWY BLDG 500, JASPER, GA, 30143. Phone: (706) 253-7340.
What is KARL MARETH, MD's NPI number?
KARL MARETH, MD's National Provider Identifier (NPI) is 1083061808, issued on 05/22/2016.
Does KARL MARETH, MD prescribe more brand-name or generic drugs?
KARL MARETH, MD's prescribing is 15% brand-name and 85% generic drugs by claim count, with $73K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does KARL MARETH, MD prescribe most often?
Based on 2023 Medicare Part D data, KARL MARETH, MD's most frequently prescribed drugs include Pantoprazole Sodium, Sucralfate, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KARL MARETH, MD accept Medicare?
KARL MARETH, MD appears in CMS Medicare data with 605 Part D claims and 275 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KARL MARETH, MD's credentials?
KARL MARETH, MD's NPI is 1083061808 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