2026 NPPES data Pediatric Registered Nurse NPI 1124295332
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KARL SMART

Pediatric Registered Nurse in ATHENS, 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
361
Medicare Part D claims · 22 beneficiaries · Pediatric Registered Nurse avg: 748
MIPS score
91.65/100
▲ 9 pts above national avg 83.1 · [object Object]

What the federal data shows

KARL SMART reported a CMS MIPS final score of 91.65/100 — above the 83.1 national average — and filed 361 Medicare Part D claims in 2023.

91.65/100
MIPS score · +9 vs avg
361
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.

KARL SMART's MIPS score vs every scored U.S. clinician

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

92 Top 37% higher than 63% 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

What does the federal data show about KARL SMART?

High performer (top quartile)

NPI registry status

Active

Issued 05/15/2008

NPI 1124295332

Primary specialty

Pediatric Registered Nurse

Niche

2,899 US NPIs in this specialty

Medicare Part D claims

361 52% vs specialty avg

2023 prescription claims

Specialty avg: 748

MIPS final score

91.65/100 8.550000000000011% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Pediatric Registered Nurse compares to other specialties among Georgia providers

Georgia providers

Pediatric Registered Nurse share within Georgia

1. Pediatric Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Registered Nurse share within Georgia

Medicare quality performance — MIPS

KARL SMART's 2023 MIPS final score plotted against the Pediatric Registered Nurse national average

High performer (top quartile)
MIPS Final Score
91.65/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Registered Nurse) — 91.65/100 vs national avg 83.1

0%100%National avg83%91.7%
MIPS final score (Pediatric Registered Nurse) — 91.65/100 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 SMART is a Pediatric Registered Nurse provider practicing in ATHENS, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1124295332. 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.

KARL SMART appears in the CMS NPPES registry as a Pediatric Registered Nurse provider at 745 S MILLEDGE AVE, ATHENS, GA, 30605, with a listed phone of (706) 498-9560. NPI 1124295332 was issued on 05/15/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SMART 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 361 prescription claims written by this provider, covering 22 Medicare beneficiaries and totaling roughly $7K 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 91.65/100 for the 2023 performance year, compared with the national average of 83.1.

Pediatric Registered Nurse is a narrow specialty nationwide, with 2,899 enrolled providers across 52 states and an average of 748 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

745 S MILLEDGE AVE
ATHENS, GA 30605

Provider Details

NPI 1124295332
Specialty Pediatric Registered Nurse
Gender Male
NPI Issued 05/15/2008

CMS Quality Score (MIPS)

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

91.65
Final Score
Avg: 83.1
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KARL SMART 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.

PIEDMONT ATHENS HOSPITALIST PHYSICIANS LLC
ATHENS, 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).

Medicare Part D Prescribing Data

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

361
Total Claims
$7K
Total Drug Cost
22
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
642
Total Day Supply
18,913
Generic Drug Cost
$7K

Patient Demographics

Average Patient Age
63.4 years
Avg HCC Risk Score
1.03
Gender Split
50% female / 50% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Fluoxetine Hcl
56
Clonazepam
44
Bupropion Xl
Bupropion Hcl
34
Mirtazapine
24
Sertraline Hcl
24
Trazodone Hcl
20
Citalopram Hbr
Citalopram Hydrobromide
19
Duloxetine Hcl
19
Aripiprazole
16
Lorazepam
14

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

Pediatric Registered Nurse Overview

How KARL SMART fits within the Pediatric Registered Nurse landscape nationally.

2,899
Pediatric Registered Nurse Providers in US
52
States with Pediatric Registered Nurse
748
Avg Claims per Provider

KARL SMART's 361 claims are below the specialty average of 748.

Nearby Pediatric Registered Nurse Providers in Georgia

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

Compare Pediatric Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is KARL SMART's specialty?
KARL SMART specializes in Pediatric Registered Nurse and practices in ATHENS, Georgia.
How much does KARL SMART prescribe under Medicare Part D?
In 2023, KARL SMART wrote 361 Medicare Part D claims totaling $7K in drug costs for 22 beneficiaries.
What is KARL SMART's Medicare quality score?
KARL SMART has a CMS MIPS Final Score of 91.65/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KARL SMART located?
KARL SMART is located at 745 S MILLEDGE AVE, ATHENS, GA, 30605. Phone: (706) 498-9560.
What is KARL SMART's NPI number?
KARL SMART's National Provider Identifier (NPI) is 1124295332, issued on 05/15/2008.
How many Pediatric Registered Nurse providers are there in the US?
There are 2,899 Pediatric Registered Nurse providers across 52 states in the US. The average Pediatric Registered Nurse provider writes 748 Medicare Part D claims per year.
What drugs does KARL SMART prescribe most often?
Based on 2023 Medicare Part D data, KARL SMART's most frequently prescribed drugs include Fluoxetine Hcl, Clonazepam, Bupropion Xl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KARL SMART accept Medicare?
KARL SMART appears in CMS Medicare data with 361 Part D claims and 22 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KARL SMART's credentials?
KARL SMART's NPI is 1124295332. 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