2026 NPPES data Specialist NPI 1205828282 M.D.
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KATHERINE CARIAS, M.D.

Specialist in ASHLAND, Kentucky. 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
20K
Medicare Part D claims · 626 beneficiaries · Specialist avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.9826/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$621.45
30 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KATHERINE CARIAS, M.D. is a Specialist ([object Object]) practicing in ASHLAND, Kentucky with a Medicare Part D prescribing footprint of 20K claims across 626 beneficiaries — 14% brand-name prescribing . Their CMS MIPS Final Score of 81.9826/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $621.45 across 30 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KATHERINE CARIAS, M.D. reported a CMS MIPS final score of 81.9826 out of 100, below the 83.1 national average, and filed 20,089 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

KATHERINE CARIAS, M.D. at a glance

Near national average

NPI registry status

Active

Issued 08/17/2005

NPI 1205828282

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

20,089 1263% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

81.9826/100 1.1173999999999893% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Specialist compares to other specialties among Kentucky providers

Kentucky providers

Specialist share within Kentucky

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Kentucky

Medicare quality performance — MIPS

KATHERINE CARIAS, M.D.'s 2023 MIPS final score plotted against the Specialist national average

Near national average
MIPS Final Score
81.9826/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 81.9826/100 vs national avg 83.1

0%100%National avg83%82%
MIPS final score (Specialist) — 81.9826/100 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).

KATHERINE CARIAS, M.D. is a Specialist provider practicing in ASHLAND, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1205828282. 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.

KATHERINE CARIAS, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 2501 LEXINGTON AVE, ASHLAND, KY, 41101, with a listed phone of (606) 324-7704. NPI 1205828282 was issued on 08/17/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARIAS 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 20,089 prescription claims written by this provider, covering 626 Medicare beneficiaries and totaling roughly $1.8 million in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 3.2%. 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 81.9826/100 for the 2023 performance year (Quality 65.3682, Cost 84.5737), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

2501 LEXINGTON AVE
ASHLAND, KY 41101

Provider Details

NPI 1205828282
Specialty Specialist
Credentials M.D.
Gender Female
NPI Issued 08/17/2005

CMS Quality Score (MIPS)

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

81.9826
Final Score
Avg: 83.1
65.3682
Quality
84.5737
Cost
48
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where KATHERINE CARIAS, 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.

PREMIER THERAPY AND HEALTH CENTERS INC
IRONTON, OH

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 KATHERINE CARIAS, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$621

Largest payer

GENZYME CORPORATION

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

KATHERINE CARIAS, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 20,089 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.

20,089
Total Claims
$1.8M
Total Drug Cost
626
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
21,268
Total Day Supply
484,378
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$1.4M
Generic Drug Cost
$388K
Opioid Claims
637 (3.2% rate)
Antibiotic Claims
732

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
2.27
Gender Split
70% female / 30% male
Age Distribution
<65: 86, 65-74: 202, 75-84: 194, 85+: 144

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Potassium Chloride
678
Furosemide
667
Eliquis
Apixaban
636
Levothyroxine Sodium
610
Atorvastatin Calcium
601
Pantoprazole Sodium
598
Amlodipine Besylate
470
Sertraline Hcl
437
Omeprazole
416
Gabapentin
379

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

Specialist Overview

How KATHERINE CARIAS, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

KATHERINE CARIAS, M.D.'s 20,089 claims are above the specialty average of 1,474.

Nearby Specialist Providers in Kentucky

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is KATHERINE CARIAS, M.D.'s specialty?
KATHERINE CARIAS, M.D. specializes in Specialist and practices in ASHLAND, Kentucky. Credentials: M.D..
How much does KATHERINE CARIAS, M.D. prescribe under Medicare Part D?
In 2023, KATHERINE CARIAS, M.D. wrote 20,089 Medicare Part D claims totaling $1.8M in drug costs for 626 beneficiaries.
What is KATHERINE CARIAS, M.D.'s Medicare quality score?
KATHERINE CARIAS, M.D. has a CMS MIPS Final Score of 81.9826/100 (Quality: 65.3682, Cost: 84.5737). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KATHERINE CARIAS, M.D. located?
KATHERINE CARIAS, M.D. is located at 2501 LEXINGTON AVE, ASHLAND, KY, 41101. Phone: (606) 324-7704.
What is KATHERINE CARIAS, M.D.'s NPI number?
KATHERINE CARIAS, M.D.'s National Provider Identifier (NPI) is 1205828282, issued on 08/17/2005.
Does KATHERINE CARIAS, M.D. prescribe more brand-name or generic drugs?
KATHERINE CARIAS, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $1.4M in brand drug costs.
Does KATHERINE CARIAS, M.D. prescribe opioids?
Yes, KATHERINE CARIAS, M.D. had 637 opioid claims in 2023 with an opioid prescribing rate of 3.2%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does KATHERINE CARIAS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KATHERINE CARIAS, M.D.'s most frequently prescribed drugs include Potassium Chloride, Furosemide, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KATHERINE CARIAS, M.D. accept Medicare?
KATHERINE CARIAS, M.D. appears in CMS Medicare data with 20,089 Part D claims and 626 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KATHERINE CARIAS, M.D.'s credentials?
KATHERINE CARIAS, M.D.'s NPI is 1205828282 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