2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1275824427 MD
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KATHERINE PRICE, MD

Critical Care Medicine (Internal Medicine) Physician in MIDLOTHIAN, Virginia. 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
3K
Medicare Part D claims · 527 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
45%
generic claims · 55% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.5063/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$2.7K
124 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KATHERINE PRICE, MD reported a CMS MIPS final score of 76.5063/100 — below the 83.1 national average — and filed 3,291 Medicare Part D claims in 2023.

76.5063/100
MIPS score · -7 vs avg
3K
Part D claims, 2023
45%
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.

KATHERINE PRICE, MD's MIPS score vs every scored U.S. clinician

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

77 21st percentile higher than 21% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

KATHERINE PRICE, MD 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 KATHERINE PRICE, MD?

Below national average

NPI registry status

Active

Issued 04/22/2011

NPI 1275824427

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

3,291 208% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

76.5063/100 6.593699999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Virginia providers

Virginia providers

Critical Care Medicine (Internal Medicine) Physician share within Virginia

1. Critical Care Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine (Internal Medicine) Physician share within Virginia

Medicare quality performance — MIPS

KATHERINE PRICE, MD's 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average

Below national average
MIPS Final Score
76.5063/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 76.5063/100 vs national avg 83.1

0%100%National avg83%76.5%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 76.5063/100 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 PRICE, MD appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding MD credentials at 13551 WATERFORD PL, MIDLOTHIAN, VA, 23112, with a listed phone of (804) 320-4243. NPI 1275824427 was issued on 04/22/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PRICE 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 3,291 prescription claims written by this provider, covering 527 Medicare beneficiaries and totaling roughly $1.5 million in drug spend, split 55% brand-name and 45% 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 76.5063/100 for the 2023 performance year (Quality 67.3173, Cost 56.8703), compared with the national average of 83.1.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 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

13551 WATERFORD PL
MIDLOTHIAN, VA 23112

Provider Details

NPI 1275824427
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials MD
Gender Female
NPI Issued 04/22/2011

CMS Quality Score (MIPS)

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

76.5063
Final Score
Avg: 83.1
67.3173
Quality
56.8703
Cost
97
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KATHERINE PRICE, 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.

LEGACY HEALTHCARE SERVICES INC
BURKE, VA
PULMONARY ASSOCIATES OF RICHMOND INC
NORTH CHESTERFIELD, VA

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 PRICE, MD. Source: openpaymentsdata.cms.gov.

Total received

$2.7K

Largest payer

AstraZeneca Pharmaceuticals LP

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 · Brand-heavy

KATHERINE PRICE, MD — brand share 55.0%
Specialty average (est.)

55% brand-name claims vs 45% generic, on 3,291 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.

3,291
Total Claims
$1.5M
Total Drug Cost
527
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,924
Total Day Supply
135,297
Brand vs Generic
55% brand / 45% generic
Brand Drug Cost
$1.5M
Antibiotic Claims
302

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
1.62
Gender Split
63% female / 37% male
Age Distribution
<65: 55, 65-74: 261, 75-84: 172, 85+: 39

Top Prescribed Drugs (Medicare Part D)

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

What KATHERINE PRICE, 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
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
549
Montelukast Sodium
488
Albuterol Sulfate Hfa
Albuterol Sulfate
431
Prednisone
268
Symbicort
Budesonide/Formoterol Fumarate
156
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
153
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
144
Azithromycin
137
Breo Ellipta
Fluticasone/Vilanterol
102
Spiriva Respimat
Tiotropium Bromide
86

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

Critical Care Medicine (Internal Medicine) Physician Overview

How KATHERINE PRICE, MD fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

KATHERINE PRICE, MD's 3,291 claims are above the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Virginia

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

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KATHERINE PRICE, MD's specialty?
KATHERINE PRICE, MD specializes in Critical Care Medicine (Internal Medicine) Physician and practices in MIDLOTHIAN, Virginia. Credentials: MD.
How much does KATHERINE PRICE, MD prescribe under Medicare Part D?
In 2023, KATHERINE PRICE, MD wrote 3,291 Medicare Part D claims totaling $1.5M in drug costs for 527 beneficiaries.
What is KATHERINE PRICE, MD's Medicare quality score?
KATHERINE PRICE, MD has a CMS MIPS Final Score of 76.5063/100 (Quality: 67.3173, Cost: 56.8703). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KATHERINE PRICE, MD located?
KATHERINE PRICE, MD is located at 13551 WATERFORD PL, MIDLOTHIAN, VA, 23112. Phone: (804) 320-4243.
What is KATHERINE PRICE, MD's NPI number?
KATHERINE PRICE, MD's National Provider Identifier (NPI) is 1275824427, issued on 04/22/2011.
Does KATHERINE PRICE, MD prescribe more brand-name or generic drugs?
KATHERINE PRICE, MD's prescribing is 55% brand-name and 45% generic drugs by claim count, with $1.5M in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does KATHERINE PRICE, MD prescribe most often?
Based on 2023 Medicare Part D data, KATHERINE PRICE, MD's most frequently prescribed drugs include Trelegy Ellipta, Montelukast Sodium, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KATHERINE PRICE, MD accept Medicare?
KATHERINE PRICE, MD appears in CMS Medicare data with 3,291 Part D claims and 527 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KATHERINE PRICE, MD's credentials?
KATHERINE PRICE, MD's NPI is 1275824427 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