2026 NPPES data Nephrology Physician NPI 1245325547 M.D.
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KATHRYN ELMORE, M.D.

Nephrology Physician in LAWRENCEVILLE, 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
1K
Medicare Part D claims · 247 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
19.4391/100
▼ 64 pts below national avg 83.1 · [object Object]
Industry payments
$1.1K
56 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KATHRYN ELMORE, M.D. is a Nephrology Physician ([object Object]) practicing in LAWRENCEVILLE, Georgia with a Medicare Part D prescribing footprint of 1K claims across 247 beneficiaries — 14% brand-name prescribing . Their CMS MIPS Final Score of 19.4391/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.1K across 56 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KATHRYN ELMORE, M.D. reported a CMS MIPS final score of 19.4391 out of 100, below the 83.1 national average, and filed 1,114 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

KATHRYN ELMORE, 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).

KATHRYN ELMORE, M.D. at a glance

Below national average

NPI registry status

Active

Issued 10/03/2006

NPI 1245325547

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

1,114 23% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

19.4391/100 63.6609% pts

Below average band

vs 83.1 national avg

Specialty distribution in Georgia

How Nephrology Physician compares to other specialties among Georgia providers

Georgia providers

Nephrology Physician share within Georgia

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

Medicare quality performance — MIPS

KATHRYN ELMORE, M.D.'s 2023 MIPS final score plotted against the Nephrology Physician national average

Below national average
MIPS Final Score
19.4391/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 19.4391/100 vs national avg 83.1

0%100%National avg83%19.4%
MIPS final score (Nephrology Physician) — 19.4391/100 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).

KATHRYN ELMORE, M.D. is a Nephrology Physician provider practicing in LAWRENCEVILLE, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1245325547. 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.

KATHRYN ELMORE, M.D. appears in the CMS NPPES registry as a Nephrology Physician provider holding M.D. credentials at 595 HURRICANE SHOALS RD NW STE 100, LAWRENCEVILLE, GA, 30046, with a listed phone of (404) 645-7150. NPI 1245325547 was issued on 10/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ELMORE 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 1,114 prescription claims written by this provider, covering 247 Medicare beneficiaries and totaling roughly $163K in drug spend, split 14% brand-name and 86% 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 19.4391/100 for the 2023 performance year (Quality 0, Cost 64.797), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

595 HURRICANE SHOALS RD NW STE 100
LAWRENCEVILLE, GA 30046

Provider Details

NPI 1245325547
Specialty Nephrology Physician
Credentials M.D.
Gender Female
NPI Issued 10/03/2006

CMS Quality Score (MIPS)

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

19.4391
Final Score
Avg: 83.1
0
Quality
64.797
Cost
0
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where KATHRYN ELMORE, 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.

GEORGIA NEPHROLOGY, LLC
CONYERS, 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 KATHRYN ELMORE, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

Amgen 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

KATHRYN ELMORE, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 1,114 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.

1,114
Total Claims
$163K
Total Drug Cost
247
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,518
Total Day Supply
72,220
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$145K
Generic Drug Cost
$19K
Antibiotic Claims
93

Patient Demographics

Average Patient Age
72.0 years
Avg HCC Risk Score
3.54
Gender Split
68% female / 32% male
Age Distribution
<65: 41, 65-74: 93, 75-84: 95, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Calcitriol
137
Farxiga
Dapagliflozin Propanediol
99
Amlodipine Besylate
90
Allopurinol
81
Furosemide
75
Hydralazine Hcl
56
Doxazosin Mesylate
40
Nifedipine Er
Nifedipine
37
Ciprofloxacin Hcl
34
Lisinopril
27

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

Nephrology Physician Overview

How KATHRYN ELMORE, M.D. fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

KATHRYN ELMORE, M.D.'s 1,114 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in Georgia

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

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

Frequently Asked Questions

What is KATHRYN ELMORE, M.D.'s specialty?
KATHRYN ELMORE, M.D. specializes in Nephrology Physician and practices in LAWRENCEVILLE, Georgia. Credentials: M.D..
How much does KATHRYN ELMORE, M.D. prescribe under Medicare Part D?
In 2023, KATHRYN ELMORE, M.D. wrote 1,114 Medicare Part D claims totaling $163K in drug costs for 247 beneficiaries.
What is KATHRYN ELMORE, M.D.'s Medicare quality score?
KATHRYN ELMORE, M.D. has a CMS MIPS Final Score of 19.4391/100 (Quality: 0, Cost: 64.797). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KATHRYN ELMORE, M.D. located?
KATHRYN ELMORE, M.D. is located at 595 HURRICANE SHOALS RD NW STE 100, LAWRENCEVILLE, GA, 30046. Phone: (404) 645-7150.
What is KATHRYN ELMORE, M.D.'s NPI number?
KATHRYN ELMORE, M.D.'s National Provider Identifier (NPI) is 1245325547, issued on 10/03/2006.
Does KATHRYN ELMORE, M.D. prescribe more brand-name or generic drugs?
KATHRYN ELMORE, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $145K in brand drug costs.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does KATHRYN ELMORE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KATHRYN ELMORE, M.D.'s most frequently prescribed drugs include Calcitriol, Farxiga, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KATHRYN ELMORE, M.D. accept Medicare?
KATHRYN ELMORE, M.D. appears in CMS Medicare data with 1,114 Part D claims and 247 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KATHRYN ELMORE, M.D.'s credentials?
KATHRYN ELMORE, M.D.'s NPI is 1245325547 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