NPI registry status
Active
2026 NPPES data Urology Physician NPI 1598328916 MD
Verify on CMS → Katy Reines, MD
Urology Physician in Raleigh, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,606 in Urology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
81
Medicare Part D claims · 46 beneficiaries · Urology Physician avg: 1K
Industry payments
$171.45
3 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Katy Reines, MD filed 81 Medicare Part D claims in 2024 as a Urology Physician in Raleigh, North Carolina.
- 81
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥0th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Katy Reines, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1598328916), first enumerated 04/22/2019.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 81 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$171.45 in reported industry payments (3 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1598328916 · Urology Physician
NPI-10 · ENUM-RECENT · TAX-MID · RX-TRACE · BOOK-THIN · PHOTO-ENUM
- NPI-10 1598328916
- ENUM-RECENT 2019
- TAX-MID 14K Urology Physician
- RX-TRACE 81
- BOOK-THIN 459 in North Carolina
- PHOTO-ENUM Patrick Yong · 2019
Katy Reines, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
81 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Katy Reines, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Katy Reines, MD?
Quality data not reportedPrimary specialty
Urology Physician
Medicare Part D claims
81 94% vs specialty avg
Specialty distribution in North Carolina
How Urology Physician compares to other specialties among North Carolina providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Urology Physician. Verify directly:
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1598328916 |
|---|---|
| Specialty | Urology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 04/22/2019 |
Hospital and facility affiliations
Facilities where Katy Reines, 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.
Wakemed Specialists Group LLC
Raleigh, NC
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 Katy Reines, MD. Source: openpaymentsdata.cms.gov.
Total received
$171
Largest payer
PROCEPT BioRobotics 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
81
Total Claims
$5K
Total Drug Cost
46
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 93.767
- Total Day Supply
- 1,417
- Generic Drug Cost
- $499
- Opioid Claims
- 18 (22.2% rate)
- Antibiotic Claims
- 26
Patient Demographics
- Average Patient Age
- 72.6 years
- Avg HCC Risk Score
- 1.39
- Gender Split
- 33% female / 67% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 18 |
| Tamsulosin Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Urology Physician Overview
How Katy Reines, MD fits within the Urology Physician landscape nationally.
13,606
Urology Physician Providers in US
54
States with Urology Physician
1,354
Avg Claims per Provider
Katy Reines, MD's 81 claims are below the specialty average of 1,354.
Nationwide Urology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Reines, both outside North Carolina so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2019)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Urology Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Reines.
One of 459 Urology Physician providers enrolled in North Carolina, 5 are shown here.
Dr. Victor Abraham
MD
Wilmington, NC
Dr. Yousef Abu-Salha
MD
Cary, NC
Donald Allen
PA
Charlotte, NC
Dr. Joseph Allen
M.D.
Clayton, NC
Dr. Joselito Almario
MD
Ahoskie, NC
Compare Urology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Katy Reines, MD's specialty? ▼
Katy Reines, MD specializes in Urology Physician and practices in Raleigh, North Carolina. Credentials: MD.
How much does Katy Reines, MD prescribe under Medicare Part D? ▼
In 2024, Katy Reines, MD wrote 81 Medicare Part D claims totaling $5K in drug costs for 46 beneficiaries.
Where is Katy Reines, MD located? ▼
Katy Reines, MD is located at 23 SUNNYBROOK RD STE 310, Raleigh, NC, 27610. Phone: (919) 350-1570.
What is Katy Reines, MD's NPI number? ▼
Katy Reines, MD's National Provider Identifier (NPI) is 1598328916, issued on 04/22/2019.
Does Katy Reines, MD prescribe opioids? ▼
Yes, Katy Reines, MD had 18 opioid claims in 2024 with an opioid prescribing rate of 22.2%.
How many Urology Physician providers are there in the US? ▼
There are 13,606 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,354 Medicare Part D claims per year.
What drugs does Katy Reines, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Katy Reines, MD's most frequently prescribed drugs include Oxycodone Hcl, Tamsulosin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Katy Reines, MD accept Medicare? ▼
Katy Reines, MD appears in CMS Medicare data with 81 Part D claims and 46 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Katy Reines, MD's credentials? ▼
Katy Reines, MD's NPI is 1598328916 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
View source datasets and methodology notes
- 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.