2026 NPPES data Child & Adolescent Psychiatry Physician NPI 1538211941 MD PHSYCHIATRIST
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Keith Caramelli, MD PHSYCHIATRIST

Child & Adolescent Psychiatry Physician in Georgetown, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,300 in Child & Adolescent Psychiatry 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
2K
Medicare Part D claims · 93 beneficiaries · Child & Adolescent Psychiatry Physician avg: 608
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

Keith Caramelli, MD PHSYCHIATRIST filed 1,693 Medicare Part D claims in 2024 as a Child & Adolescent Psychiatry Physician in Georgetown, Texas, prescribing 94% generic.

2K
Part D claims, 2024
94%
generic prescribing
Likely
board-certified (heuristic)
≥81st
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 Keith Caramelli, MD PHSYCHIATRIST

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 1538211941), first enumerated 01/17/2007.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 1,693 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.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    3 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • State context

    State board disciplinary context

    Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Keith Caramelli, MD PHSYCHIATRIST's individual license status. Verify directly with the state medical board.

    Source: TMB annual report 2023

  • 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 1538211941 · Child & Adolescent Psychiatry Physician

NPI-10 · ENUM-MID · TAX-MID · RX-MID · BOOK-THIN · PHOTO-ENUM

  • NPI-10 1538211941
  • ENUM-MID 2007
  • TAX-MID 6K Child &
  • RX-MID 1,693
  • BOOK-THIN 408 in Texas
  • PHOTO-ENUM Albert Holt, M.D. · 2007

Keith Caramelli, MD PHSYCHIATRIST's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2024, across all CMS prescribers nationally

1,693 ≥ 81st percentile 81% of 1,416,883 prescribers are in lower value bands

0–200: 679,947 prescribers (48%). Below this entry. 200–400: 188,835 prescribers (13%). Below this entry. 400–600: 95,866 prescribers (7%). Below this entry. 600–800: 60,107 prescribers (4%). Below this entry. 800–1,000: 43,043 prescribers (3%). Below this entry. 1,000–1,200: 33,612 prescribers (2%). Below this entry. 1,200–1,400: 27,889 prescribers (2%). Below this entry. 1,400–1,600: 23,183 prescribers (2%). Below this entry. 1,600–1,800: 19,917 prescribers (1%). This entry sits in this band. 1,800–2,000: 17,585 prescribers (1%). Above this entry. 2K+: 226,899 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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)

Keith Caramelli, MD PHSYCHIATRIST practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 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 Keith Caramelli, MD PHSYCHIATRIST?

Quality data not reported

NPI registry status

Active

Issued 01/17/2007

NPI 1538211941

Primary specialty

Child & Adolescent Psychiatry Physician

Mid-sized

6,300 US NPIs in this specialty

Medicare Part D claims

1,693 178% vs specialty avg

2024 prescription claims

Specialty avg: 608

Specialty distribution in Texas

How Child & Adolescent Psychiatry Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician6%Student in an Organized Heal…5.3%Family Nurse Practitioner4.5%Professional Counselor4.4%Pharmacist4.3%Speech-Language Pathologist3.9%Child & Adolescent Psychiatr…0.1%
Largest specialties in Texas (% of in-state 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 Child & Adolescent Psychiatry 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

3101 S AUSTIN AVE
Georgetown, TX 78626

Provider Details

NPI 1538211941
Specialty Child & Adolescent Psychiatry Physician
Credentials MD PHSYCHIATRIST
Gender Male
NPI Issued 01/17/2007

Hospital and facility affiliations

Facilities where Keith Caramelli, MD PHSYCHIATRIST 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.

According to CMS billing records, Keith Caramelli, MD PHSYCHIATRIST is affiliated with 3 Medicare-billing facilities across 2 states.

Connell And Associates LLC
Killeen, TX
Hope Services
San Jose, CA
Oria, LLC
Killeen, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context - Texas TMB 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Keith Caramelli, MD PHSYCHIATRIST. To verify Keith Caramelli, MD PHSYCHIATRIST's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Keith Caramelli, MD PHSYCHIATRIST - brand share 6.0%
Child & Adolescent Psychiatry Physician average

6% brand-name claims vs 94% generic, on 1,693 2024 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 2024.

1,693
Total Claims
$94K
Total Drug Cost
93
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,749.933
Total Day Supply
49,541
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$64K
Generic Drug Cost
$30K

Patient Demographics

Average Patient Age
49.8 years
Avg HCC Risk Score
1.08
Gender Split
43% female / 57% male
Age Distribution
<65: 74, 65-74: 14, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Keith Caramelli, MD PHSYCHIATRIST prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Risperidone
176
Divalproex Sodium Er
Divalproex Sodium
134
Quetiapine Fumarate
132
Sertraline Hcl
132
Aripiprazole
112
Trazodone Hcl
98
Escitalopram Oxalate
84
Lorazepam
59
Fluoxetine Hcl
54
Paroxetine Hcl
46

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

Child & Adolescent Psychiatry Physician Overview

How Keith Caramelli, MD PHSYCHIATRIST fits within the Child & Adolescent Psychiatry Physician landscape nationally.

6,300
Child & Adolescent Psychiatry Physician Providers in US
54
States with Child & Adolescent Psychiatry Physician
608
Avg Claims per Provider

Keith Caramelli, MD PHSYCHIATRIST's 1,693 claims are above the specialty average of 608.

Nationwide Child & Adolescent Psychiatry Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Caramelli, both outside Texas so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2007)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Child & Adolescent Psychiatry Physician Providers in Texas

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

One of 408 Child & Adolescent Psychiatry Physician providers enrolled in Texas, 5 are shown here.

Compare Child & Adolescent Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Keith Caramelli, MD PHSYCHIATRIST's specialty?
Keith Caramelli, MD PHSYCHIATRIST specializes in Child & Adolescent Psychiatry Physician and practices in Georgetown, Texas. Credentials: MD PHSYCHIATRIST.
How much does Keith Caramelli, MD PHSYCHIATRIST prescribe under Medicare Part D?
In 2024, Keith Caramelli, MD PHSYCHIATRIST wrote 1,693 Medicare Part D claims totaling $94K in drug costs for 93 beneficiaries.
Where is Keith Caramelli, MD PHSYCHIATRIST located?
Keith Caramelli, MD PHSYCHIATRIST is located at 3101 S AUSTIN AVE, Georgetown, TX, 78626. Phone: (512) 440-4800.
What is Keith Caramelli, MD PHSYCHIATRIST's NPI number?
Keith Caramelli, MD PHSYCHIATRIST's National Provider Identifier (NPI) is 1538211941, issued on 01/17/2007.
Does Keith Caramelli, MD PHSYCHIATRIST prescribe more brand-name or generic drugs?
Keith Caramelli, MD PHSYCHIATRIST's prescribing is 6% brand-name and 94% generic drugs by claim count, with $64K in brand drug costs.
How many Child & Adolescent Psychiatry Physician providers are there in the US?
There are 6,300 Child & Adolescent Psychiatry Physician providers across 54 states in the US. The average Child & Adolescent Psychiatry Physician provider writes 608 Medicare Part D claims per year.
What drugs does Keith Caramelli, MD PHSYCHIATRIST prescribe most often?
Based on 2024 Medicare Part D data, Keith Caramelli, MD PHSYCHIATRIST's most frequently prescribed drugs include Risperidone, Divalproex Sodium Er, Quetiapine Fumarate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Keith Caramelli, MD PHSYCHIATRIST accept Medicare?
Keith Caramelli, MD PHSYCHIATRIST appears in CMS Medicare data with 1,693 Part D claims and 93 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Keith Caramelli, MD PHSYCHIATRIST's credentials?
Keith Caramelli, MD PHSYCHIATRIST's NPI is 1538211941 with credentials MD PHSYCHIATRIST. 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.