2026 NPPES data Medical Oncology Physician NPI 1659646115 MD, PHD
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KELLY PAULSON, MD, PHD

Medical Oncology Physician in EDMONDS, Washington. 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 · 216 beneficiaries · Medical Oncology Physician avg: 689
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.8101/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$1.8K
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KELLY PAULSON, MD, PHD is a Medical Oncology Physician ([object Object]) practicing in EDMONDS, Washington with a Medicare Part D prescribing footprint of 1K claims across 216 beneficiaries — 21% brand-name prescribing . Their CMS MIPS Final Score of 83.8101/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.8K across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What the federal data shows

KELLY PAULSON, MD, PHD reported a CMS MIPS final score of 83.8101/100 — above the 83.1 national average — and filed 1,493 Medicare Part D claims in 2023.

83.8101/100
MIPS score · +1 vs avg
1K
Part D claims, 2023
79%
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.

KELLY PAULSON, MD, PHD's MIPS score vs every scored U.S. clinician

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

84 42nd percentile higher than 42% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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)

KELLY PAULSON, MD, PHD 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).

KELLY PAULSON, MD, PHD at a glance

Near national average

NPI registry status

Active

Issued 03/16/2012

NPI 1659646115

Primary specialty

Medical Oncology Physician

Niche

3,792 US NPIs in this specialty

Medicare Part D claims

1,493 117% vs specialty avg

2023 prescription claims

Specialty avg: 689

MIPS final score

83.8101/100 0.7101000000000113% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Washington

How Medical Oncology Physician compares to other specialties among Washington providers

Washington providers

Medical Oncology Physician share within Washington

1. Medical Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Medical Oncology Physician share within Washington

Medicare quality performance — MIPS

KELLY PAULSON, MD, PHD's 2023 MIPS final score plotted against the Medical Oncology Physician national average

Near national average
MIPS Final Score
83.8101/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Oncology Physician) — 83.8101/100 vs national avg 83.1

0%100%National avg83%83.8%
MIPS final score (Medical Oncology Physician) — 83.8101/100 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).

KELLY PAULSON, MD, PHD is a Medical Oncology Physician provider practicing in EDMONDS, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD, PHD. NPI: 1659646115. 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.

KELLY PAULSON, MD, PHD appears in the CMS NPPES registry as a Medical Oncology Physician provider holding MD, PHD credentials at 21632 HIGHWAY 99, EDMONDS, WA, 98026, with a listed phone of (425) 775-1677. NPI 1659646115 was issued on 03/16/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PAULSON 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 1,493 prescription claims written by this provider, covering 216 Medicare beneficiaries and totaling roughly $2.1 million in drug spend, split 21% brand-name and 79% generic by claim count, with an opioid prescribing rate of 8.9%. 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 83.8101/100 for the 2023 performance year (Quality 74.2614), compared with the national average of 83.1.

Medical Oncology Physician is a narrow specialty nationwide, with 3,792 enrolled providers across 53 states and an average of 689 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

21632 HIGHWAY 99
EDMONDS, WA 98026

Provider Details

NPI 1659646115
Specialty Medical Oncology Physician
Credentials MD, PHD
Gender Female
NPI Issued 03/16/2012

CMS Quality Score (MIPS)

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

83.8101
Final Score
Avg: 83.1
74.2614
Quality
80
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where KELLY PAULSON, MD, PHD 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.

SWEDISH HEALTH SERVICES
EDMONDS, WA

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 KELLY PAULSON, MD, PHD. Source: openpaymentsdata.cms.gov.

Total received

$1.8K

Largest payer

E.R. Squibb & Sons, L.L.C.

Most common payment type

Consulting Fee

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.

License & disciplinary context — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to KELLY PAULSON, MD, PHD. To verify KELLY PAULSON, MD, PHD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

KELLY PAULSON, MD, PHD — brand share 21.0%
Specialty average (est.)

21% brand-name claims vs 79% generic, on 1,493 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.

1,493
Total Claims
$2.1M
Total Drug Cost
216
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,184
Total Day Supply
59,095
Brand vs Generic
21% brand / 79% generic
Brand Drug Cost
$1.6M
Generic Drug Cost
$512K
Opioid Claims
133 (8.9% rate)
Antibiotic Claims
45

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
2.54
Gender Split
61% female / 39% male
Age Distribution
<65: 18, 65-74: 90, 75-84: 80, 85+: 28

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Anastrozole
98
Eliquis
Apixaban
91
Acyclovir
84
Prednisone
75
Levothyroxine Sodium
65
Oxycodone Hcl
64
Xarelto
Rivaroxaban
57
Dexamethasone
55
Gabapentin
50
Lenalidomide
42

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

Medical Oncology Physician Overview

How KELLY PAULSON, MD, PHD fits within the Medical Oncology Physician landscape nationally.

3,792
Medical Oncology Physician Providers in US
53
States with Medical Oncology Physician
689
Avg Claims per Provider

KELLY PAULSON, MD, PHD's 1,493 claims are above the specialty average of 689.

Nearby Medical Oncology Physician Providers in Washington

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

Compare Medical Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KELLY PAULSON, MD, PHD's specialty?
KELLY PAULSON, MD, PHD specializes in Medical Oncology Physician and practices in EDMONDS, Washington. Credentials: MD, PHD.
How much does KELLY PAULSON, MD, PHD prescribe under Medicare Part D?
In 2023, KELLY PAULSON, MD, PHD wrote 1,493 Medicare Part D claims totaling $2.1M in drug costs for 216 beneficiaries.
What is KELLY PAULSON, MD, PHD's Medicare quality score?
KELLY PAULSON, MD, PHD has a CMS MIPS Final Score of 83.8101/100 (Quality: 74.2614). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KELLY PAULSON, MD, PHD located?
KELLY PAULSON, MD, PHD is located at 21632 HIGHWAY 99, EDMONDS, WA, 98026. Phone: (425) 775-1677.
What is KELLY PAULSON, MD, PHD's NPI number?
KELLY PAULSON, MD, PHD's National Provider Identifier (NPI) is 1659646115, issued on 03/16/2012.
Does KELLY PAULSON, MD, PHD prescribe more brand-name or generic drugs?
KELLY PAULSON, MD, PHD's prescribing is 21% brand-name and 79% generic drugs by claim count, with $1.6M in brand drug costs.
Does KELLY PAULSON, MD, PHD prescribe opioids?
Yes, KELLY PAULSON, MD, PHD had 133 opioid claims in 2023 with an opioid prescribing rate of 8.9%.
How many Medical Oncology Physician providers are there in the US?
There are 3,792 Medical Oncology Physician providers across 53 states in the US. The average Medical Oncology Physician provider writes 689 Medicare Part D claims per year.
What drugs does KELLY PAULSON, MD, PHD prescribe most often?
Based on 2023 Medicare Part D data, KELLY PAULSON, MD, PHD's most frequently prescribed drugs include Anastrozole, Eliquis, Acyclovir. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KELLY PAULSON, MD, PHD accept Medicare?
KELLY PAULSON, MD, PHD appears in CMS Medicare data with 1,493 Part D claims and 216 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KELLY PAULSON, MD, PHD's credentials?
KELLY PAULSON, MD, PHD's NPI is 1659646115 with credentials MD, PHD. 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