2026 NPPES data Advanced Heart Failure and Transplant Cardiology Physician NPI 1295990315 MD
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Kory Lavine, MD

Advanced Heart Failure and Transplant Cardiology Physician in Saint Louis, Missouri. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 510 in Advanced Heart Failure and Transplant Cardiology 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
1K
Medicare Part D claims · 138 beneficiaries · Advanced Heart Failure and Transplant Cardiology Physician avg: 2K
MIPS score
79.3/100
▼ 4 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Kory Lavine, MD reported a CMS MIPS final score of 79.3/100 — below the 83.1 national average — and filed 1,076 Medicare Part D claims in 2023.

79.3/100
MIPS score · -4 vs avg
1K
Part D claims, 2023
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.

Kory Lavine, MD's MIPS score vs every scored U.S. clinician

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

79 30th percentile higher than 30% 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

Where Kory Lavine, MD sits

This provider among advanced heart failure and transplant cardiology physician peers

Across the 212 advanced heart failure and transplant cardiology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Kory Lavine, MD writes more Part D claims than 42% of them and scores higher on MIPS quality than 28% — placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 75Kory Lavine, MD — Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 28
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one advanced heart failure and transplant cardiology physician peer from a representative sample of 60; the gold marker is Kory Lavine, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic — not verified)

Kory Lavine, 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 Kory Lavine, MD?

Near national average

NPI registry status

Active

Issued 07/29/2008

NPI 1295990315

Primary specialty

Advanced Heart Failure and Transplant Cardiology Physician

Niche

510 US NPIs in this specialty

Medicare Part D claims

1,076 39% vs specialty avg

2023 prescription claims

Specialty avg: 1,762

MIPS final score

79.3/100 3.8 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Advanced Heart Failure and Transplant Cardiology Physician compares to other specialties among Missouri providers

Missouri providers

Largest specialties in Missouri (% of in-state providers)

Pharmacist — 4.8%Pharmacist4.8%Professional Counselor — 4.8%Professional Counselor4.8%Speech-Language Pathologist — 4.5%Speech-Language Pathologist4.5%Clinical Social Worker — 4.5%Clinical Social Worker4.5%Family Nurse Practitioner — 4.3%Family Nurse Practitioner4.3%Physical Therapist — 4%Physical Therapist4%Advanced Heart Failure and Transplant Cardiology Physician — 0%Advanced Heart Failure and Transplant Cardiology Physician0%
Largest specialties in Missouri (% of in-state providers)

Medicare quality performance — MIPS

Kory Lavine, MD's 2023 MIPS final score plotted against the Advanced Heart Failure and Transplant Cardiology Physician national average

Near national average
MIPS Final Score
79.3/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Advanced Heart Failure and Transplant Cardiology Physician) — 79.3/100 vs national avg 83.1

0%100%National avg83%79.3%
MIPS final score (Advanced Heart Failure and Transplant Cardiology Physician) — 79.3/100 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).

Kory Lavine, MD appears in the CMS NPPES registry as a Advanced Heart Failure and Transplant Cardiology Physician provider holding MD credentials at 1020 N MASON RD, Saint Louis, MO, 63141, with a listed phone of (314) 362-1291. NPI 1295990315 was issued on 07/29/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Lavine 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 1,076 prescription claims written by this provider, covering 138 Medicare beneficiaries and totaling roughly $94K in drug spend. 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 79.3/100 for the 2023 performance year (Quality 71.5, Cost 59.5), compared with the national average of 83.1.

Advanced Heart Failure and Transplant Cardiology Physician is a narrow specialty nationwide, with 510 enrolled providers across 48 states and an average of 1,762 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

1020 N MASON RD
Saint Louis, MO 63141

Provider Details

NPI 1295990315
Specialty Advanced Heart Failure and Transplant Cardiology Physician
Credentials MD
Gender Male
NPI Issued 07/29/2008

CMS Quality Score (MIPS)

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

79.292
Final Score
Avg: 83.1
71.46
Quality
59.5132
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Kory Lavine, 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.

Heart Care Institute LLC
Creve Coeur, MO
Washington University
Saint Louis, MO

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

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,076
Total Claims
$94K
Total Drug Cost
138
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,201
Total Day Supply
65,393
Generic Drug Cost
$47K
Antibiotic Claims
62

Patient Demographics

Average Patient Age
64.3 years
Avg HCC Risk Score
3.19
Gender Split
38% female / 62% male
Age Distribution
<65: 48, 65-74: 75, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What Kory Lavine, 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
Carvedilol
121
Tacrolimus
83
Rosuvastatin Calcium
79
Losartan Potassium
67
Prednisone
62
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
52
Pantoprazole Sodium
50
Lisinopril
33
Metoprolol Succinate
31
Mycophenolate Mofetil
26

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

Advanced Heart Failure and Transplant Cardiology Physician Overview

How Kory Lavine, MD fits within the Advanced Heart Failure and Transplant Cardiology Physician landscape nationally.

510
Advanced Heart Failure and Transplant Cardiology Physician Providers in US
48
States with Advanced Heart Failure and Transplant Cardiology Physician
1,762
Avg Claims per Provider

Kory Lavine, MD's 1,076 claims are below the specialty average of 1,762.

Nearby Advanced Heart Failure and Transplant Cardiology Physician Providers in Missouri

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

Compare Advanced Heart Failure and Transplant Cardiology Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Missouri medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Advanced Heart Failure and Transplant Cardiology Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Kory Lavine, MD's specialty?
Kory Lavine, MD specializes in Advanced Heart Failure and Transplant Cardiology Physician and practices in Saint Louis, Missouri. Credentials: MD.
How much does Kory Lavine, MD prescribe under Medicare Part D?
In 2023, Kory Lavine, MD wrote 1,076 Medicare Part D claims totaling $94K in drug costs for 138 beneficiaries.
What is Kory Lavine, MD's Medicare quality score?
Kory Lavine, MD has a CMS MIPS Final Score of 79.3/100 (Quality: 71.5, Cost: 59.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kory Lavine, MD located?
Kory Lavine, MD is located at 1020 N MASON RD, Saint Louis, MO, 63141. Phone: (314) 362-1291.
What is Kory Lavine, MD's NPI number?
Kory Lavine, MD's National Provider Identifier (NPI) is 1295990315, issued on 07/29/2008.
How many Advanced Heart Failure and Transplant Cardiology Physician providers are there in the US?
There are 510 Advanced Heart Failure and Transplant Cardiology Physician providers across 48 states in the US. The average Advanced Heart Failure and Transplant Cardiology Physician provider writes 1,762 Medicare Part D claims per year.
What drugs does Kory Lavine, MD prescribe most often?
Based on 2023 Medicare Part D data, Kory Lavine, MD's most frequently prescribed drugs include Carvedilol, Tacrolimus, Rosuvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kory Lavine, MD accept Medicare?
Kory Lavine, MD appears in CMS Medicare data with 1,076 Part D claims and 138 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kory Lavine, MD's credentials?
Kory Lavine, MD's NPI is 1295990315 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

Compiled from official public sources by the PlainDoctor editorial team.