2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1053765990 M.D.
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KRISTINA CATANIA, M.D.

Critical Care Medicine (Internal Medicine) Physician in PINEHURST, North Carolina. 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
100
Medicare Part D claims · 23 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
88.6879/100
▲ 6 pts above national avg 83.1 · [object Object]
Industry payments
$62.11
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

KRISTINA CATANIA, M.D. reported a CMS MIPS final score of 88.6879/100 — above the 83.1 national average — and filed 100 Medicare Part D claims in 2023.

88.6879/100
MIPS score · +6 vs avg
100
Part D claims, 2023
86%
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.

KRISTINA CATANIA, M.D.'s MIPS score vs every scored U.S. clinician

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

89 Top 44% higher than 56% 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)

KRISTINA CATANIA, M.D. 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 KRISTINA CATANIA, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/18/2016

NPI 1053765990

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

100 91% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

88.6879/100 5.587900000000005% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in North Carolina

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among North Carolina providers

North Carolina providers

Critical Care Medicine (Internal Medicine) Physician share within North Carolina

1. Critical Care Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine (Internal Medicine) Physician share within North Carolina

Medicare quality performance — MIPS

KRISTINA CATANIA, M.D.'s 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
88.6879/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 88.6879/100 vs national avg 83.1

0%100%National avg83%88.7%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 88.6879/100 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).

KRISTINA CATANIA, M.D. appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding M.D. credentials at 155 MEMORIAL DR, PINEHURST, NC, 28374, with a listed phone of (910) 715-7984. NPI 1053765990 was issued on 04/18/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CATANIA 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 100 prescription claims written by this provider, covering 23 Medicare beneficiaries and totaling roughly $11K 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 88.6879/100 for the 2023 performance year (Quality 81.5944, Cost 84.032), compared with the national average of 83.1.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 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

155 MEMORIAL DR
PINEHURST, NC 28374

Provider Details

NPI 1053765990
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials M.D.
Gender Female
NPI Issued 04/18/2016

CMS Quality Score (MIPS)

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

88.6879
Final Score
Avg: 83.1
81.5944
Quality
84.032
Cost
96
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KRISTINA CATANIA, 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.

ONSLOW MEMORIAL HOSPITAL INC
JACKSONVILLE, NC
THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION
GREENSBORO, 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 KRISTINA CATANIA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$62

Largest payer

AstraZeneca Pharmaceuticals LP

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

KRISTINA CATANIA, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 100 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.

100
Total Claims
$11K
Total Drug Cost
23
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
108
Total Day Supply
2,744
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$7K
Generic Drug Cost
$4K
Antibiotic Claims
14

Patient Demographics

Average Patient Age
67.8 years
Avg HCC Risk Score
2.57
Gender Split
52% female / 48% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Montelukast Sodium
12

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

Critical Care Medicine (Internal Medicine) Physician Overview

How KRISTINA CATANIA, M.D. fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

KRISTINA CATANIA, M.D.'s 100 claims are below the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as CATANIA.

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KRISTINA CATANIA, M.D.'s specialty?
KRISTINA CATANIA, M.D. specializes in Critical Care Medicine (Internal Medicine) Physician and practices in PINEHURST, North Carolina. Credentials: M.D..
How much does KRISTINA CATANIA, M.D. prescribe under Medicare Part D?
In 2023, KRISTINA CATANIA, M.D. wrote 100 Medicare Part D claims totaling $11K in drug costs for 23 beneficiaries.
What is KRISTINA CATANIA, M.D.'s Medicare quality score?
KRISTINA CATANIA, M.D. has a CMS MIPS Final Score of 88.6879/100 (Quality: 81.5944, Cost: 84.032). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KRISTINA CATANIA, M.D. located?
KRISTINA CATANIA, M.D. is located at 155 MEMORIAL DR, PINEHURST, NC, 28374. Phone: (910) 715-7984.
What is KRISTINA CATANIA, M.D.'s NPI number?
KRISTINA CATANIA, M.D.'s National Provider Identifier (NPI) is 1053765990, issued on 04/18/2016.
Does KRISTINA CATANIA, M.D. prescribe more brand-name or generic drugs?
KRISTINA CATANIA, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $7K in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does KRISTINA CATANIA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KRISTINA CATANIA, M.D.'s most frequently prescribed drugs include Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KRISTINA CATANIA, M.D. accept Medicare?
KRISTINA CATANIA, M.D. appears in CMS Medicare data with 100 Part D claims and 23 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KRISTINA CATANIA, M.D.'s credentials?
KRISTINA CATANIA, M.D.'s NPI is 1053765990 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