2026 NPPES data Ph.D. Medical Genetics NPI 1285639971 M.D.
Verify on CMS →

MARY PAUL, M.D.

Ph.D. Medical Genetics in KALAHEO, Hawaii. 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
4K
Medicare Part D claims · 311 beneficiaries · Ph.D. Medical Genetics avg: 984
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
61.0547/100
▼ 22 pts below national avg 83.1 · [object Object]
Industry payments
$24.06
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MARY PAUL, M.D. reported a CMS MIPS final score of 61.0547/100 — below the 83.1 national average — and filed 3,633 Medicare Part D claims in 2023.

61.0547/100
MIPS score · -22 vs avg
4K
Part D claims, 2023
89%
generic prescribing
$24.06
industry payments (Sunshine Act)

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.

MARY PAUL, 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

61 6th percentile higher than 6% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 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

What does the federal data show about MARY PAUL, M.D.?

Below national average

NPI registry status

Active

Issued 06/17/2005

NPI 1285639971

Primary specialty

Ph.D. Medical Genetics

Rare

357 US NPIs in this specialty

Medicare Part D claims

3,633 269% vs specialty avg

2023 prescription claims

Specialty avg: 984

MIPS final score

61.0547/100 22.045299999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Hawaii

How Ph.D. Medical Genetics compares to other specialties among Hawaii providers

Hawaii providers

Ph.D. Medical Genetics share within Hawaii

1. Ph.D. Medical Genetics42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ph.D. Medical Genetics share within Hawaii

Medicare quality performance — MIPS

MARY PAUL, M.D.'s 2023 MIPS final score plotted against the Ph.D. Medical Genetics national average

Below national average
MIPS Final Score
61.0547/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ph.D. Medical Genetics) — 61.0547/100 vs national avg 83.1

0%100%National avg83%61.1%
MIPS final score (Ph.D. Medical Genetics) — 61.0547/100 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).

MARY PAUL, M.D. appears in the CMS NPPES registry as a Ph.D. Medical Genetics provider holding M.D. credentials at 4489 PAPALINA ROAD, KALAHEO, HI, 96741, with a listed phone of (808) 332-8523. NPI 1285639971 was issued on 06/17/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PAUL 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 3,633 prescription claims written by this provider, covering 311 Medicare beneficiaries and totaling roughly $348K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 0.8%. 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 61.0547/100 for the 2023 performance year (Quality 29.1903), compared with the national average of 83.1.

Ph.D. Medical Genetics is a narrow specialty nationwide, with 357 enrolled providers across 46 states and an average of 984 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

4489 PAPALINA ROAD
KALAHEO, HI 96741

Provider Details

NPI 1285639971
Specialty Ph.D. Medical Genetics
Credentials M.D.
Gender Female
NPI Issued 06/17/2005

CMS Quality Score (MIPS)

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

61.0547
Final Score
Avg: 83.1
29.1903
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARY PAUL, 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.

SAMUEL MAHELONA MEMORIAL HOSPITAL
KOLOA, HI
Critical Access Hospitals
CMS CCN: 121306

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 MARY PAUL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$24

Largest payer

Exact Sciences 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.

Brand vs generic prescribing mix · Typical

MARY PAUL, M.D. — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 3,633 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.

3,633
Total Claims
$348K
Total Drug Cost
311
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,184
Total Day Supply
237,921
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$266K
Generic Drug Cost
$81K
Opioid Claims
28 (0.8% rate)
Antibiotic Claims
77

Patient Demographics

Average Patient Age
73.7 years
Avg HCC Risk Score
0.85
Gender Split
62% female / 38% male
Age Distribution
<65: 17, 65-74: 169, 75-84: 93, 85+: 32

Top Prescribed Drugs (Medicare Part D)

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

What MARY PAUL, M.D. 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
Losartan Potassium
254
Amlodipine Besylate
197
Atorvastatin Calcium
183
Simvastatin
183
Rosuvastatin Calcium
170
Metformin Hcl
165
Allopurinol
96
Losartan-Hydrochlorothiazide
Losartan/Hydrochlorothiazide
92
Levothyroxine Sodium
87
Lisinopril
79

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

Ph.D. Medical Genetics Overview

How MARY PAUL, M.D. fits within the Ph.D. Medical Genetics landscape nationally.

357
Ph.D. Medical Genetics Providers in US
46
States with Ph.D. Medical Genetics
984
Avg Claims per Provider

MARY PAUL, M.D.'s 3,633 claims are above the specialty average of 984.

Nearby Ph.D. Medical Genetics Providers in Hawaii

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

Compare Ph.D. Medical Genetics nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARY PAUL, M.D.'s specialty?
MARY PAUL, M.D. specializes in Ph.D. Medical Genetics and practices in KALAHEO, Hawaii. Credentials: M.D..
How much does MARY PAUL, M.D. prescribe under Medicare Part D?
In 2023, MARY PAUL, M.D. wrote 3,633 Medicare Part D claims totaling $348K in drug costs for 311 beneficiaries.
What is MARY PAUL, M.D.'s Medicare quality score?
MARY PAUL, M.D. has a CMS MIPS Final Score of 61.0547/100 (Quality: 29.1903). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARY PAUL, M.D. located?
MARY PAUL, M.D. is located at 4489 PAPALINA ROAD, KALAHEO, HI, 96741. Phone: (808) 332-8523.
What is MARY PAUL, M.D.'s NPI number?
MARY PAUL, M.D.'s National Provider Identifier (NPI) is 1285639971, issued on 06/17/2005.
Does MARY PAUL, M.D. prescribe more brand-name or generic drugs?
MARY PAUL, M.D.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $266K in brand drug costs.
Does MARY PAUL, M.D. prescribe opioids?
Yes, MARY PAUL, M.D. had 28 opioid claims in 2023 with an opioid prescribing rate of 0.8%.
How many Ph.D. Medical Genetics providers are there in the US?
There are 357 Ph.D. Medical Genetics providers across 46 states in the US. The average Ph.D. Medical Genetics provider writes 984 Medicare Part D claims per year.
What drugs does MARY PAUL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MARY PAUL, M.D.'s most frequently prescribed drugs include Losartan Potassium, Amlodipine Besylate, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARY PAUL, M.D. accept Medicare?
MARY PAUL, M.D. appears in CMS Medicare data with 3,633 Part D claims and 311 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARY PAUL, M.D.'s credentials?
MARY PAUL, M.D.'s NPI is 1285639971 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