2026 NPPES data Pediatrics Physician NPI 1235178047 M.D.
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MATHEW KRAUS, M.D.

Pediatrics Physician in JEFFERSON CITY, Tennessee. 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
8K
Medicare Part D claims · 297 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$561.93
27 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MATHEW KRAUS, M.D. filed 8,064 Medicare Part D claims in 2023 as a Pediatrics Physician in JEFFERSON CITY, Tennessee, prescribing 86% generic.

8K
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.

MATHEW KRAUS, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

8,064 Top 3% higher than 97% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

MATHEW KRAUS, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — 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 MATHEW KRAUS, M.D.?

Quality data not reported

NPI registry status

Active

Issued 06/06/2006

NPI 1235178047

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

8,064 958% vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in Tennessee

How Pediatrics Physician compares to other specialties among Tennessee providers

Tennessee providers

Pediatrics Physician share within Tennessee

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within Tennessee

Specialty board-certification context

Estimated specialty board-certified rate — Pediatrics Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatrics Physician ABMS/AOA estimate

Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

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).

MATHEW KRAUS, M.D. appears in the CMS NPPES registry as a Pediatrics Physician provider holding M.D. credentials at 1059 E HIGHWAY 11 E, JEFFERSON CITY, TN, 37760, with a listed phone of (865) 375-6005. NPI 1235178047 was issued on 06/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KRAUS 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 8,064 prescription claims written by this provider, covering 297 Medicare beneficiaries and totaling roughly $866K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 3.8%. 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.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 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

1059 E HIGHWAY 11 E
JEFFERSON CITY, TN 37760

Provider Details

NPI 1235178047
Specialty Pediatrics Physician
Credentials M.D.
Gender Male
NPI Issued 06/06/2006

Hospital and facility affiliations

Facilities where MATHEW KRAUS, 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.

HEALTHSTAR PHYSICIANS PC
JEFFERSON CITY, TN

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 MATHEW KRAUS, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$562

Largest payer

ABBVIE INC.

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

MATHEW KRAUS, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 8,064 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.

8,064
Total Claims
$866K
Total Drug Cost
297
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
16,393
Total Day Supply
477,539
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$683K
Generic Drug Cost
$178K
Opioid Claims
309 (3.8% rate)
Antibiotic Claims
188

Patient Demographics

Average Patient Age
69.6 years
Avg HCC Risk Score
1.24
Gender Split
57% female / 43% male
Age Distribution
<65: 58, 65-74: 149, 75-84: 69, 85+: 21

Top Prescribed Drugs (Medicare Part D)

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

What MATHEW KRAUS, 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
Levothyroxine Sodium
347
Atorvastatin Calcium
332
Lisinopril
281
Gabapentin
243
Famotidine
212
Duloxetine Hcl
177
Amlodipine Besylate
171
Omeprazole
168
Albuterol Sulfate Hfa
Albuterol Sulfate
142
Metformin Hcl Er
Metformin Hcl
141

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

Pediatrics Physician Overview

How MATHEW KRAUS, M.D. fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

MATHEW KRAUS, M.D.'s 8,064 claims are above the specialty average of 762.

Nearby Pediatrics Physician Providers in Tennessee

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

Compare Pediatrics Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MATHEW KRAUS, M.D.'s specialty?
MATHEW KRAUS, M.D. specializes in Pediatrics Physician and practices in JEFFERSON CITY, Tennessee. Credentials: M.D..
How much does MATHEW KRAUS, M.D. prescribe under Medicare Part D?
In 2023, MATHEW KRAUS, M.D. wrote 8,064 Medicare Part D claims totaling $866K in drug costs for 297 beneficiaries.
Where is MATHEW KRAUS, M.D. located?
MATHEW KRAUS, M.D. is located at 1059 E HIGHWAY 11 E, JEFFERSON CITY, TN, 37760. Phone: (865) 375-6005.
What is MATHEW KRAUS, M.D.'s NPI number?
MATHEW KRAUS, M.D.'s National Provider Identifier (NPI) is 1235178047, issued on 06/06/2006.
Does MATHEW KRAUS, M.D. prescribe more brand-name or generic drugs?
MATHEW KRAUS, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $683K in brand drug costs.
Does MATHEW KRAUS, M.D. prescribe opioids?
Yes, MATHEW KRAUS, M.D. had 309 opioid claims in 2023 with an opioid prescribing rate of 3.8%.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does MATHEW KRAUS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MATHEW KRAUS, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MATHEW KRAUS, M.D. accept Medicare?
MATHEW KRAUS, M.D. appears in CMS Medicare data with 8,064 Part D claims and 297 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MATHEW KRAUS, M.D.'s credentials?
MATHEW KRAUS, M.D.'s NPI is 1235178047 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.
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