MATTHEW KARSHNER, MD
Physical Medicine & Rehabilitation Physician in CAPE GIRARDEAU, Missouri. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
MATTHEW KARSHNER, MD reported a CMS MIPS final score of 63.6378/100 — below the 83.1 national average — and filed 1,375 Medicare Part D claims in 2023.
- 63.6378/100
- MIPS score · -19 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.
MATTHEW KARSHNER, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
64 6th percentile higher than 6% of 477,587 scored providers
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
MATTHEW KARSHNER, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 4 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 MATTHEW KARSHNER, MD?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Missouri
How Physical Medicine & Rehabilitation Physician compares to other specialties among Missouri providers
Physical Medicine & Rehabilitation Physician share within Missouri
Physical Medicine & Rehabilitation Physician is one of the more visible NUCC categories in Missouri
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
MATTHEW KARSHNER, MD's 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average
- MIPS Final Score
- 63.6378/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Physical Medicine & Rehabilitation Physician) — 63.6378/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Physical Medicine & Rehabilitation Physician US NPIs
63.6378/100 MIPS final score — 19.5 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Physical Medicine & Rehabilitation Physician. Quality dim: 20.1939. Cost dim: 58.5987.
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).
MATTHEW KARSHNER, MD appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding MD credentials at 2126 INDEPENDENCE ST, CAPE GIRARDEAU, MO, 63703, with a listed phone of (573) 986-4404. NPI 1477598142 was issued on 06/18/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KARSHNER 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 1,375 prescription claims written by this provider, covering 211 Medicare beneficiaries and totaling roughly $83K in drug spend, with an opioid prescribing rate of 6.2%. 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 63.6378/100 for the 2023 performance year (Quality 20.1939, Cost 58.5987), compared with the national average of 83.1.
Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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
Provider Details
| NPI | 1477598142 |
|---|---|
| Specialty | Physical Medicine & Rehabilitation Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/18/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm MATTHEW KARSHNER, MD's current license status, disciplinary history, and board certifications with the Missouri Board of Registration for the Healing Arts in Missouri before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where MATTHEW KARSHNER, 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.
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 MATTHEW KARSHNER, MD. Source: openpaymentsdata.cms.gov.
Total received
$162
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 1,471
- Total Day Supply
- 40,412
- Generic Drug Cost
- $26K
- Opioid Claims
- 85 (6.2% rate)
- Antibiotic Claims
- 26
Patient Demographics
- Average Patient Age
- 72.6 years
- Avg HCC Risk Score
- 2.00
- Gender Split
- 56% female / 44% male
- Age Distribution
- <65: 36, 65-74: 81, 75-84: 69, 85+: 25
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What MATTHEW KARSHNER, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
138 claims
- Pregabalin
Pregabalin
88 claims
- Pantoprazole Sodium
Pantoprazole Sodium
57 claims
- Atorvastatin Calcium 54
Atorvastatin Calcium
54 claims
- Hydrocodone-Acetam… 48
Hydrocodone-Acetaminophen
48 claims
- Trazodone Hcl 34
Trazodone Hcl
34 claims
- Nabumetone 26
Nabumetone
26 claims
- Levothyroxine Sodium 25
Levothyroxine Sodium
25 claims
| Drug | Claims |
|---|---|
| Gabapentin | 138 |
| Pregabalin | 88 |
| Pantoprazole Sodium | 57 |
| Atorvastatin Calcium | 54 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 48 |
| Trazodone Hcl | 34 |
| Nabumetone | 26 |
| Levothyroxine Sodium | 25 |
| Amitriptyline Hcl | 24 |
| Amlodipine Besylate | 24 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Physical Medicine & Rehabilitation Physician Overview
How MATTHEW KARSHNER, MD fits within the Physical Medicine & Rehabilitation Physician landscape nationally.
MATTHEW KARSHNER, MD's 1,375 claims are above the specialty average of 781.
Nearby Physical Medicine & Rehabilitation Physician Providers in Missouri
Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as KARSHNER.
Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
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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