NPI registry status
Active
2026 NPPES data Rheumatology Physician NPI 1811126972 MD
Verify on CMS → Megan Krause, MD
Rheumatology Physician in Kansas City, Kansas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,200 in Rheumatology 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
2K
Medicare Part D claims · 268 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.9/100
▲ 9 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Megan Krause, MD reported a CMS MIPS final score of 91.9/100 - above the 83.1 national average - and filed 1,867 Medicare Part D claims in 2023.
- 91.9/100
- MIPS score · +9 vs avg
- 2K
- Part D claims, 2023
- 78%
- 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.
Megan Krause, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
92 Top 37% higher than 63% 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
Where Megan Krause, MD sits
This provider among rheumatology physician peers
Across the 2,181 rheumatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Megan Krause, MD writes more Part D claims than 49% of them and scores higher on MIPS quality than 67% - placing this provider in the lower-volume, high-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
Each dot is one rheumatology physician peer from a representative sample of 60; the gold marker is Megan Krause, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Megan Krause, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 Megan Krause, MD?
High performer (top quartile)Primary specialty
Rheumatology Physician
Medicare Part D claims
1,867 9% vs specialty avg
MIPS final score
91.9/100 8.8 pts vs avg
Specialty distribution in Kansas
How Rheumatology Physician compares to other specialties among Kansas providers
Medicare quality performance, MIPS
Megan Krause, MD's 2023 MIPS final score plotted against the Rheumatology Physician national average
- MIPS Final Score
- 91.9/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Rheumatology Physician) - 91.9/100 vs national avg 83.1
How MIPS and board certification work
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).
Megan Krause, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 3901 RAINBOW BLVD, Kansas City, KS, 66160, with a listed phone of (913) 588-6009. NPI 1811126972 was issued on 07/10/2009.
Medicare Part D records for calendar year 2023 show 1,867 prescription claims written by this provider, covering 268 Medicare beneficiaries and totaling roughly $3.1 million in drug spend, split 22% brand-name and 78% generic by claim count, with an opioid prescribing rate of 6.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.9/100 for the 2023 performance year (Quality 75.2), compared with the national average of 83.1.
Rheumatology Physician is a mid-sized specialty nationwide, with 6,200 enrolled providers across 52 states and an average of 2,054 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 | 1811126972 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 07/10/2009 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.8902
Final Score
Avg: 83.1
75.1734
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Megan Krause, 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.
Kansas University Physicians Inc
Lenexa, KS
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
Megan Krause, MD - brand share 22.0%
Rheumatology Physician average
22% brand-name claims vs 78% generic, on 1,867 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.
1,867
Total Claims
$3.1M
Total Drug Cost
268
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,455
- Total Day Supply
- 99,805
- Brand vs Generic
- 22% brand / 78% generic
- Brand Drug Cost
- $3.0M
- Generic Drug Cost
- $69K
- Opioid Claims
- 121 (6.5% rate)
- Antibiotic Claims
- 30
Patient Demographics
- Average Patient Age
- 67.6 years
- Avg HCC Risk Score
- 1.96
- Gender Split
- 79% female / 21% male
- Age Distribution
- <65: 69, 65-74: 131, 75-84: 56, 85+: 12
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Megan Krause, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
273 claims
- Prednisone
Prednisone
267 claims
- Methotrexate
Methotrexate
127 claims
- Tramadol Hcl 77
Tramadol Hcl
77 claims
- Humira(Cf) Pen 75
Humira(Cf) Pen
75 claims
- Rinvoq 64
Rinvoq
64 claims
- Pregabalin 59
Pregabalin
59 claims
- Duloxetine Hcl 46
Duloxetine Hcl
46 claims
| Drug | Claims |
|---|---|
| Hydroxychloroquine Sulfate | 273 |
| Prednisone | 267 |
| Methotrexate Methotrexate Sodium | 127 |
| Tramadol Hcl | 77 |
| Humira(Cf) Pen Adalimumab | 75 |
| Rinvoq Upadacitinib | 64 |
| Pregabalin | 59 |
| Duloxetine Hcl | 46 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 44 |
| Sulfasalazine | 44 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How Megan Krause, MD fits within the Rheumatology Physician landscape nationally.
6,200
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider
Megan Krause, MD's 1,867 claims are below the specialty average of 2,054.
Nearby Rheumatology Physician Providers in Kansas
Other clinicians with the same primary specialty enrolled in Kansas, drawn from the same CMS NPPES roster as Krause.
Dr. Sarah Abi Doumeth
MD
Kansas City, KS
Dr. James Anderson
MD
Overland Park, KS
Dr. Basem Awadh
M.D.
Kansas City, KS
Dr. Aruna Baratham
M.D.
Overland Park, KS
Dr. Amrita Bath
M.D.
Kansas City, KS
Compare Rheumatology 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 Kansas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Rheumatology 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Kansas
Frequently Asked Questions
What is Megan Krause, MD's specialty? ▼
Megan Krause, MD specializes in Rheumatology Physician and practices in Kansas City, Kansas. Credentials: MD.
How much does Megan Krause, MD prescribe under Medicare Part D? ▼
In 2023, Megan Krause, MD wrote 1,867 Medicare Part D claims totaling $3.1M in drug costs for 268 beneficiaries.
What is Megan Krause, MD's Medicare quality score? ▼
Megan Krause, MD has a CMS MIPS Final Score of 91.9/100 (Quality: 75.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Megan Krause, MD located? ▼
Megan Krause, MD is located at 3901 RAINBOW BLVD, Kansas City, KS, 66160. Phone: (913) 588-6009.
What is Megan Krause, MD's NPI number? ▼
Megan Krause, MD's National Provider Identifier (NPI) is 1811126972, issued on 07/10/2009.
Does Megan Krause, MD prescribe more brand-name or generic drugs? ▼
Megan Krause, MD's prescribing is 22% brand-name and 78% generic drugs by claim count, with $3.0M in brand drug costs.
Does Megan Krause, MD prescribe opioids? ▼
Yes, Megan Krause, MD had 121 opioid claims in 2023 with an opioid prescribing rate of 6.5%.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,200 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does Megan Krause, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Megan Krause, MD's most frequently prescribed drugs include Hydroxychloroquine Sulfate, Prednisone, Methotrexate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Megan Krause, MD accept Medicare? ▼
Megan Krause, MD appears in CMS Medicare data with 1,867 Part D claims and 268 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Megan Krause, MD's credentials? ▼
Megan Krause, MD's NPI is 1811126972 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
View source datasets and methodology notes
- 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.