NPI registry status
Active
2026 NPPES data Otolaryngology Physician NPI 1023371549 M.D.
Verify on CMS → Nicholas Karter, M.D.
Otolaryngology Physician in Wethersfield, Connecticut.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,895 in Otolaryngology 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
25
Medicare Part D claims · 14 beneficiaries · Otolaryngology Physician avg: 509
MIPS score
73.2/100
▼ 10 pts below national avg 83.1 · Mid-tier
Industry payments
$92.22
5 payments · CMS Open Payments (Sunshine Act)
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
Nicholas Karter, M.D. reported a CMS MIPS final score of 73.2/100 - below the 83.1 national average - and filed 25 Medicare Part D claims in 2023.
- 73.2/100
- MIPS score · -10 vs avg
- 25
- 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.
Nicholas Karter, 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
73 11th percentile higher than 11% 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 Nicholas Karter, M.D. sits
This provider among otolaryngology physician peers
Across the 3,669 otolaryngology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Nicholas Karter, M.D. writes more Part D claims than 3% of them and scores higher on MIPS quality than 16% - placing this provider in the lower-volume, lower-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 otolaryngology physician peer from a representative sample of 60; the gold marker is Nicholas Karter, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Nicholas Karter, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Nicholas Karter, M.D.?
Below national averagePrimary specialty
Otolaryngology Physician
Medicare Part D claims
25 95% vs specialty avg
MIPS final score
73.2/100 9.9 pts vs avg
Specialty distribution in Connecticut
How Otolaryngology Physician compares to other specialties among Connecticut providers
Medicare quality performance, MIPS
Nicholas Karter, M.D.'s 2023 MIPS final score plotted against the Otolaryngology Physician national average
- MIPS Final Score
- 73.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Otolaryngology Physician) - 73.2/100 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).
Nicholas Karter, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 249 MAIN ST, Wethersfield, CT, 06109, with a listed phone of (860) 775-5595. NPI 1023371549 was issued on 06/19/2012.
Medicare Part D records for calendar year 2023 show 25 prescription claims written by this provider, covering 14 Medicare beneficiaries and totaling roughly $520 in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 73.2/100 for the 2023 performance year (Quality 55.7, Cost 92.6), compared with the national average of 83.1.
Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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 | 1023371549 |
|---|---|
| Specialty | Otolaryngology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/19/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
73.2408
Final Score
Avg: 83.1
55.7397
Quality
92.563
Cost
55
Promoting Interoperability
Reporting: Group practice
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 Nicholas Karter, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$92
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.
25
Total Claims
$520
Total Drug Cost
14
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 33
- Total Day Supply
- 504
- Brand Drug Cost
- $0
- Generic Drug Cost
- $520
- Antibiotic Claims
- 11
Patient Demographics
- Average Patient Age
- 70.4 years
- Avg HCC Risk Score
- 0.92
Otolaryngology Physician Overview
How Nicholas Karter, M.D. fits within the Otolaryngology Physician landscape nationally.
10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider
Nicholas Karter, M.D.'s 25 claims are below the specialty average of 509.
Nearby Otolaryngology Physician Providers in Connecticut
Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as Karter.
Dr. Paul Alberti
M.D.
North Haven, CT
Dr. Erin Alday
MD
Farmington, CT
Ali Alkabasi
Farmington, CT
Dr. Abdel Allam
M.D.
Bristol, CT
Dr. David Astrachan
MD
Hamden, CT
Compare Otolaryngology 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 Connecticut medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Otolaryngology 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.
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Frequently Asked Questions
What is Nicholas Karter, M.D.'s specialty? ▼
Nicholas Karter, M.D. specializes in Otolaryngology Physician and practices in Wethersfield, Connecticut. Credentials: M.D..
How much does Nicholas Karter, M.D. prescribe under Medicare Part D? ▼
In 2023, Nicholas Karter, M.D. wrote 25 Medicare Part D claims totaling $520 in drug costs for 14 beneficiaries.
What is Nicholas Karter, M.D.'s Medicare quality score? ▼
Nicholas Karter, M.D. has a CMS MIPS Final Score of 73.2/100 (Quality: 55.7, Cost: 92.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Nicholas Karter, M.D. located? ▼
Nicholas Karter, M.D. is located at 249 MAIN ST, Wethersfield, CT, 06109. Phone: (860) 775-5595.
What is Nicholas Karter, M.D.'s NPI number? ▼
Nicholas Karter, M.D.'s National Provider Identifier (NPI) is 1023371549, issued on 06/19/2012.
How many Otolaryngology Physician providers are there in the US? ▼
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
Does Nicholas Karter, M.D. accept Medicare? ▼
Nicholas Karter, M.D. appears in CMS Medicare data with 25 Part D claims and 14 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nicholas Karter, M.D.'s credentials? ▼
Nicholas Karter, M.D.'s NPI is 1023371549 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
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.