2026 NPPES data Specialist NPI 1538195177 M.D.
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PAUL CABIRAN, M.D.

Specialist in HIGHLANDS, North Carolina. 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
847
Medicare Part D claims · 438 beneficiaries · Specialist avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.3431/100
▲ 3 pts above national avg 83.1 · [object Object]
Industry payments
$136.75
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PAUL CABIRAN, M.D. is a Specialist ([object Object]) practicing in HIGHLANDS, North Carolina with a Medicare Part D prescribing footprint of 847 claims across 438 beneficiaries — 5% brand-name prescribing . Their CMS MIPS Final Score of 86.3431/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $136.75 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PAUL CABIRAN, M.D. reported a CMS MIPS final score of 86.3431 out of 100, above the 83.1 national average, and filed 847 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

PAUL CABIRAN, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/24/2006

NPI 1538195177

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

847 43% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

86.3431/100 3.2431000000000125% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in North Carolina

How Specialist compares to other specialties among North Carolina providers

North Carolina providers

Specialist share within North Carolina

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within North Carolina

Medicare quality performance — MIPS

PAUL CABIRAN, M.D.'s 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
86.3431/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 86.3431/100 vs national avg 83.1

0%100%National avg83%86.3%
MIPS final score (Specialist) — 86.3431/100 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).

PAUL CABIRAN, M.D. is a Specialist provider practicing in HIGHLANDS, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1538195177. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

PAUL CABIRAN, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 209 HOSPITAL DR, HIGHLANDS, NC, 28741, with a listed phone of (828) 526-1232. NPI 1538195177 was issued on 06/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CABIRAN 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 847 prescription claims written by this provider, covering 438 Medicare beneficiaries and totaling roughly $171K in drug spend, split 5% brand-name and 95% generic by claim count. 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 86.3431/100 for the 2023 performance year (Quality 90, Cost 64.4769), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

209 HOSPITAL DR
HIGHLANDS, NC 28741

Provider Details

NPI 1538195177
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 06/24/2006

CMS Quality Score (MIPS)

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

86.3431
Final Score
Avg: 83.1
90
Quality
64.4769
Cost
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where PAUL CABIRAN, 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.

HIGHLANDS DERMATOLOGY PA
HIGHLANDS, NC

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

Total received

$137

Largest payer

Dermavant Sciences, 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 · Generic-heavy

PAUL CABIRAN, M.D. — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 847 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.

847
Total Claims
$171K
Total Drug Cost
438
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,103
Total Day Supply
30,165
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$144K
Generic Drug Cost
$28K
Antibiotic Claims
45

Patient Demographics

Average Patient Age
76.1 years
Avg HCC Risk Score
1.05
Gender Split
41% female / 59% male
Age Distribution
<65: 12, 65-74: 184, 75-84: 189, 85+: 53

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocortisone
88
Ketoconazole
80
Triamcinolone Acetonide
78
Betamethasone Dipropionate
69
Mometasone Furoate
69
Fluconazole
57
Minoxidil
50
Fluorouracil
46
Doxycycline Hyclate
38
Clobetasol Propionate
28

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

Specialist Overview

How PAUL CABIRAN, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

PAUL CABIRAN, M.D.'s 847 claims are below the specialty average of 1,474.

Nearby Specialist Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as CABIRAN.

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAUL CABIRAN, M.D.'s specialty?
PAUL CABIRAN, M.D. specializes in Specialist and practices in HIGHLANDS, North Carolina. Credentials: M.D..
How much does PAUL CABIRAN, M.D. prescribe under Medicare Part D?
In 2023, PAUL CABIRAN, M.D. wrote 847 Medicare Part D claims totaling $171K in drug costs for 438 beneficiaries.
What is PAUL CABIRAN, M.D.'s Medicare quality score?
PAUL CABIRAN, M.D. has a CMS MIPS Final Score of 86.3431/100 (Quality: 90, Cost: 64.4769). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAUL CABIRAN, M.D. located?
PAUL CABIRAN, M.D. is located at 209 HOSPITAL DR, HIGHLANDS, NC, 28741. Phone: (828) 526-1232.
What is PAUL CABIRAN, M.D.'s NPI number?
PAUL CABIRAN, M.D.'s National Provider Identifier (NPI) is 1538195177, issued on 06/24/2006.
Does PAUL CABIRAN, M.D. prescribe more brand-name or generic drugs?
PAUL CABIRAN, M.D.'s prescribing is 5% brand-name and 95% generic drugs by claim count, with $144K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does PAUL CABIRAN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PAUL CABIRAN, M.D.'s most frequently prescribed drugs include Hydrocortisone, Ketoconazole, Triamcinolone Acetonide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL CABIRAN, M.D. accept Medicare?
PAUL CABIRAN, M.D. appears in CMS Medicare data with 847 Part D claims and 438 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL CABIRAN, M.D.'s credentials?
PAUL CABIRAN, M.D.'s NPI is 1538195177 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