2026 NPPES data Specialist NPI 1063560605 M.D.
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PETER KARLSBERG, M.D.

Specialist in VENTURA, California. 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
624
Medicare Part D claims · 321 beneficiaries · Specialist avg: 1K
MIPS score
14.2965/100
▼ 69 pts below national avg 83.1 · [object Object]
Industry payments
$279.68
18 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PETER KARLSBERG, M.D. reported a CMS MIPS final score of 14.2965/100 — below the 83.1 national average — and filed 624 Medicare Part D claims in 2023.

14.2965/100
MIPS score · -69 vs avg
624
Part D claims, 2023
$279.68
industry payments (Sunshine Act)

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.

PETER KARLSBERG, 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

14 2nd percentile higher than 2% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). This entry sits in this band. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

What does the federal data show about PETER KARLSBERG, M.D.?

Below national average

NPI registry status

Active

Issued 01/08/2007

NPI 1063560605

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

624 58% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

14.2965/100 68.8035% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in California

How Specialist compares to other specialties among California providers

California providers

Specialist share within California

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

Medicare quality performance — MIPS

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

Below national average
MIPS Final Score
14.2965/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 14.2965/100 vs national avg 83.1

0%100%National avg83%14.3%
MIPS final score (Specialist) — 14.2965/100 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).

PETER KARLSBERG, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 145 N BRENT ST, VENTURA, CA, 93003, with a listed phone of (805) 641-1600. NPI 1063560605 was issued on 01/08/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KARLSBERG 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 624 prescription claims written by this provider, covering 321 Medicare beneficiaries and totaling roughly $30K in drug spend. 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 14.2965/100 for the 2023 performance year (Quality 0, Cost 47.655), 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

145 N BRENT ST
VENTURA, CA 93003

Provider Details

NPI 1063560605
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 01/08/2007

CMS Quality Score (MIPS)

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

14.2965
Final Score
Avg: 83.1
0
Quality
47.655
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where PETER KARLSBERG, 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.

PETER L. KARLSBERG, M.D. A MEDICAL CORPORATION
VENTURA, CA

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 PETER KARLSBERG, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$280

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.

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to PETER KARLSBERG, M.D.. To verify PETER KARLSBERG, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

624
Total Claims
$30K
Total Drug Cost
321
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
678
Total Day Supply
16,822
Generic Drug Cost
$19K
Antibiotic Claims
49

Patient Demographics

Average Patient Age
75.8 years
Avg HCC Risk Score
1.12
Gender Split
58% female / 42% male

Top Prescribed Drugs (Medicare Part D)

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

What PETER KARLSBERG, 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
Triamcinolone Acetonide
134
Ketoconazole
79
Mupirocin
78
Hydrocortisone
47
Clobetasol Propionate
38
Fluocinonide
36
Doxycycline Monohydrate
33
Fluorouracil
16
Clindamycin Phosphate
14
Valacyclovir
Valacyclovir Hcl
14

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

Specialist Overview

How PETER KARLSBERG, M.D. fits within the Specialist landscape nationally.

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

PETER KARLSBERG, M.D.'s 624 claims are below the specialty average of 1,474.

Nearby Specialist Providers in California

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

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

Frequently Asked Questions

What is PETER KARLSBERG, M.D.'s specialty?
PETER KARLSBERG, M.D. specializes in Specialist and practices in VENTURA, California. Credentials: M.D..
How much does PETER KARLSBERG, M.D. prescribe under Medicare Part D?
In 2023, PETER KARLSBERG, M.D. wrote 624 Medicare Part D claims totaling $30K in drug costs for 321 beneficiaries.
What is PETER KARLSBERG, M.D.'s Medicare quality score?
PETER KARLSBERG, M.D. has a CMS MIPS Final Score of 14.2965/100 (Quality: 0, Cost: 47.655). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PETER KARLSBERG, M.D. located?
PETER KARLSBERG, M.D. is located at 145 N BRENT ST, VENTURA, CA, 93003. Phone: (805) 641-1600.
What is PETER KARLSBERG, M.D.'s NPI number?
PETER KARLSBERG, M.D.'s National Provider Identifier (NPI) is 1063560605, issued on 01/08/2007.
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 PETER KARLSBERG, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PETER KARLSBERG, M.D.'s most frequently prescribed drugs include Triamcinolone Acetonide, Ketoconazole, Mupirocin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PETER KARLSBERG, M.D. accept Medicare?
PETER KARLSBERG, M.D. appears in CMS Medicare data with 624 Part D claims and 321 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PETER KARLSBERG, M.D.'s credentials?
PETER KARLSBERG, M.D.'s NPI is 1063560605 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