2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1609266477 MD
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Rabia Karani, MD

Retina Specialist (Ophthalmology) Physician in Houston, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 913 in Retina Specialist (Ophthalmology) 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
438
Medicare Part D claims · 165 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
Generic prescribing
65%
generic claims · 35% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
74.4/100
▼ 9 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Rabia Karani, MD reported a CMS MIPS final score of 74.4/100 - below the 83.1 national average - and filed 438 Medicare Part D claims in 2023.

74.4/100
MIPS score · -9 vs avg
438
Part D claims, 2023
65%
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.

Rabia Karani, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

74 12th percentile higher than 12% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 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

Where Rabia Karani, MD sits

This provider among retina specialist (ophthalmology) physician peers

Across the 583 retina specialist (ophthalmology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Rabia Karani, MD writes more Part D claims than 53% of them and scores higher on MIPS quality than 5% - placing this provider in the high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100017.935.753.671.4Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 47Rabia Karani, MD-Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 5
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one retina specialist (ophthalmology) physician peer from a representative sample of 60; the gold marker is Rabia Karani, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Rabia Karani, 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 Rabia Karani, MD?

Below national average

NPI registry status

Active

Issued 01/30/2015

NPI 1609266477

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

438 22% vs specialty avg

2023 prescription claims

Specialty avg: 558

MIPS final score

74.4/100 8.7 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in Texas

How Retina Specialist (Ophthalmology) Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician - 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program - 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Professional Counselor - 4.4%Professional Counselor4.4%Pharmacist - 4.4%Pharmacist4.4%Speech-Language Pathologist - 3.9%Speech-Language Pathologist3.9%Retina Specialist (Ophthalmology) Physician - 0%Retina Specialist (Ophthalmology) Physician0%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Rabia Karani, MD's 2023 MIPS final score plotted against the Retina Specialist (Ophthalmology) Physician national average

Below national average
MIPS Final Score
74.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Retina Specialist (Ophthalmology) Physician) - 74.4/100 vs national avg 83.1

0%100%National avg83%74.4%
MIPS final score (Retina Specialist (Ophthalmology) Physician) - 74.4/100 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).

Rabia Karani, MD appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding MD credentials at 6431 FANNIN ST, Houston, TX, 77030, with a listed phone of (713) 486-9400. NPI 1609266477 was issued on 01/30/2015.

Medicare Part D records for calendar year 2023 show 438 prescription claims written by this provider, covering 165 Medicare beneficiaries and totaling roughly $19K in drug spend, split 35% brand-name and 65% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 74.4/100 for the 2023 performance year (Quality 64.7, Cost 52.4), compared with the national average of 83.1.

Retina Specialist (Ophthalmology) Physician is a narrow specialty nationwide, with 913 enrolled providers across 48 states and an average of 558 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

6431 FANNIN ST
Houston, TX 77030

Provider Details

NPI 1609266477
Specialty Retina Specialist (Ophthalmology) Physician
Credentials MD
Gender Female
NPI Issued 01/30/2015

CMS Quality Score (MIPS)

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

74.3962
Final Score
Avg: 83.1
64.7185
Quality
52.4354
Cost
97
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Rabia Karani, 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.

UT Physicians
Houston, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Rabia Karani, MD. To verify Rabia Karani, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

Rabia Karani, MD - brand share 35.0%
Retina Specialist (Ophthalmology) Physician average

35% brand-name claims vs 65% generic, on 438 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.

438
Total Claims
$19K
Total Drug Cost
165
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
542
Total Day Supply
12,349
Brand vs Generic
35% brand / 65% generic
Brand Drug Cost
$13K
Generic Drug Cost
$6K

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
1.36
Gender Split
53% female / 47% male
Age Distribution
<65: 22, 65-74: 68, 75-84: 58, 85+: 17

Top Prescribed Drugs (Medicare Part D)

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

What Rabia Karani, MD 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
Prednisolone Acetate
125
Erythromycin
Erythromycin Base
102
Ofloxacin
70
Latanoprost
25
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
24
Ketorolac Tromethamine
17
Dorzolamide Hcl
16
Brimonidine Tartrate
11

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

Retina Specialist (Ophthalmology) Physician Overview

How Rabia Karani, MD fits within the Retina Specialist (Ophthalmology) Physician landscape nationally.

913
Retina Specialist (Ophthalmology) Physician Providers in US
48
States with Retina Specialist (Ophthalmology) Physician
558
Avg Claims per Provider

Rabia Karani, MD's 438 claims are below the specialty average of 558.

Nearby Retina Specialist (Ophthalmology) Physician Providers in Texas

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

Compare Retina Specialist (Ophthalmology) 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 Texas medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Retina Specialist (Ophthalmology) 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.

Frequently Asked Questions

What is Rabia Karani, MD's specialty?
Rabia Karani, MD specializes in Retina Specialist (Ophthalmology) Physician and practices in Houston, Texas. Credentials: MD.
How much does Rabia Karani, MD prescribe under Medicare Part D?
In 2023, Rabia Karani, MD wrote 438 Medicare Part D claims totaling $19K in drug costs for 165 beneficiaries.
What is Rabia Karani, MD's Medicare quality score?
Rabia Karani, MD has a CMS MIPS Final Score of 74.4/100 (Quality: 64.7, Cost: 52.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Rabia Karani, MD located?
Rabia Karani, MD is located at 6431 FANNIN ST, Houston, TX, 77030. Phone: (713) 486-9400.
What is Rabia Karani, MD's NPI number?
Rabia Karani, MD's National Provider Identifier (NPI) is 1609266477, issued on 01/30/2015.
Does Rabia Karani, MD prescribe more brand-name or generic drugs?
Rabia Karani, MD's prescribing is 35% brand-name and 65% generic drugs by claim count, with $13K in brand drug costs.
How many Retina Specialist (Ophthalmology) Physician providers are there in the US?
There are 913 Retina Specialist (Ophthalmology) Physician providers across 48 states in the US. The average Retina Specialist (Ophthalmology) Physician provider writes 558 Medicare Part D claims per year.
What drugs does Rabia Karani, MD prescribe most often?
Based on 2023 Medicare Part D data, Rabia Karani, MD's most frequently prescribed drugs include Prednisolone Acetate, Erythromycin, Ofloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rabia Karani, MD accept Medicare?
Rabia Karani, MD appears in CMS Medicare data with 438 Part D claims and 165 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rabia Karani, MD's credentials?
Rabia Karani, MD's NPI is 1609266477 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.