2026 NPPES data MOHS-Micrographic Surgery Physician NPI 1841214632 M.D.
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RUTH ADAMS, M.D.

MOHS-Micrographic Surgery Physician in CARSON CITY, Nevada. 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
251
Medicare Part D claims · 106 beneficiaries · MOHS-Micrographic Surgery Physician avg: 607
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.1861/100
▲ 7 pts above national avg 83.1 · [object Object]
What the federal data reveals: RUTH ADAMS, M.D. is a MOHS-Micrographic Surgery Physician ([object Object]) practicing in CARSON CITY, Nevada with a Medicare Part D prescribing footprint of 251 claims across 106 beneficiaries — 7% brand-name prescribing . Their CMS MIPS Final Score of 90.1861/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: RUTH ADAMS, M.D. reported a CMS MIPS final score of 90.1861 out of 100, above the 83.1 national average, and filed 251 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

RUTH ADAMS, 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).

RUTH ADAMS, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/26/2006

NPI 1841214632

Primary specialty

MOHS-Micrographic Surgery Physician

Niche

1,102 US NPIs in this specialty

Medicare Part D claims

251 59% vs specialty avg

2023 prescription claims

Specialty avg: 607

MIPS final score

90.1861/100 7.086100000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Nevada

How MOHS-Micrographic Surgery Physician compares to other specialties among Nevada providers

Nevada providers

MOHS-Micrographic Surgery Physician share within Nevada

1. MOHS-Micrographic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
MOHS-Micrographic Surgery Physician share within Nevada

Medicare quality performance — MIPS

RUTH ADAMS, M.D.'s 2023 MIPS final score plotted against the MOHS-Micrographic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
90.1861/100
vs 83.1 national avg · 2023 performance year

MIPS final score (MOHS-Micrographic Surgery Physician) — 90.1861/100 vs national avg 83.1

0%100%National avg83%90.2%
MIPS final score (MOHS-Micrographic Surgery Physician) — 90.1861/100 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).

RUTH ADAMS, M.D. is a MOHS-Micrographic Surgery Physician provider practicing in CARSON CITY, Nevada, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1841214632. 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.

RUTH ADAMS, M.D. appears in the CMS NPPES registry as a MOHS-Micrographic Surgery Physician provider holding M.D. credentials at 1100 S CARSON ST, CARSON CITY, NV, 89701, with a listed phone of (775) 883-7811. NPI 1841214632 was issued on 07/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ADAMS 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 251 prescription claims written by this provider, covering 106 Medicare beneficiaries and totaling roughly $149K in drug spend, split 7% brand-name and 93% 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 90.1861/100 for the 2023 performance year (Quality 82.309, Cost 84.978), compared with the national average of 83.1.

MOHS-Micrographic Surgery Physician is a narrow specialty nationwide, with 1,102 enrolled providers across 52 states and an average of 607 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

1100 S CARSON ST
CARSON CITY, NV 89701

Provider Details

NPI 1841214632
Specialty MOHS-Micrographic Surgery Physician
Credentials M.D.
Gender Female
NPI Issued 07/26/2006

CMS Quality Score (MIPS)

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

90.1861
Final Score
Avg: 83.1
82.309
Quality
84.978
Cost
100
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Generic-heavy

RUTH ADAMS, M.D. — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 251 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.

251
Total Claims
$149K
Total Drug Cost
106
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
321
Total Day Supply
7,771
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$141K
Generic Drug Cost
$7K
Antibiotic Claims
39

Patient Demographics

Average Patient Age
75.7 years
Avg HCC Risk Score
0.89
Gender Split
80% female / 20% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Famciclovir
32
Triamcinolone Acetonide
32
Doxycycline Hyclate
25
Valacyclovir
Valacyclovir Hcl
23
Hydrocortisone
16
Mupirocin
14
Clobetasol Propionate
12
Dupixent Syringe
Dupilumab
11

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

MOHS-Micrographic Surgery Physician Overview

How RUTH ADAMS, M.D. fits within the MOHS-Micrographic Surgery Physician landscape nationally.

1,102
MOHS-Micrographic Surgery Physician Providers in US
52
States with MOHS-Micrographic Surgery Physician
607
Avg Claims per Provider

RUTH ADAMS, M.D.'s 251 claims are below the specialty average of 607.

Nearby MOHS-Micrographic Surgery Physician Providers in Nevada

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

Compare MOHS-Micrographic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RUTH ADAMS, M.D.'s specialty?
RUTH ADAMS, M.D. specializes in MOHS-Micrographic Surgery Physician and practices in CARSON CITY, Nevada. Credentials: M.D..
How much does RUTH ADAMS, M.D. prescribe under Medicare Part D?
In 2023, RUTH ADAMS, M.D. wrote 251 Medicare Part D claims totaling $149K in drug costs for 106 beneficiaries.
What is RUTH ADAMS, M.D.'s Medicare quality score?
RUTH ADAMS, M.D. has a CMS MIPS Final Score of 90.1861/100 (Quality: 82.309, Cost: 84.978). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RUTH ADAMS, M.D. located?
RUTH ADAMS, M.D. is located at 1100 S CARSON ST, CARSON CITY, NV, 89701. Phone: (775) 883-7811.
What is RUTH ADAMS, M.D.'s NPI number?
RUTH ADAMS, M.D.'s National Provider Identifier (NPI) is 1841214632, issued on 07/26/2006.
Does RUTH ADAMS, M.D. prescribe more brand-name or generic drugs?
RUTH ADAMS, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $141K in brand drug costs.
How many MOHS-Micrographic Surgery Physician providers are there in the US?
There are 1,102 MOHS-Micrographic Surgery Physician providers across 52 states in the US. The average MOHS-Micrographic Surgery Physician provider writes 607 Medicare Part D claims per year.
What drugs does RUTH ADAMS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RUTH ADAMS, M.D.'s most frequently prescribed drugs include Famciclovir, Triamcinolone Acetonide, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RUTH ADAMS, M.D. accept Medicare?
RUTH ADAMS, M.D. appears in CMS Medicare data with 251 Part D claims and 106 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RUTH ADAMS, M.D.'s credentials?
RUTH ADAMS, M.D.'s NPI is 1841214632 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