2026 NPPES data Dermatology Physician NPI 1316441066 MD, MBA
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RYAN KARMOUTA, MD, MBA

Dermatology Physician in SALEM, New Hampshire. 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
1K
Medicare Part D claims · 444 beneficiaries · Dermatology Physician avg: 729
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$2.4K
113 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RYAN KARMOUTA, MD, MBA is a Dermatology Physician ([object Object]) practicing in SALEM, New Hampshire with a Medicare Part D prescribing footprint of 1K claims across 444 beneficiaries — 6% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $2.4K across 113 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RYAN KARMOUTA, MD, MBA reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 1,035 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)

RYAN KARMOUTA, MD, MBA 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).

RYAN KARMOUTA, MD, MBA at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/19/2018

NPI 1316441066

Primary specialty

Dermatology Physician

Mid-sized

14,610 US NPIs in this specialty

Medicare Part D claims

1,035 42% vs specialty avg

2023 prescription claims

Specialty avg: 729

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Hampshire

How Dermatology Physician compares to other specialties among New Hampshire providers

New Hampshire providers

Dermatology Physician share within New Hampshire

1. Dermatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Dermatology Physician share within New Hampshire

Medicare quality performance — MIPS

RYAN KARMOUTA, MD, MBA's 2023 MIPS final score plotted against the Dermatology Physician national average

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

MIPS final score (Dermatology Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Dermatology Physician) — 100/100 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).

RYAN KARMOUTA, MD, MBA is a Dermatology Physician provider practicing in SALEM, New Hampshire, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD, MBA. NPI: 1316441066. 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.

RYAN KARMOUTA, MD, MBA appears in the CMS NPPES registry as a Dermatology Physician provider holding MD, MBA credentials at 31 STILES RD STE 2100, SALEM, NH, 03079, with a listed phone of (603) 942-2020. NPI 1316441066 was issued on 03/19/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KARMOUTA 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 1,035 prescription claims written by this provider, covering 444 Medicare beneficiaries and totaling roughly $321K in drug spend, split 6% brand-name and 94% 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Dermatology Physician is a mid-sized specialty nationwide, with 14,610 enrolled providers across 53 states and an average of 729 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

31 STILES RD STE 2100
SALEM, NH 03079

Provider Details

NPI 1316441066
Specialty Dermatology Physician
Credentials MD, MBA
Gender Male
NPI Issued 03/19/2018

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RYAN KARMOUTA, MD, MBA 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.

OPTIMA DERMATOLOGY LLC
EXETER, NH

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 RYAN KARMOUTA, MD, MBA. Source: openpaymentsdata.cms.gov.

Total received

$2.4K

Largest payer

E.R. Squibb & Sons, L.L.C.

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

RYAN KARMOUTA, MD, MBA — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 1,035 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.

1,035
Total Claims
$321K
Total Drug Cost
444
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,190
Total Day Supply
32,139
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$287K
Generic Drug Cost
$34K

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
1.06
Gender Split
58% female / 42% male
Age Distribution
<65: 34, 65-74: 222, 75-84: 138, 85+: 50

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Triamcinolone Acetonide
159
Ketoconazole
121
Clobetasol Propionate
110
Hydrocortisone
87
Fluorouracil
47
Ciclopirox
Ciclopirox Olamine
44
Fluocinonide
44
Clindamycin Phosphate
38
Minoxidil
33
Finasteride
24

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

Dermatology Physician Overview

How RYAN KARMOUTA, MD, MBA fits within the Dermatology Physician landscape nationally.

14,610
Dermatology Physician Providers in US
53
States with Dermatology Physician
729
Avg Claims per Provider

RYAN KARMOUTA, MD, MBA's 1,035 claims are above the specialty average of 729.

Nearby Dermatology Physician Providers in New Hampshire

Other clinicians with the same primary specialty enrolled in New Hampshire, drawn from the same CMS NPPES roster as KARMOUTA.

Compare Dermatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RYAN KARMOUTA, MD, MBA's specialty?
RYAN KARMOUTA, MD, MBA specializes in Dermatology Physician and practices in SALEM, New Hampshire. Credentials: MD, MBA.
How much does RYAN KARMOUTA, MD, MBA prescribe under Medicare Part D?
In 2023, RYAN KARMOUTA, MD, MBA wrote 1,035 Medicare Part D claims totaling $321K in drug costs for 444 beneficiaries.
What is RYAN KARMOUTA, MD, MBA's Medicare quality score?
RYAN KARMOUTA, MD, MBA has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RYAN KARMOUTA, MD, MBA located?
RYAN KARMOUTA, MD, MBA is located at 31 STILES RD STE 2100, SALEM, NH, 03079. Phone: (603) 942-2020.
What is RYAN KARMOUTA, MD, MBA's NPI number?
RYAN KARMOUTA, MD, MBA's National Provider Identifier (NPI) is 1316441066, issued on 03/19/2018.
Does RYAN KARMOUTA, MD, MBA prescribe more brand-name or generic drugs?
RYAN KARMOUTA, MD, MBA's prescribing is 6% brand-name and 94% generic drugs by claim count, with $287K in brand drug costs.
How many Dermatology Physician providers are there in the US?
There are 14,610 Dermatology Physician providers across 53 states in the US. The average Dermatology Physician provider writes 729 Medicare Part D claims per year.
What drugs does RYAN KARMOUTA, MD, MBA prescribe most often?
Based on 2023 Medicare Part D data, RYAN KARMOUTA, MD, MBA's most frequently prescribed drugs include Triamcinolone Acetonide, Ketoconazole, Clobetasol Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RYAN KARMOUTA, MD, MBA accept Medicare?
RYAN KARMOUTA, MD, MBA appears in CMS Medicare data with 1,035 Part D claims and 444 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RYAN KARMOUTA, MD, MBA's credentials?
RYAN KARMOUTA, MD, MBA's NPI is 1316441066 with credentials MD, MBA. 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