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MS. KATHERINE D. CARIAS M.D.
NPI 1205828282
Specialist in Ashland, KY

Active since August 17, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 18D0976508 · Waiver
81.98/100
CMS Quality Rating
2501 LEXINGTON AVE, ASHLAND, KY 41101(606) 324-7704(606) 324-3985 Get Directions Write a Review

NPPES record last updated: November 14, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ms. Katherine D. Carias M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KATHERINE D. CARIAS M.D. (NPI 1205828282) is an individual specialist in Ashland, Kentucky, licensed in Kentucky (32424) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 6, 2028, and is affiliated with King's Daughters' Medical Center.

NPPES Registry Identity

NPI1205828282
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. KATHERINE D. CARIASCredential: M.D.
Location Address2501 LEXINGTON AVEAshland, KY 41101-2945
Mailing Address2501 Lexington AveAshland, KY 41101-2945 · (606) 324-7704 · Fax (606) 324-3985
Phone(606) 324-7704
Fax(606) 324-3985
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateAugust 17, 2005
Last NPPES UpdateNovember 14, 2012
✔ NPI 1205828282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in KY · 32424✔ Licensed in OH · 35071043
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2501 LEXINGTON AVE, Ashland, KY 41101
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Other Identifiers 5

Medicare UPING41470KY
Medicare PINP100043693KY
Medicaid0580232OH
Medicare PIN9340271OH
Medicaid64959679KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Katherine D. Carias M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597658542
PECOS Enrollment IDI20040206000310, I20110223000438
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0976508

Katherine D Carias, MD, Inc Dba Asthma & Allergy A · Ashland, KY
Active · expires Aug 6, 2028
CLIA Number18D0976508
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2026
Certificate Expiration DateAugust 6, 2028
Laboratory DirectorKatherine D. Carias
Laboratory Phone(606) 324-7704
Laboratory LocationKatherine D Carias, MD, Inc Dba Asthma & Allergy A2501 Lexington Avenue, Ashland, KY 41101
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,564 services23 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
1,020 services58 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
773 services44 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
535 services212 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
366 services167 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
186 services173 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Three Rivers Medical Center

Acute Care Hospitals · Louisa, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180128
Location2485 Highway 644Louisa, KY 41230 · Lawrence County
Emergency services

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360361
Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality65.36
Promoting Interoperability48
Improvement Activities40
Cost84.57

Reported Quality Measures

Controlling High Blood Pressure
45%106 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,504 patients4/55-star benchmark: 100%
e-Prescribing
99%3,578 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
38%696 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
8%766 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
20%1,277 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 495 patients
Patients screened: 95% · 495 patients
93%40 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
35%873 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 255 patients
Patients totalRate: 4% · 255 patients
4%255 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier25 claims25 services$22.52 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier25 claims25 services$7.77 avg. paid by Medicare
Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims252 services$29.88 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches A6199
DME-Medical/Surgical Supplies · category DA023N
1 supplier13 claims600 services$5.10 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier15 claims188 services$8.78 avg. paid by Medicare
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252
DME-Medical/Surgical Supplies · category DA023N
1 supplier13 claims354 services$3.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID J JENKINSON MD
Orthopaedic Surgery
2501 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 325-1765
BRENDAN MICIANIZL MCKENNA MD
Obstetrics & Gynecology
2501 LEXINGTON AVE
ASHLAND, KY 41101
Boyd County (606) 329-0890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Carias's NPI number?

The NPI number for Katherine Carias is 1205828282. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Katherine Carias located?

Katherine Carias practices at 2501 Lexington Ave, Ashland, KY 41101. The listed phone number is (606) 324-7704.

What is Katherine Carias's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Katherine Carias enrolled in Medicare?

Yes. Katherine Carias is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Katherine Carias hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0976508) is associated with this NPI, valid through August 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Katherine Carias accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 3 other insurers list Katherine Carias as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Katherine Carias affiliated with any hospitals?

According to CMS data, Katherine Carias is affiliated with King's Daughters' Medical Center, Three Rivers Medical Center, Southern Ohio Medical Center and Kings Daughters Medical Center Ohio.

When was this NPI record last updated?

The NPPES record for Katherine Carias was last updated on November 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.