Karla Marie Criner

  • Santa Monica, CA
  • Rheumatologist
NPI1619321460PAC ID4587066394
Medicare services, 2024
285
Medicare patients, 2024
98
Part D claims, 2024
488
Publications
2
MIPS score, 2024
88
Practice address
1250 16th Street, Santa Monica, CA 90404
Practice phone
Call (310) 319-4000
Professional email
Get professional email
Personal email
Get personal email
Mobile number
Get mobile number
Social profiles

Primary practice

UCLA Santa Monica Medical Center

Hospital · Santa Monica, California

See all 4 affiliations

Find Karla Criner's professional email, personal email and mobile number

Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.

View contacts for free

Karla Marie Criner is a rheumatologist in Santa Monica, California

Karla Criner practices at UCLA Santa Monica Medical Center in Santa Monica, California, part of University of California Health.

Karla Criner's NPI, 1619321460, was assigned on April 18, 2016. Karla Criner graduated from Lewis Katz School of Medicine in 2016. Karla Criner holds California license A161544.

NPI and contact details
Medicare PAC ID
4587066394
NPI enumeration date
April 18, 2016
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(310) 319-4000
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Female
Estimated age
36
Medical school graduation
2016

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Karla Marie Criner practices at UCLA Santa Monica Medical Center in Santa Monica, California

Karla Criner's primary practice is UCLA Santa Monica Medical Center, at 1250 16th Street, Santa Monica, CA 90404 in Los Angeles County. The practice phone is (310) 319-4000.

Source: Dmand AI Affiliation Data

Karla Marie Criner is affiliated with 3 sites of care and 1 medical group

Karla Criner's primary practice is UCLA Santa Monica Medical Center in Santa Monica, California, part of University of California Health. Karla Criner is also affiliated with Ronald Reagan UCLA Medical Center. The medical group on file is UCLA Medical Group. Dmand AI also links Karla Criner to 1 more group practice or clinic, named with a free account.

See all 4 affiliations for Karla Criner

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Karla Marie Criner's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Karla Criner practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
UCLA Santa Monica Medical CenterAvailable with a free account
+2 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

See the EHR and IT leaders at every hospital where Karla Criner practices

Dmand AI maps EHR vendors, IT decision makers and buying committees across University of California Health and 6.2K+ hospitals, with verified contacts in the same login.

Karla Marie Criner is one of 821 rheumatologists in California

Rheumatology is Karla Criner's primary specialty in the NPI Registry, under taxonomy code 207RR0500X. Karla Criner is board certified in internal medicine by the American Board of Internal Medicine. Dmand AI has Karla Criner's licenses on file in 2 states: California and Texas.

Specialties and state licenses

  • Rheumatology, CaliforniaPrimaryLicense A161544 · 2019 to 2027 · taxonomy 207RR0500X
  • Internal medicine, TexasLicense BP10056224 · taxonomy 207R00000X

Clinical focus

Dmand AI lists arteritis, arthritis, fibromyalgia and chronic pain, fluid in a joint, joint arthropathy, joint pain, lupus and muscle pain, fibromyalgia, and limb pain among the conditions Karla Criner treats.

Rheumatologists near Karla Criner

Counts of rheumatologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Karla Marie Criner billed Medicare for 285 services in 2024

CMS data shows 285 Medicare services from Karla Criner across 4 procedure codes in 2024, for 98 Medicare patients. Medicare paid $21,164 for them. Every service was in an office.

Medicare services, 2024285
Medicare patients98
Paid by Medicare$21,164
Procedure codes4

Karla Criner's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 3022024: 17343%
Other services
2023: 02024: 112
Drugs given in the office
2023: 242024: 0100%

Karla Criner compared with the California median for rheumatologists, 2024

  • Karla Criner
  • California median
Medicare services
285vs 90068% below
Medicare patients
98vs 21655% below
Part D claims
336vs 96265% below

Medians across 773 rheumatologists in California with Dmand AI profiles that report each measure.

Karla Criner's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Karla Criner

Need commercial claims for Karla Criner?

Medicare shows one payer. Book a meeting to get commercial claims data for Karla Criner and other rheumatologists in California.

Book a meeting

Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Karla Marie Criner treated 98 Medicare patients in 2024, average age 73

CMS counts 98 Medicare patients who saw Karla Criner in 2024. The largest group is 65 to 74, with 45 patients. 75% of them have arthritis, and 75% have high cholesterol. 39% are also on Medicaid. Their average risk score is 1.57, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Karla Criner's median patient age at 53, with 70% women.

Medicare patients, 202498
Average age73
Average risk score1.57
Also on Medicaid39%

Karla Criner's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Karla Criner's Medicare patients by sex, 2024

  • Women6768%
  • Men3132%

Chronic conditions among Karla Criner's Medicare patients, 2024

  1. Arthritis75%
  2. High cholesterol75%
  3. High blood pressure71%
  4. Osteoporosis37%
  5. Anxiety35%
  6. Diabetes35%
  7. Ischemic heart disease30%
  8. Mood disorders30%

Share of Medicare patients with each condition. A patient can have several.

Karla Criner's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 53

Patient panel by sex, all payers

  • Women70%
  • Men29%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Karla Marie Criner wrote 488 Medicare Part D claims in 2024

In 2024, Karla Criner wrote 488 Medicare Part D claims for 109 patients. 80% of them were for generic drugs. CMS names the drug for 336 of them, across 14 drugs with 11 or more claims each, at $380,918 in total drug cost. In 2023, CMS named 539 claims across 19 drugs.

Part D claims, 2024488
Drugs named by CMS14
Total drug cost$380,918
Part D patients109

Karla Criner's Part D claims by kind of drug, 2024

  • Generic389 claims80%
  • Brand-name and other99 claims20%

Karla Criner's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Karla Criner's Part D claims, 2024

  • Opioids2%12 of 488 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 5392024: 33638%

Drugs named by CMS: 14 in 2024, 19 in 2023.

See all prescribing by Karla Criner

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Karla Marie Criner scored 88 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 88 out of 100 for Karla Criner for performance year 2024, reported as part of a group. Karla Criner accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Karla Criner as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Karla Criner's MIPS scores, performance year 2024

  • 88of 100Final score
  • 79.4of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 74of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

For MedTech and pharma teams

Find rheumatologists like Karla Criner by procedure volume and prescribing

Filter 7.4M+ HCPs by Medicare procedures, Part D drugs and Open Payments history, then reach them with verified contacts in one login.

Karla Marie Criner has 2 publications on record

Dmand AI links 2 papers to Karla Criner, published from 2018 to 2019. Karla Criner's most frequent co-authors are Vibeke Strand, MD, Niti Goel, MD and Maria Eugenia Suarez-Almazor, MD.

Papers2
Years published2018 to 2019

Karla Criner's most frequent co-authors

Recent publications by Karla Criner

See all 2 publications and co-authors

See who Karla Criner researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Karla Criner works with, so you can find a warm path to the right rheumatologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Karla Marie Criner received $396 in industry payments from 2022 to 2025

CMS Open Payments shows 8 general payments to Karla Criner from 4 drug and device companies from 2022 to 2025. Food and beverage make up the largest share, 52% of the total. Janssen Pharmaceuticals, Inc paid the most, $178.

General payments to Karla Criner by program year, 2022 to 2025

General payments to Karla Criner by kind, 2022 to 2025

$396in total
  • Food and beverage$20452%
  • Education$19248%

Companies that paid Karla Criner the most, 2022 to 2025

Share is of all general payments to this clinician.

See all payments to Karla Criner

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Karla Marie Criner graduated from Lewis Katz School of Medicine

Karla Criner graduated from Lewis Katz School of Medicine in 2016. Karla Criner is a member of ACR.

  1. Medical schoolLewis Katz School of Medicine
  2. Board certified in internal medicineAmerican Board of Internal Medicine
  3. Board certified in rheumatologyAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Karla Marie Criner accepts plans from 13 insurance carriers

Karla Criner is in network with 13 carriers, including Aetna, Elevance and United Healthcare. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

  • Aetna
  • Elevance
  • United Healthcare
  • Blue Cross Blue Shield of Michigan
  • HCSC
  • Blue Cross Blue Shield of Massachusetts
  • Regence Health Plans
  • Alliant Health Plans
  • +5 more carriersWith a free account

Plan types Karla Criner accepts, by number of carriers

  1. PPO9
  2. HMO6
  3. Medicare6
  4. EPO4
  5. POS4

Source: Dmand AI Insurance Network Data

Sources for Karla Marie Criner's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Karla Marie Criner

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Karla Marie Criner's NPI number?

Karla Marie Criner's NPI number is 1619321460. It was assigned on April 18, 2016, and it is active in the NPI Registry.

What does Karla Marie Criner specialize in?

Karla Marie Criner is a rheumatologist in Santa Monica, California. The primary specialty in the NPI Registry is Rheumatology Physician (taxonomy code 207RR0500X).

Where does Karla Marie Criner practice?

Karla Criner practices at 1250 16th Street, Santa Monica, CA 90404. Karla Criner's primary practice is UCLA Santa Monica Medical Center in Santa Monica, California, part of University of California Health. Dmand AI also links Karla Criner to 1 group practice or clinic.

What is Karla Marie Criner's office phone number?

The practice phone on file for Karla Criner is (310) 319-4000.

What is Karla Marie Criner's medical license number?

Karla Criner holds California license A161544, one of the licenses on file in 2 states.

Which states has Karla Marie Criner been licensed in?

Dmand AI has state licenses on file for Karla Criner in California (2019 to 2027) and Texas.

Which hospitals is Karla Marie Criner affiliated with?

Karla Criner practices at UCLA Santa Monica Medical Center in Santa Monica, California. Karla Criner is also affiliated with Ronald Reagan UCLA Medical Center.

What medical group is Karla Marie Criner part of?

Karla Criner is linked to UCLA Medical Group.

Does Karla Marie Criner accept Medicare?

Yes. CMS data shows Karla Criner billed Medicare for 285 services in 2024, and Karla Criner accepts Medicare assignment.

Does Karla Marie Criner offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Karla Criner as offering telehealth services.

Show 11 more questionsShow fewer questions

What is Karla Marie Criner's MIPS score?

Karla Criner's MIPS final score for performance year 2024 is 88 out of 100, reported as part of a group.

How many Medicare patients does Karla Marie Criner see?

CMS counts 98 Medicare patients who saw Karla Criner in 2024, with an average age of 73.

Is Karla Marie Criner board certified?

Yes. Karla Criner is board certified in internal medicine by the American Board of Internal Medicine.

What services does Karla Marie Criner bill to Medicare?

In 2024, Karla Criner's most billed Medicare services were medicare service (G2211), office visit, established patient (99214) and office visit, established patient (99215).

Where did Karla Marie Criner go to medical school?

Karla Criner graduated from Lewis Katz School of Medicine in 2016.

What drugs does Karla Marie Criner prescribe most?

In 2024 Medicare Part D data, Karla Criner's most prescribed drugs by claims were Methotrexate, Prednisone and Hydroxychloroquine Sulfate.

Has Karla Marie Criner received payments from drug or device companies?

CMS Open Payments shows $396 in general payments to Karla Criner from 4 companies from 2022 to 2025. The largest total came from Janssen Pharmaceuticals, Inc.

How long has Karla Marie Criner been practicing?

Karla Criner graduated from medical school in 2016, 10 years ago.

Does Karla Marie Criner do research?

Dmand AI links 2 publications to Karla Criner, published from 2018 to 2019.

Who does Karla Marie Criner publish with?

Karla Criner's most frequent co-authors are Vibeke Strand, MD (2 shared papers), Niti Goel, MD (1 shared paper) and Maria Eugenia Suarez-Almazor, MD (1 shared paper).

What insurance does Karla Marie Criner accept?

Karla Criner is in network with 13 carriers, including Aetna, Elevance and United Healthcare. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

Selling to rheumatology practices?

See rheumatologists in California by site of care and group

Find the practices, groups and hospitals they work with, and the right people to contact at each.

  • 30 days free
  • Self-serve
  • No credit card

Cookie settings

Turn each category on or off. Your choice is kept for 12 months and you can change it here at any time.

Necessary

Always on. Sign-in, security, downloads you asked for, your cookie choice, and the page that led to a signup.

View cookies (6)
  • dm_consentDmand AI. Your cookie choices and whether your browser sent a Global Privacy Control signal. 12 months.
  • dm_ft, dm_ltDmand AI. The first and the latest page you arrived on, with the date, so a signup is credited to the page that worked. 90 days, 30 days.
  • dm_fs, dm_lsDmand AI. The first and the latest source of a visit (a search engine, a campaign or the site that linked here). 90 days, 30 days.
  • dm_dl, dm_dl_okDmand AI. After you give an email address for a download, lets you download files without being asked again. 30 days.
  • Session and CSRF cookiesDmand AI (app.dmand.ai). Sign-in and form protection in the application. Session.
  • __cf_bm, cf_clearanceCloudflare. Tells people from automated traffic and keeps the site available. 30 minutes; cf_clearance while a security check is valid.

Analytics

On unless you turn it off. How pages are used, in aggregate, and recordings of how pages are used.

View cookies (6)
  • Google Tag ManagerGoogle. Loads the analytics and marketing tags that are on. Sets no cookie of its own and does not load when both categories are off. n/a.
  • _ga, _ga_<container-id>Google Analytics 4. Visits and page views in aggregate on dmand.ai. 2 years.
  • _clck, _clskMicrosoft Clarity. Recordings and heatmaps of how pages are used, with form fields masked. 1 year, 1 day.
  • CLID, MUID, ANONCHK, MR, SMMicrosoft (clarity.ms). Set by Microsoft when Clarity loads, to recognize a browser across sites that use Clarity. Up to 1 year.
  • None (cookieless)Ahrefs Analytics. Page views in aggregate. n/a.
  • ph_<project>_posthogPostHog. Product usage, errors and performance in app.dmand.ai, used to fix bugs and improve features. 365 days.

Marketing

On unless you turn it off, and always off when your browser sends a Global Privacy Control signal. A visitor identification service tells our sales team which companies and people visit.

View cookies (6)
  • _reb2buid, _reb2butkRB2B. Recognizes a returning browser for visitor identification. 360 days, 1 year.
  • _reb2bgeoRB2B. The location used to decide whether a visit can be identified. 20 days.
  • _reb2brefRB2B. The page or site that referred the visit. 15 days.
  • _reb2bfxf, _reb2btd, _reb2bliRB2B. Links the visit to an identified business profile. 1 month.
  • _reb2bresolveRB2B. Holds a match while it is being resolved. 2 days.
  • _reb2sessionID, _reb2bloadedRB2B. The current visit, and a guard against loading the script twice. 30 minutes, 1 second.

Functional

On unless you turn it off. Remembers choices such as a collapsed section.

View cookies (none today)