Karla Marie Criner
- 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
Primary practice
Find Karla Criner's professional email, personal email and mobile number
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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
- 1619321460NPI Registry (opens in a new tab)
- 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.
- UCLA Santa Monica Medical Center1250 16th Street, Santa Monica, CA 90404 · Los Angeles CountyPhone(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.
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.
| Site | EHR vendor and product |
|---|---|
| UCLA Santa Monica Medical Center | Available with a free account |
| +2 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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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, CaliforniaPrimary
- Internal medicine, Texas
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.
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.
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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.
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
- Arthritis75%
- High cholesterol75%
- High blood pressure71%
- Osteoporosis37%
- Anxiety35%
- Diabetes35%
- Ischemic heart disease30%
- 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.
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.
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
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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.
Karla Criner's most frequent co-authors
- Vibeke Strand, MD2 shared papers
- Niti Goel, MD1 shared paper
- Maria Eugenia Suarez-Almazor, MD1 shared paper
Recent publications by Karla Criner
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.
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
- 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.
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.
- Medical school
- Board certified in internal medicine
- Board certified in rheumatology
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
- PPO9
- HMO6
- Medicare6
- EPO4
- POS4
Source: Dmand AI Insurance Network Data
Sources for Karla Marie Criner's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Doctors 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-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand 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.
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