2026 NPPES data Medical Toxicology (Emergency Medicine) Physician NPI 1558352203 MD
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CARL SKINNER, MD

Medical Toxicology (Emergency Medicine) Physician in TACOMA, Washington. 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
77
Medicare Part D claims · 57 beneficiaries · Medical Toxicology (Emergency Medicine) Physician avg: 329

What the federal data shows

CARL SKINNER, MD filed 77 Medicare Part D claims in 2023 as a Medical Toxicology (Emergency Medicine) Physician in TACOMA, Washington.

77
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

CARL SKINNER, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

77 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

CARL SKINNER, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about CARL SKINNER, MD?

Quality data not reported

NPI registry status

Active

Issued 11/02/2005

NPI 1558352203

Primary specialty

Medical Toxicology (Emergency Medicine) Physician

Rare

226 US NPIs in this specialty

Medicare Part D claims

77 77% vs specialty avg

2023 prescription claims

Specialty avg: 329

Specialty distribution in Washington

How Medical Toxicology (Emergency Medicine) Physician compares to other specialties among Washington providers

Washington providers

Medical Toxicology (Emergency Medicine) Physician share within Washington

1. Medical Toxicology (Emergency Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Medical Toxicology (Emergency Medicine) Physician share within Washington

Specialty board-certification context

Estimated specialty board-certified rate — Medical Toxicology (Emergency Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Medical Toxicology (Emergency Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Medical Toxicology (Emergency Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Medical Toxicology (Emergency Medicine) Physician) — ABMS / AOA estimate

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).

CARL SKINNER, MD appears in the CMS NPPES registry as a Medical Toxicology (Emergency Medicine) Physician provider holding MD credentials at MADIGAN ARMY MEDICAL CTR, TACOMA, WA, 98431, with a listed phone of (253) 968-1250. NPI 1558352203 was issued on 11/02/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SKINNER 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 77 prescription claims written by this provider, covering 57 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 14.3%. 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.

Medical Toxicology (Emergency Medicine) Physician is a narrow specialty nationwide, with 226 enrolled providers across 39 states and an average of 329 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

MADIGAN ARMY MEDICAL CTR
TACOMA, WA 98431

Provider Details

NPI 1558352203
Specialty Medical Toxicology (Emergency Medicine) Physician
Credentials MD
Gender Male
NPI Issued 11/02/2005

Hospital and facility affiliations

Facilities where CARL SKINNER, MD 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.

EMERGENCY PHYSICIANS INTEGRATED CARE LLC
ROY, UT

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Washington WMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 — they are NOT specific to CARL SKINNER, MD. To verify CARL SKINNER, MD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

77
Total Claims
$2K
Total Drug Cost
57
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
77
Total Day Supply
695
Generic Drug Cost
$455
Opioid Claims
11 (14.3% rate)
Antibiotic Claims
23

Patient Demographics

Average Patient Age
70.5 years
Avg HCC Risk Score
1.59
Gender Split
63% female / 37% male

Medical Toxicology (Emergency Medicine) Physician Overview

How CARL SKINNER, MD fits within the Medical Toxicology (Emergency Medicine) Physician landscape nationally.

226
Medical Toxicology (Emergency Medicine) Physician Providers in US
39
States with Medical Toxicology (Emergency Medicine) Physician
329
Avg Claims per Provider

CARL SKINNER, MD's 77 claims are below the specialty average of 329.

Frequently Asked Questions

What is CARL SKINNER, MD's specialty?
CARL SKINNER, MD specializes in Medical Toxicology (Emergency Medicine) Physician and practices in TACOMA, Washington. Credentials: MD.
How much does CARL SKINNER, MD prescribe under Medicare Part D?
In 2023, CARL SKINNER, MD wrote 77 Medicare Part D claims totaling $2K in drug costs for 57 beneficiaries.
Where is CARL SKINNER, MD located?
CARL SKINNER, MD is located at MADIGAN ARMY MEDICAL CTR, TACOMA, WA, 98431. Phone: (253) 968-1250.
What is CARL SKINNER, MD's NPI number?
CARL SKINNER, MD's National Provider Identifier (NPI) is 1558352203, issued on 11/02/2005.
Does CARL SKINNER, MD prescribe opioids?
Yes, CARL SKINNER, MD had 11 opioid claims in 2023 with an opioid prescribing rate of 14.3%.
How many Medical Toxicology (Emergency Medicine) Physician providers are there in the US?
There are 226 Medical Toxicology (Emergency Medicine) Physician providers across 39 states in the US. The average Medical Toxicology (Emergency Medicine) Physician provider writes 329 Medicare Part D claims per year.
Does CARL SKINNER, MD accept Medicare?
CARL SKINNER, MD appears in CMS Medicare data with 77 Part D claims and 57 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARL SKINNER, MD's credentials?
CARL SKINNER, MD's NPI is 1558352203 with credentials MD. 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.
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