2026 NPPES data Pediatric Dermatology Physician NPI 1285664623 MD
Verify on CMS →

Carla Lee, MD

Pediatric Dermatology Physician in Nashville, Tennessee. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 222 in Pediatric Dermatology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
676
Medicare Part D claims · 271 beneficiaries · Pediatric Dermatology Physician avg: 497
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.1/100
▲ 14 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Carla Lee, MD reported a CMS MIPS final score of 97.1/100 - above the 83.1 national average - and filed 676 Medicare Part D claims in 2023.

97.1/100
MIPS score · +14 vs avg
676
Part D claims, 2023
89%
generic prescribing
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.

Carla Lee, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

97 Top 15% higher than 85% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90+: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Where Carla Lee, MD sits

This provider among pediatric dermatology physician peers

Across the 65 pediatric dermatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Carla Lee, MD writes more Part D claims than 63% of them and scores higher on MIPS quality than 78% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100022.344.666.989.3Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 13Carla Lee, MD-Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 78
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one pediatric dermatology physician peer from a representative sample of 60; the gold marker is Carla Lee, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Carla Lee, MD 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).

What does the federal data show about Carla Lee, MD?

High performer (top quartile)

NPI registry status

Active

Issued 07/03/2006

NPI 1285664623

Primary specialty

Pediatric Dermatology Physician

Rare

222 US NPIs in this specialty

Medicare Part D claims

676 36% vs specialty avg

2023 prescription claims

Specialty avg: 497

MIPS final score

97.1/100 14 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Tennessee

How Pediatric Dermatology Physician compares to other specialties among Tennessee providers

Tennessee providers

Largest specialties in Tennessee (% of in-state providers)

Family Nurse Practitioner - 6.4%Family Nurse Practitioner6.4%Pharmacist - 5.9%Pharmacist5.9%Student in an Organized Health Care Education/Training Program - 4.6%Student in an Organized Health Care Education/Training Program4.6%Physical Therapist - 4.2%Physical Therapist4.2%Behavior Technician - 4.2%Behavior Technician4.2%Registered Nurse - 3.9%Registered Nurse3.9%Pediatric Dermatology Physician - 0%Pediatric Dermatology Physician0%
Largest specialties in Tennessee (% of in-state providers)

Medicare quality performance, MIPS

Carla Lee, MD's 2023 MIPS final score plotted against the Pediatric Dermatology Physician national average

High performer (top quartile)
MIPS Final Score
97.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Dermatology Physician) - 97.1/100 vs national avg 83.1

0%100%National avg83%97.1%
MIPS final score (Pediatric Dermatology Physician) - 97.1/100 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).

Carla Lee, MD appears in the CMS NPPES registry as a Pediatric Dermatology Physician provider holding MD credentials at 3601 THE VANDERBILT CLINIC, Nashville, TN, 37232, with a listed phone of (615) 322-3000. NPI 1285664623 was issued on 07/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Lee 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 676 prescription claims written by this provider, covering 271 Medicare beneficiaries and totaling roughly $369K in drug spend, split 11% brand-name and 89% 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 97.1/100 for the 2023 performance year (Quality 85.6), compared with the national average of 83.1.

Pediatric Dermatology Physician is a narrow specialty nationwide, with 222 enrolled providers across 39 states and an average of 497 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

3601 THE VANDERBILT CLINIC
Nashville, TN 37232

Provider Details

NPI 1285664623
Specialty Pediatric Dermatology Physician
Credentials MD
Gender Female
NPI Issued 07/03/2006

CMS Quality Score (MIPS)

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

97.1279
Final Score
Avg: 83.1
85.6458
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Carla Lee, 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.

Vanderbilt University Medical Center
★★★★★ 5/5
Nashville, TN
Acute Care Hospitals
CMS CCN: 440039

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

Brand vs generic prescribing mix · Typical

Carla Lee, MD - brand share 11.0%
Pediatric Dermatology Physician average

11% brand-name claims vs 89% generic, on 676 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.

676
Total Claims
$369K
Total Drug Cost
271
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
765
Total Day Supply
19,413
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$345K
Generic Drug Cost
$24K
Antibiotic Claims
38

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
1.23
Gender Split
55% female / 45% male
Age Distribution
<65: 20, 65-74: 132, 75-84: 96, 85+: 23

Top Prescribed Drugs (Medicare Part D)

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

What Carla Lee, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Ketoconazole
88
Triamcinolone Acetonide
62
Clobetasol Propionate
43
Betamethasone Dipropionate
36
Fluorouracil
36
Dupixent Pen
Dupilumab
33
Metronidazole
23
Doxycycline Monohydrate
21
Gabapentin
21
Mupirocin
20

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

Pediatric Dermatology Physician Overview

How Carla Lee, MD fits within the Pediatric Dermatology Physician landscape nationally.

222
Pediatric Dermatology Physician Providers in US
39
States with Pediatric Dermatology Physician
497
Avg Claims per Provider

Carla Lee, MD's 676 claims are above the specialty average of 497.

Nearby Pediatric Dermatology Physician Providers in Tennessee

Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as Lee.

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Tennessee medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Pediatric Dermatology Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Carla Lee, MD's specialty?
Carla Lee, MD specializes in Pediatric Dermatology Physician and practices in Nashville, Tennessee. Credentials: MD.
How much does Carla Lee, MD prescribe under Medicare Part D?
In 2023, Carla Lee, MD wrote 676 Medicare Part D claims totaling $369K in drug costs for 271 beneficiaries.
What is Carla Lee, MD's Medicare quality score?
Carla Lee, MD has a CMS MIPS Final Score of 97.1/100 (Quality: 85.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Carla Lee, MD located?
Carla Lee, MD is located at 3601 THE VANDERBILT CLINIC, Nashville, TN, 37232. Phone: (615) 322-3000.
What is Carla Lee, MD's NPI number?
Carla Lee, MD's National Provider Identifier (NPI) is 1285664623, issued on 07/03/2006.
Does Carla Lee, MD prescribe more brand-name or generic drugs?
Carla Lee, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $345K in brand drug costs.
How many Pediatric Dermatology Physician providers are there in the US?
There are 222 Pediatric Dermatology Physician providers across 39 states in the US. The average Pediatric Dermatology Physician provider writes 497 Medicare Part D claims per year.
What drugs does Carla Lee, MD prescribe most often?
Based on 2023 Medicare Part D data, Carla Lee, MD's most frequently prescribed drugs include Ketoconazole, Triamcinolone Acetonide, Clobetasol Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carla Lee, MD accept Medicare?
Carla Lee, MD appears in CMS Medicare data with 676 Part D claims and 271 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carla Lee, MD's credentials?
Carla Lee, MD's NPI is 1285664623 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.
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

Compiled from official public sources by the PlainDoctor editorial team.