2026 NPPES data Geriatric Medicine (Family Medicine) Physician NPI 1295199453
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CARLEN SMITH

Geriatric Medicine (Family Medicine) Physician in AUGUSTA, Maine. 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
4K
Medicare Part D claims · 286 beneficiaries · Geriatric Medicine (Family Medicine) Physician avg: 5K
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.2722/100
▼ 4 pts below national avg 83.1 · [object Object]
What the federal data reveals: CARLEN SMITH is a Geriatric Medicine (Family Medicine) Physician ([object Object]) practicing in AUGUSTA, Maine with a Medicare Part D prescribing footprint of 4K claims across 286 beneficiaries — 19% brand-name prescribing . Their CMS MIPS Final Score of 79.2722/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: CARLEN SMITH reported a CMS MIPS final score of 79.2722 out of 100, below the 83.1 national average, and filed 4,205 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

CARLEN SMITH 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).

CARLEN SMITH at a glance

Near national average

NPI registry status

Active

Issued 04/13/2016

NPI 1295199453

Primary specialty

Geriatric Medicine (Family Medicine) Physician

Niche

1,779 US NPIs in this specialty

Medicare Part D claims

4,205 13% vs specialty avg

2023 prescription claims

Specialty avg: 4,854

MIPS final score

79.2722/100 3.8277999999999963% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Maine

How Geriatric Medicine (Family Medicine) Physician compares to other specialties among Maine providers

Maine providers

Geriatric Medicine (Family Medicine) Physician share within Maine

1. Geriatric Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Geriatric Medicine (Family Medicine) Physician share within Maine

Medicare quality performance — MIPS

CARLEN SMITH's 2023 MIPS final score plotted against the Geriatric Medicine (Family Medicine) Physician national average

Near national average
MIPS Final Score
79.2722/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Geriatric Medicine (Family Medicine) Physician) — 79.2722/100 vs national avg 83.1

0%100%National avg83%79.3%
MIPS final score (Geriatric Medicine (Family Medicine) Physician) — 79.2722/100 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).

CARLEN SMITH is a Geriatric Medicine (Family Medicine) Physician provider practicing in AUGUSTA, Maine, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1295199453. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

CARLEN SMITH appears in the CMS NPPES registry as a Geriatric Medicine (Family Medicine) Physician provider at 6 E CHESTNUT ST, AUGUSTA, ME, 04330, with a listed phone of (207) 626-7400. NPI 1295199453 was issued on 04/13/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SMITH 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 4,205 prescription claims written by this provider, covering 286 Medicare beneficiaries and totaling roughly $619K in drug spend, split 19% brand-name and 81% generic by claim count, with an opioid prescribing rate of 2.5%. 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 79.2722/100 for the 2023 performance year (Quality 73.7265, Cost 60.5143), compared with the national average of 83.1.

Geriatric Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 1,779 enrolled providers across 52 states and an average of 4,854 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

6 E CHESTNUT ST
AUGUSTA, ME 04330

Provider Details

NPI 1295199453
Specialty Geriatric Medicine (Family Medicine) Physician
Gender Female
NPI Issued 04/13/2016

CMS Quality Score (MIPS)

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

79.2722
Final Score
Avg: 83.1
73.7265
Quality
60.5143
Cost
76
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CARLEN SMITH 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.

MAINEGENERAL MEDICAL CENTER
AUGUSTA, ME

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

CARLEN SMITH — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 4,205 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.

4,205
Total Claims
$619K
Total Drug Cost
286
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,640
Total Day Supply
182,653
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$532K
Generic Drug Cost
$83K
Opioid Claims
105 (2.5% rate)
Antibiotic Claims
58

Patient Demographics

Average Patient Age
79.8 years
Avg HCC Risk Score
1.60
Gender Split
70% female / 30% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Sertraline Hcl
365
Atorvastatin Calcium
198
Amlodipine Besylate
143
Levothyroxine Sodium
140
Omeprazole
135
Eliquis
Apixaban
124
Furosemide
101
Lisinopril
94
Metoprolol Succinate
91
Diclofenac Sodium
79

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

Geriatric Medicine (Family Medicine) Physician Overview

How CARLEN SMITH fits within the Geriatric Medicine (Family Medicine) Physician landscape nationally.

1,779
Geriatric Medicine (Family Medicine) Physician Providers in US
52
States with Geriatric Medicine (Family Medicine) Physician
4,854
Avg Claims per Provider

CARLEN SMITH's 4,205 claims are below the specialty average of 4,854.

Nearby Geriatric Medicine (Family Medicine) Physician Providers in Maine

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

Compare Geriatric Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CARLEN SMITH's specialty?
CARLEN SMITH specializes in Geriatric Medicine (Family Medicine) Physician and practices in AUGUSTA, Maine.
How much does CARLEN SMITH prescribe under Medicare Part D?
In 2023, CARLEN SMITH wrote 4,205 Medicare Part D claims totaling $619K in drug costs for 286 beneficiaries.
What is CARLEN SMITH's Medicare quality score?
CARLEN SMITH has a CMS MIPS Final Score of 79.2722/100 (Quality: 73.7265, Cost: 60.5143). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CARLEN SMITH located?
CARLEN SMITH is located at 6 E CHESTNUT ST, AUGUSTA, ME, 04330. Phone: (207) 626-7400.
What is CARLEN SMITH's NPI number?
CARLEN SMITH's National Provider Identifier (NPI) is 1295199453, issued on 04/13/2016.
Does CARLEN SMITH prescribe more brand-name or generic drugs?
CARLEN SMITH's prescribing is 19% brand-name and 81% generic drugs by claim count, with $532K in brand drug costs.
Does CARLEN SMITH prescribe opioids?
Yes, CARLEN SMITH had 105 opioid claims in 2023 with an opioid prescribing rate of 2.5%.
How many Geriatric Medicine (Family Medicine) Physician providers are there in the US?
There are 1,779 Geriatric Medicine (Family Medicine) Physician providers across 52 states in the US. The average Geriatric Medicine (Family Medicine) Physician provider writes 4,854 Medicare Part D claims per year.
What drugs does CARLEN SMITH prescribe most often?
Based on 2023 Medicare Part D data, CARLEN SMITH's most frequently prescribed drugs include Sertraline Hcl, Atorvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARLEN SMITH accept Medicare?
CARLEN SMITH appears in CMS Medicare data with 4,205 Part D claims and 286 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARLEN SMITH's credentials?
CARLEN SMITH's NPI is 1295199453. 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