NPI registry status
Active
2026 NPPES data Geriatric Medicine (Family Medicine) Physician NPI 1295199453
Verify on CMS → Carlen Smith
Geriatric Medicine (Family Medicine) Physician in Augusta, Maine.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,779 in Geriatric Medicine (Family Medicine) 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
4K
Medicare Part D claims · 286 beneficiaries · Geriatric Medicine (Family Medicine) Physician avg: 5K
Generic prescribing
80%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.3/100
▼ 4 pts below national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Carlen Smith reported a CMS MIPS final score of 79.3/100 - below the 83.1 national average - and filed 4,205 Medicare Part D claims in 2023.
- 79.3/100
- MIPS score · -4 vs avg
- 4K
- Part D claims, 2023
- 80%
- 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.
Carlen Smith's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
79 30th percentile higher than 30% of 477,587 scored providers
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 Carlen Smith sits
This provider among geriatric medicine (family medicine) physician peers
Across the 298 geriatric medicine (family medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Carlen Smith writes more Part D claims than 58% of them and scores higher on MIPS quality than 33% - placing this provider in the high-volume, lower-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
Each dot is one geriatric medicine (family medicine) physician peer from a representative sample of 60; the gold marker is Carlen Smith. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
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).
What does the federal data show about Carlen Smith?
Near national averagePrimary specialty
Geriatric Medicine (Family Medicine) Physician
Medicare Part D claims
4,205 13% vs specialty avg
MIPS final score
79.3/100 3.8 pts vs avg
Specialty distribution in Maine
How Geriatric Medicine (Family Medicine) Physician compares to other specialties among Maine providers
Medicare quality performance, MIPS
Carlen Smith's 2023 MIPS final score plotted against the Geriatric Medicine (Family Medicine) Physician national average
- MIPS Final Score
- 79.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Geriatric Medicine (Family Medicine) Physician) - 79.3/100 vs national avg 83.1
How MIPS and board certification work
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 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.
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 80% generic by claim count, with an opioid prescribing rate of 2.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.3/100 for the 2023 performance year (Quality 73.7, Cost 60.5), 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
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%
Geriatric Medicine (Family Medicine) Physician average
19% brand-name claims vs 80% 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 / 80% 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.
What Carlen Smith prescribes most
Top Medicare Part D drugs by claim count, 2023
- Sertraline Hcl
Sertraline Hcl
365 claims
- Atorvastatin Calcium
Atorvastatin Calcium
198 claims
- Amlodipine Besylate 143
Amlodipine Besylate
143 claims
- Levothyroxine Sodium 140
Levothyroxine Sodium
140 claims
- Omeprazole 135
Omeprazole
135 claims
- Eliquis 124
Eliquis
124 claims
- Furosemide 101
Furosemide
101 claims
- Lisinopril 94
Lisinopril
94 claims
| 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.
More Geriatric Medicine (Family Medicine) Physician in ME →
All providers in Maine →
Compare specialties →
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.
Dr. Alexandra Barr
DO
Freeport, ME
Dr. Bruce Bates
DO
Saco, ME
Dr. Michael Bither
MD
Freeport, ME
Dr. Rachael Blake
MD
Portland, ME
Dr. Nadine Bos
DO
Bangor, ME
Compare Geriatric Medicine (Family Medicine) 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 Maine medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Geriatric Medicine (Family Medicine) 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Maine
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 79.3/100 (Quality: 73.7, Cost: 60.5). 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 80% 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
View source datasets and methodology notes
- 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.