2026 NPPES data Child & Adolescent Psychiatry Physician NPI 1366523821 M.D.
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CARLENE OAKLEY, M.D.

Child & Adolescent Psychiatry Physician in FITCHBURG, Wisconsin. 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
53
Medicare Part D claims · Child & Adolescent Psychiatry Physician avg: 600
MIPS score
80.2217/100
▼ 3 pts below national avg 83.1 · [object Object]

What the federal data shows

CARLENE OAKLEY, M.D. reported a CMS MIPS final score of 80.2217/100 — below the 83.1 national average — and filed 53 Medicare Part D claims in 2023.

80.2217/100
MIPS score · -3 vs avg
53
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.

CARLENE OAKLEY, M.D.'s MIPS score vs every scored U.S. clinician

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

80 33rd percentile higher than 33% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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

Board certification likely (heuristic — not verified)

CARLENE OAKLEY, M.D. 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 CARLENE OAKLEY, M.D.?

Near national average

NPI registry status

Active

Issued 10/18/2006

NPI 1366523821

Primary specialty

Child & Adolescent Psychiatry Physician

Mid-sized

6,160 US NPIs in this specialty

Medicare Part D claims

53 91% vs specialty avg

2023 prescription claims

Specialty avg: 600

MIPS final score

80.2217/100 2.878299999999996% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Child & Adolescent Psychiatry Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Child & Adolescent Psychiatry Physician share within Wisconsin

1. Child & Adolescent Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Child & Adolescent Psychiatry Physician share within Wisconsin

Medicare quality performance — MIPS

CARLENE OAKLEY, M.D.'s 2023 MIPS final score plotted against the Child & Adolescent Psychiatry Physician national average

Near national average
MIPS Final Score
80.2217/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Child & Adolescent Psychiatry Physician) — 80.2217/100 vs national avg 83.1

0%100%National avg83%80.2%
MIPS final score (Child & Adolescent Psychiatry Physician) — 80.2217/100 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).

CARLENE OAKLEY, M.D. appears in the CMS NPPES registry as a Child & Adolescent Psychiatry Physician provider holding M.D. credentials at 3051 CAHILL MAIN, FITCHBURG, WI, 53711, with a listed phone of (608) 661-7227. NPI 1366523821 was issued on 10/18/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what OAKLEY 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 53 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $2K in drug spend. 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 80.2217/100 for the 2023 performance year (Quality 85.0677, Cost 49.8379), compared with the national average of 83.1.

Child & Adolescent Psychiatry Physician is a mid-sized specialty nationwide, with 6,160 enrolled providers across 54 states and an average of 600 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

3051 CAHILL MAIN
FITCHBURG, WI 53711

Provider Details

NPI 1366523821
Specialty Child & Adolescent Psychiatry Physician
Credentials M.D.
Gender Female
NPI Issued 10/18/2006

CMS Quality Score (MIPS)

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

80.2217
Final Score
Avg: 83.1
85.0677
Quality
49.8379
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CARLENE OAKLEY, M.D. 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.

GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
MADISON, WI

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

Medicare Part D Prescribing Data

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

53
Total Claims
$2K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
96
Total Day Supply
2,769
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
55.8 years
Avg HCC Risk Score
1.04

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Risperidone
20

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

Child & Adolescent Psychiatry Physician Overview

How CARLENE OAKLEY, M.D. fits within the Child & Adolescent Psychiatry Physician landscape nationally.

6,160
Child & Adolescent Psychiatry Physician Providers in US
54
States with Child & Adolescent Psychiatry Physician
600
Avg Claims per Provider

CARLENE OAKLEY, M.D.'s 53 claims are below the specialty average of 600.

Nearby Child & Adolescent Psychiatry Physician Providers in Wisconsin

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

Compare Child & Adolescent Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CARLENE OAKLEY, M.D.'s specialty?
CARLENE OAKLEY, M.D. specializes in Child & Adolescent Psychiatry Physician and practices in FITCHBURG, Wisconsin. Credentials: M.D..
How much does CARLENE OAKLEY, M.D. prescribe under Medicare Part D?
In 2023, CARLENE OAKLEY, M.D. wrote 53 Medicare Part D claims totaling $2K in drug costs for N/A beneficiaries.
What is CARLENE OAKLEY, M.D.'s Medicare quality score?
CARLENE OAKLEY, M.D. has a CMS MIPS Final Score of 80.2217/100 (Quality: 85.0677, Cost: 49.8379). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CARLENE OAKLEY, M.D. located?
CARLENE OAKLEY, M.D. is located at 3051 CAHILL MAIN, FITCHBURG, WI, 53711. Phone: (608) 661-7227.
What is CARLENE OAKLEY, M.D.'s NPI number?
CARLENE OAKLEY, M.D.'s National Provider Identifier (NPI) is 1366523821, issued on 10/18/2006.
How many Child & Adolescent Psychiatry Physician providers are there in the US?
There are 6,160 Child & Adolescent Psychiatry Physician providers across 54 states in the US. The average Child & Adolescent Psychiatry Physician provider writes 600 Medicare Part D claims per year.
What drugs does CARLENE OAKLEY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CARLENE OAKLEY, M.D.'s most frequently prescribed drugs include Risperidone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARLENE OAKLEY, M.D. accept Medicare?
CARLENE OAKLEY, M.D. appears in CMS Medicare data with 53 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARLENE OAKLEY, M.D.'s credentials?
CARLENE OAKLEY, M.D.'s NPI is 1366523821 with credentials M.D.. 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