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2026 NPPES data Rheumatology Physician NPI 1124252887 M.D.
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Carmen Campbell, M.D.

Rheumatology Physician in Madison, Wisconsin.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,200 in Rheumatology 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
777
Medicare Part D claims · 162 beneficiaries · Rheumatology Physician avg: 2K
MIPS score
77.4/100
▼ 6 pts below national avg 83.5 · Above neutral
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Carmen Campbell, M.D. reported a CMS MIPS final score of 77.4/100 - below the 83.5 national average - and filed 777 Medicare Part D claims in 2023.

77.4/100
MIPS score · -6 vs avg
777
Part D claims, 2023
Likely
board-certified (heuristic)
≥20th
pct among measured MIPS (lower-bound band)

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.

CMS NPPES provider registry desk

NPI 1124252887 · Rheumatology Physician

NPI-10 · ENUM-MID · TAX-MID · MIPS-BELOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1124252887
  • ENUM-MID 2009
  • TAX-MID 6K Rheumatology Physician
  • MIPS-BELOW 77.4/100
  • RX-LIGHT 777
  • BOOK-THIN 116 in Wisconsin
  • PHOTO-FINISH Naila Ahmad · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Carmen Campbell, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

77 ≥ 20th percentile 20% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Carmen Campbell, M.D. sits

This provider among rheumatology physician peers

Across the 1,970 rheumatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Carmen Campbell, M.D. writes more Part D claims than 21% of them and scores higher on MIPS quality than 24% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 67Carmen Campbell, M.D., Part D claim volume, percentile in specialty: 21 · MIPS quality, percentile: 24
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one rheumatology physician peer from a representative sample of 60; the gold marker is Carmen Campbell, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Carmen Campbell, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Carmen Campbell, M.D.?

Below national average

NPI registry status

Active

Issued 05/11/2009

NPI 1124252887

Primary specialty

Rheumatology Physician

Mid-sized

6,200 US NPIs in this specialty

Medicare Part D claims

777 62% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

MIPS final score

77.4/100 6.1 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Wisconsin

How Rheumatology Physician compares to other specialties among Wisconsin providers

Wisconsin providers
Physical Therapist5.6%Pharmacist4.8%Registered Nurse4.5%Professional Counselor3.3%Student in an Organized Heal…3.3%Family Medicine Physician3.2%Rheumatology Physician0.1%
Largest specialties in Wisconsin (% of in-state providers)

Medicare quality performance, MIPS

Carmen Campbell, M.D.'s 2023 MIPS final score plotted against the Rheumatology Physician national average

Below national average
MIPS Final Score
77.4/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%77.4%
MIPS final score (Rheumatology Physician) - 77.4/100 vs national avg 83.5
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).

Practice Address

451 JUNCTION RD
Madison, WI 53717
(608) 263-7577

Provider Details

NPI 1124252887
Specialty Rheumatology Physician
Credentials M.D.
Gender Female
NPI Issued 05/11/2009

CMS Quality Score (MIPS)

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

77.4384
Final Score
Measured-score avg: 83.5
81.8371
Quality
62.1241
Cost
77
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Carmen Campbell, 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.

Southwest Health Center Inc
Platteville, WI
University OF Wisconsin Medical Foundation Inc
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.

777
Total Claims
$378K
Total Drug Cost
162
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,269
Total Day Supply
36,387
Generic Drug Cost
$24K
Opioid Claims
18 (2.3% rate)
Antibiotic Claims
46

Patient Demographics

Average Patient Age
69.9 years
Avg HCC Risk Score
1.53
Gender Split
77% female / 23% male

Top Prescribed Drugs (Medicare Part D)

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

What Carmen Campbell, M.D. 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
Prednisone
 228
Hydroxychloroquine Sulfate
 113
Methotrexate
Methotrexate Sodium
110
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
43
Colchicine
 28
Omeprazole
 23
Humira(Cf) Pen
Adalimumab
20
Allopurinol
 19
Sulfasalazine Dr
Sulfasalazine
19
Folic Acid
 13

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

More Rheumatology Physician in WI → All providers in Wisconsin → Compare specialties →

Rheumatology Physician Overview

How Carmen Campbell, M.D. fits within the Rheumatology Physician landscape nationally.

6,200
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

Carmen Campbell, M.D.'s 777 claims are below the specialty average of 2,054.

Nationwide Rheumatology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Campbell, both outside Wisconsin so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (77.4 here).

Naila Ahmad 77.4 MD Elizabeth Clayton 77.4 MD Edmund Maclaughlin 77.4 MD David Wanalista 77.5 MD

Same NPPES enumeration year (2009)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Sonali Narain Great Neck, NY Lama Mulki Cambridge, MA Swapna Koduru Abilene, TX Brian Stout Boston, MA

Nearby Rheumatology Physician Providers in Wisconsin

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

One of 116 Rheumatology Physician providers enrolled in Wisconsin, 5 are shown here.

Dr. Gina Adel
MD
Eau Claire, WI
Dr. Suraiya Afroz
D.O.
Neenah, WI
Dr. John Albert
MD
Glendale, WI
Dr. Isabelle Amigues
MD
Green Bay, WI
Dr. Jon Arnason
MD
Madison, WI

Compare Rheumatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Carmen Campbell, M.D.'s specialty? ▼
Carmen Campbell, M.D. specializes in Rheumatology Physician and practices in Madison, Wisconsin. Credentials: M.D..
How much does Carmen Campbell, M.D. prescribe under Medicare Part D? ▼
In 2023, Carmen Campbell, M.D. wrote 777 Medicare Part D claims totaling $378K in drug costs for 162 beneficiaries.
What is Carmen Campbell, M.D.'s Medicare quality score? ▼
Carmen Campbell, M.D. has a CMS MIPS Final Score of 77.4/100 (Quality: 81.8, Cost: 62.1). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Carmen Campbell, M.D. located? ▼
Carmen Campbell, M.D. is located at 451 JUNCTION RD, Madison, WI, 53717. Phone: (608) 263-7577.
What is Carmen Campbell, M.D.'s NPI number? ▼
Carmen Campbell, M.D.'s National Provider Identifier (NPI) is 1124252887, issued on 05/11/2009.
Does Carmen Campbell, M.D. prescribe opioids? ▼
Yes, Carmen Campbell, M.D. had 18 opioid claims in 2023 with an opioid prescribing rate of 2.3%.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,200 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does Carmen Campbell, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Carmen Campbell, M.D.'s most frequently prescribed drugs include Prednisone, Hydroxychloroquine Sulfate, Methotrexate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carmen Campbell, M.D. accept Medicare? ▼
Carmen Campbell, M.D. appears in CMS Medicare data with 777 Part D claims and 162 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carmen Campbell, M.D.'s credentials? ▼
Carmen Campbell, M.D.'s NPI is 1124252887 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

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 editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.