NPPES file of Aug 9, 2026

Carmen M. Campbell, M.D.

Rheumatology Physician · Madison, WI

Carmen M. Campbell, M.D. is a rheumatology physician with a practice address in Madison, Wisconsin, and NPI 1124252887, issued on May 11, 2009. Check the license (Wisconsin 55401-20, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1124252887
Name
Carmen M. Campbell
Credential
M.D.
Primary taxonomy
Rheumatology Physician 207RR0500X
License number
55401-20 WI
Self-reported in NPPES; status is on the state search
Practice location
451 Junction RD, Madison, WI 53717
Phone
(608) 263-7577
Enumerated
May 11, 2009
Record last updated
Sep 2, 2022
Fax
(608) 262-3735
Medicare enrollment
Enrolled (PECOS I20220909000894); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 451 Junction RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Natalie Albino, AGNPNurse Practitioner1568238095
  2. Nicole Amass, NPNurse Practitioner1992769509
  3. Christopher Anderson, MDInternal Medicine Physician1245869973
  4. India Anderson-CarterObstetrics & Gynecology Physician1750910667
  5. Jon Arnason, MDRheumatology Physician1265760433
  6. William Aughenbaugh, MDDermatology Physician1033178272

Verify Carmen M. Campbell in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWisconsin Medical Examining Board
    Search for license 55401-20
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Wisconsin license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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49% fewer Medicare Part D claims than the average rheumatology physician in 2024

1,010 Medicare Part D claims for 198 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims. 18 claims were for opioids.

  1. Carmen Campbell1,010
  2. Specialty average1,978

Most prescribed

  1. Methotrexate230 claims
  2. Prednisone212 claims
  3. Hydroxychloroquine Sulfate173 claims
  4. Omeprazole36 claims
  5. Mycophenolate Mofetil32 claims
  6. Alendronate Sodium25 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 77.4 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score81.8
  2. Costout of 100 · 30%62.1
  3. Promoting interoperabilityout of 100 · 25%77.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through 2 group practices

  1. Southwest Health Center IncPlatteville, WI
  2. University OF Wisconsin Medical Foundation IncMadison, WI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Carmen M. Campbell among 154 rheumatology physician records in Wisconsin

Carmen M. Campbell, M.D. is one of 154 rheumatology physician records with a practice address in Wisconsin. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 66% of them.

  • NPI issued2009 · 66% of these records are older, 29% newer
  • In a Medicare fileYes · 76% of these records are
  • In the CMS Doctors and Clinicians fileYes · 63% of these records are
  • Graduated2009 · median 2004 among the 97 with a school on file
  • Record last updated2022 · 58% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RR0500X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Rheumatology Physician providers in Wisconsin

There are 154 rheumatology physician records in Wisconsin.

The 8 rheumatology physician records with the nearest ZIP codes

  1. Jon Arnason, MDMadison, WI 537171265760433
  2. Christie Bartels, M.D.Madison, WI 537171093770422
  3. Carolyn Bell, MDMadison, WI 537171609843226
  4. Ann ChodaraMadison, WI 537171578959870
  5. Sarah Maria Donohue, M.D.Madison, WI 537171730614520
  6. Julie Hildebrand, M.D.Madison, WI 537171902868276
  7. Susan Hylland, MDMadison, WI 537171396711339
  8. Fardina Malik, M. D.Madison, WI 537171053556928

Common questions

What is Carmen M. Campbell, M.D.'s NPI number?

Carmen M. Campbell, M.D.'s National Provider Identifier (NPI) is 1124252887, issued on May 11, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Carmen M. Campbell, M.D. located?

The NPPES record lists a practice address at 451 Junction RD, Madison, WI, 53717. Phone: (608) 263-7577. Providers update this record themselves, so call before visiting.

How can I verify Carmen M. Campbell, M.D.'s license?

NPPES lists Wisconsin license number 55401-20, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Carmen M. Campbell, M.D. prescribe under Medicare Part D?

In 2024, Carmen M. Campbell, M.D. had 1,010 Medicare Part D claims for 198 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.

What is Carmen M. Campbell, M.D.'s MIPS final score?

The 2023 MIPS final score is 77.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.