2026 NPPES data Dermatology Physician NPI 1083694509 M.D.
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CARMEN RINALDI, M.D.

Dermatology Physician in PORTLAND, 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
538
Medicare Part D claims · 212 beneficiaries · Dermatology Physician avg: 729
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.0699/100
▲ 15 pts above national avg 83.1 · [object Object]

What the federal data shows

CARMEN RINALDI, M.D. reported a CMS MIPS final score of 98.0699/100 — above the 83.1 national average — and filed 538 Medicare Part D claims in 2023.

98.0699/100
MIPS score · +15 vs avg
538
Part D claims, 2023
94%
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.

CARMEN RINALDI, 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

98 Top 11% higher than 89% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

CARMEN RINALDI, 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 CARMEN RINALDI, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 01/19/2006

NPI 1083694509

Primary specialty

Dermatology Physician

Mid-sized

14,610 US NPIs in this specialty

Medicare Part D claims

538 26% vs specialty avg

2023 prescription claims

Specialty avg: 729

MIPS final score

98.0699/100 14.96990000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Maine

How Dermatology Physician compares to other specialties among Maine providers

Maine providers

Dermatology Physician share within Maine

1. Dermatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Dermatology Physician share within Maine

Medicare quality performance — MIPS

CARMEN RINALDI, M.D.'s 2023 MIPS final score plotted against the Dermatology Physician national average

High performer (top quartile)
MIPS Final Score
98.0699/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Dermatology Physician) — 98.0699/100 vs national avg 83.1

0%100%National avg83%98.1%
MIPS final score (Dermatology Physician) — 98.0699/100 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).

CARMEN RINALDI, M.D. appears in the CMS NPPES registry as a Dermatology Physician provider holding M.D. credentials at 50 SEWALL ST, PORTLAND, ME, 04102, with a listed phone of (207) 775-3526. NPI 1083694509 was issued on 01/19/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RINALDI 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 538 prescription claims written by this provider, covering 212 Medicare beneficiaries and totaling roughly $393K in drug spend, split 6% brand-name and 94% generic by claim count. 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 98.0699/100 for the 2023 performance year (Quality 86.1398), compared with the national average of 83.1.

Dermatology Physician is a mid-sized specialty nationwide, with 14,610 enrolled providers across 53 states and an average of 729 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

50 SEWALL ST
PORTLAND, ME 04102

Provider Details

NPI 1083694509
Specialty Dermatology Physician
Credentials M.D.
Gender Male
NPI Issued 01/19/2006

CMS Quality Score (MIPS)

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

98.0699
Final Score
Avg: 83.1
86.1398
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where CARMEN RINALDI, 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.

DERMATOLOGY ASSOCIATES, LLC
PORTLAND, 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 · Generic-heavy

CARMEN RINALDI, M.D. — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 538 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.

538
Total Claims
$393K
Total Drug Cost
212
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
717
Total Day Supply
18,794
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$371K
Generic Drug Cost
$22K
Antibiotic Claims
26

Patient Demographics

Average Patient Age
75.1 years
Avg HCC Risk Score
1.04
Gender Split
53% female / 47% 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 RINALDI, 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
Ketoconazole
93
Triamcinolone Acetonide
89
Betamethasone Diprop Augmented
Betamethasone/Propylene Glyc
63
Doxycycline Hyclate
45
Hydrocortisone
45
Clobetasol Propionate
31
Fluocinonide
25
Metronidazole
23
Fluorouracil
15
Betamethasone Dipropionate
13

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

Dermatology Physician Overview

How CARMEN RINALDI, M.D. fits within the Dermatology Physician landscape nationally.

14,610
Dermatology Physician Providers in US
53
States with Dermatology Physician
729
Avg Claims per Provider

CARMEN RINALDI, M.D.'s 538 claims are below the specialty average of 729.

Nearby Dermatology Physician Providers in Maine

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

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

Frequently Asked Questions

What is CARMEN RINALDI, M.D.'s specialty?
CARMEN RINALDI, M.D. specializes in Dermatology Physician and practices in PORTLAND, Maine. Credentials: M.D..
How much does CARMEN RINALDI, M.D. prescribe under Medicare Part D?
In 2023, CARMEN RINALDI, M.D. wrote 538 Medicare Part D claims totaling $393K in drug costs for 212 beneficiaries.
What is CARMEN RINALDI, M.D.'s Medicare quality score?
CARMEN RINALDI, M.D. has a CMS MIPS Final Score of 98.0699/100 (Quality: 86.1398). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CARMEN RINALDI, M.D. located?
CARMEN RINALDI, M.D. is located at 50 SEWALL ST, PORTLAND, ME, 04102. Phone: (207) 775-3526.
What is CARMEN RINALDI, M.D.'s NPI number?
CARMEN RINALDI, M.D.'s National Provider Identifier (NPI) is 1083694509, issued on 01/19/2006.
Does CARMEN RINALDI, M.D. prescribe more brand-name or generic drugs?
CARMEN RINALDI, M.D.'s prescribing is 6% brand-name and 94% generic drugs by claim count, with $371K in brand drug costs.
How many Dermatology Physician providers are there in the US?
There are 14,610 Dermatology Physician providers across 53 states in the US. The average Dermatology Physician provider writes 729 Medicare Part D claims per year.
What drugs does CARMEN RINALDI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CARMEN RINALDI, M.D.'s most frequently prescribed drugs include Ketoconazole, Triamcinolone Acetonide, Betamethasone Diprop Augmented. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARMEN RINALDI, M.D. accept Medicare?
CARMEN RINALDI, M.D. appears in CMS Medicare data with 538 Part D claims and 212 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARMEN RINALDI, M.D.'s credentials?
CARMEN RINALDI, M.D.'s NPI is 1083694509 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