2026 NPPES data Specialist NPI 1942355946 MD
Verify on CMS →

DIANE BARRETT, MD

Specialist in LEESBURG, Virginia. 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
69
Medicare Part D claims · 25 beneficiaries · Specialist avg: 1K
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
52.1583/100
▼ 31 pts below national avg 83.1 · [object Object]
Industry payments
$286.86
14 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DIANE BARRETT, MD reported a CMS MIPS final score of 52.1583/100 — below the 83.1 national average — and filed 69 Medicare Part D claims in 2023.

52.1583/100
MIPS score · -31 vs avg
69
Part D claims, 2023
81%
generic prescribing
$286.86
industry payments (Sunshine Act)

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.

DIANE BARRETT, MD's MIPS score vs every scored U.S. clinician

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

52 4th percentile higher than 4% 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%). This entry sits in this band. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 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

What does the federal data show about DIANE BARRETT, MD?

Below national average

NPI registry status

Active

Issued 01/23/2007

NPI 1942355946

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

69 95% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

52.1583/100 30.941699999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Virginia

How Specialist compares to other specialties among Virginia providers

Virginia providers

Specialist share within Virginia

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Virginia

Medicare quality performance — MIPS

DIANE BARRETT, MD's 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
52.1583/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 52.1583/100 vs national avg 83.1

0%100%National avg83%52.2%
MIPS final score (Specialist) — 52.1583/100 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).

DIANE BARRETT, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 161 FORT EVANS RD NE STE 320, LEESBURG, VA, 20176, with a listed phone of (301) 777-5111. NPI 1942355946 was issued on 01/23/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BARRETT 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 69 prescription claims written by this provider, covering 25 Medicare beneficiaries and totaling roughly $13K in drug spend, split 19% brand-name and 81% 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 52.1583/100 for the 2023 performance year (Quality 14.2857, Cost 53.742), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

161 FORT EVANS RD NE STE 320
LEESBURG, VA 20176

Provider Details

NPI 1942355946
Specialty Specialist
Credentials MD
Gender Female
NPI Issued 01/23/2007

CMS Quality Score (MIPS)

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

52.1583
Final Score
Avg: 83.1
14.2857
Quality
53.742
Cost
67
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where DIANE BARRETT, MD 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.

CAPITAL WOMENS CARE LLC
LEESBURG, VA

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for DIANE BARRETT, MD. Source: openpaymentsdata.cms.gov.

Total received

$287

Largest payer

Sumitomo Pharma America, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

DIANE BARRETT, MD — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 69 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.

69
Total Claims
$13K
Total Drug Cost
25
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
165
Total Day Supply
4,685
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$8K
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
68.6 years
Avg HCC Risk Score
0.70
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Estradiol
14
Valacyclovir
Valacyclovir Hcl
11

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

Specialist Overview

How DIANE BARRETT, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

DIANE BARRETT, MD's 69 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Virginia

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is DIANE BARRETT, MD's specialty?
DIANE BARRETT, MD specializes in Specialist and practices in LEESBURG, Virginia. Credentials: MD.
How much does DIANE BARRETT, MD prescribe under Medicare Part D?
In 2023, DIANE BARRETT, MD wrote 69 Medicare Part D claims totaling $13K in drug costs for 25 beneficiaries.
What is DIANE BARRETT, MD's Medicare quality score?
DIANE BARRETT, MD has a CMS MIPS Final Score of 52.1583/100 (Quality: 14.2857, Cost: 53.742). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DIANE BARRETT, MD located?
DIANE BARRETT, MD is located at 161 FORT EVANS RD NE STE 320, LEESBURG, VA, 20176. Phone: (301) 777-5111.
What is DIANE BARRETT, MD's NPI number?
DIANE BARRETT, MD's National Provider Identifier (NPI) is 1942355946, issued on 01/23/2007.
Does DIANE BARRETT, MD prescribe more brand-name or generic drugs?
DIANE BARRETT, MD's prescribing is 19% brand-name and 81% generic drugs by claim count, with $8K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does DIANE BARRETT, MD prescribe most often?
Based on 2023 Medicare Part D data, DIANE BARRETT, MD's most frequently prescribed drugs include Estradiol, Valacyclovir. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DIANE BARRETT, MD accept Medicare?
DIANE BARRETT, MD appears in CMS Medicare data with 69 Part D claims and 25 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DIANE BARRETT, MD's credentials?
DIANE BARRETT, MD's NPI is 1942355946 with credentials MD. 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