2026 NPPES data Family Medicine Physician NPI 1245550185 M.D.
Verify on CMS →

Ginger Poulton, M.D.

Family Medicine Physician in Asheville, North Carolina. 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
2K
Medicare Part D claims · 202 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.5/100
▲ 10 pts above national avg 83.1 · [object Object]

What the federal data shows

Ginger Poulton, M.D. reported a CMS MIPS final score of 93.5/100 — above the 83.1 national average — and filed 2,198 Medicare Part D claims in 2023.

93.5/100
MIPS score · +10 vs avg
2K
Part D claims, 2023
83%
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.

Ginger Poulton, 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

94 Top 29% higher than 71% 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)

Ginger Poulton, 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 Ginger Poulton, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/02/2010

NPI 1245550185

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

2,198 36% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

93.5/100 10.4 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Family Medicine Physician compares to other specialties among North Carolina providers

North Carolina providers

Family Medicine Physician share within North Carolina

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within North Carolina

Medicare quality performance — MIPS

Ginger Poulton, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
93.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 93.5/100 vs national avg 83.1

0%100%National avg83%93.5%
MIPS final score (Family Medicine Physician) — 93.5/100 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).

Ginger Poulton, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 218 ELKWOOD AVE, Asheville, NC, 28804, with a listed phone of (828) 257-4747. NPI 1245550185 was issued on 06/02/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Poulton 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 2,198 prescription claims written by this provider, covering 202 Medicare beneficiaries and totaling roughly $310K in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 1.3%. 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 93.5/100 for the 2023 performance year (Quality 84.2), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

218 ELKWOOD AVE
Asheville, NC 28804

Provider Details

NPI 1245550185
Specialty Family Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 06/02/2010

CMS Quality Score (MIPS)

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

93.5111
Final Score
Avg: 83.1
84.2392
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Ginger Poulton, 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.

Legacy Healthcare Services Inc
Asheville, NC
Mountain Area Health Education Center Inc
Asheville, NC

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 · Typical

Ginger Poulton, M.D. — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 2,198 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.

2,198
Total Claims
$310K
Total Drug Cost
202
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,860
Total Day Supply
142,094
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$261K
Generic Drug Cost
$48K
Opioid Claims
28 (1.3% rate)
Antibiotic Claims
44

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.12
Gender Split
73% female / 27% male
Age Distribution
<65: 28, 65-74: 89, 75-84: 59, 85+: 26

Top Prescribed Drugs (Medicare Part D)

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

What Ginger Poulton, 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
Lisinopril
126
Levothyroxine Sodium
98
Atorvastatin Calcium
80
Hydrochlorothiazide
65
Amlodipine Besylate
63
Simvastatin
60
Losartan Potassium
58
Pravastatin Sodium
53
Trazodone Hcl
52
Citalopram Hbr
Citalopram Hydrobromide
48

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

Family Medicine Physician Overview

How Ginger Poulton, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Ginger Poulton, M.D.'s 2,198 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Poulton.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the North Carolina medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Ginger Poulton, M.D.'s specialty?
Ginger Poulton, M.D. specializes in Family Medicine Physician and practices in Asheville, North Carolina. Credentials: M.D..
How much does Ginger Poulton, M.D. prescribe under Medicare Part D?
In 2023, Ginger Poulton, M.D. wrote 2,198 Medicare Part D claims totaling $310K in drug costs for 202 beneficiaries.
What is Ginger Poulton, M.D.'s Medicare quality score?
Ginger Poulton, M.D. has a CMS MIPS Final Score of 93.5/100 (Quality: 84.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ginger Poulton, M.D. located?
Ginger Poulton, M.D. is located at 218 ELKWOOD AVE, Asheville, NC, 28804. Phone: (828) 257-4747.
What is Ginger Poulton, M.D.'s NPI number?
Ginger Poulton, M.D.'s National Provider Identifier (NPI) is 1245550185, issued on 06/02/2010.
Does Ginger Poulton, M.D. prescribe more brand-name or generic drugs?
Ginger Poulton, M.D.'s prescribing is 17% brand-name and 83% generic drugs by claim count, with $261K in brand drug costs.
Does Ginger Poulton, M.D. prescribe opioids?
Yes, Ginger Poulton, M.D. had 28 opioid claims in 2023 with an opioid prescribing rate of 1.3%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Ginger Poulton, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Ginger Poulton, M.D.'s most frequently prescribed drugs include Lisinopril, Levothyroxine Sodium, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ginger Poulton, M.D. accept Medicare?
Ginger Poulton, M.D. appears in CMS Medicare data with 2,198 Part D claims and 202 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ginger Poulton, M.D.'s credentials?
Ginger Poulton, M.D.'s NPI is 1245550185 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