2026 NPPES data Hematology & Oncology Physician NPI 1285764670
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JANE CARLETON

Hematology & Oncology Physician in LAKE SUCCESS, New York. 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
896
Medicare Part D claims · 210 beneficiaries · Hematology & Oncology Physician avg: 847
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
74.0668/100
▼ 9 pts below national avg 83.1 · [object Object]
What the federal data reveals: JANE CARLETON is a Hematology & Oncology Physician ([object Object]) practicing in LAKE SUCCESS, New York with a Medicare Part D prescribing footprint of 896 claims across 210 beneficiaries — 13% brand-name prescribing . Their CMS MIPS Final Score of 74.0668/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JANE CARLETON reported a CMS MIPS final score of 74.0668 out of 100, below the 83.1 national average, and filed 896 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JANE CARLETON 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).

JANE CARLETON at a glance

Below national average

NPI registry status

Active

Issued 03/06/2007

NPI 1285764670

Primary specialty

Hematology & Oncology Physician

Mid-sized

11,215 US NPIs in this specialty

Medicare Part D claims

896 6% vs specialty avg

2023 prescription claims

Specialty avg: 847

MIPS final score

74.0668/100 9.033199999999994% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in New York

How Hematology & Oncology Physician compares to other specialties among New York providers

New York providers

Hematology & Oncology Physician share within New York

1. Hematology & Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hematology & Oncology Physician share within New York

Medicare quality performance — MIPS

JANE CARLETON's 2023 MIPS final score plotted against the Hematology & Oncology Physician national average

Below national average
MIPS Final Score
74.0668/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hematology & Oncology Physician) — 74.0668/100 vs national avg 83.1

0%100%National avg83%74.1%
MIPS final score (Hematology & Oncology Physician) — 74.0668/100 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).

JANE CARLETON is a Hematology & Oncology Physician provider practicing in LAKE SUCCESS, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1285764670. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JANE CARLETON appears in the CMS NPPES registry as a Hematology & Oncology Physician provider at 450 LAKEVILLE ROAD, LAKE SUCCESS, NY, 11042, with a listed phone of (516) 734-8967. NPI 1285764670 was issued on 03/06/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARLETON 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 896 prescription claims written by this provider, covering 210 Medicare beneficiaries and totaling roughly $1.6 million in drug spend, split 13% brand-name and 87% 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 74.0668/100 for the 2023 performance year (Quality 60.1704, Cost 56.3758), compared with the national average of 83.1.

Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 enrolled providers across 54 states and an average of 847 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

450 LAKEVILLE ROAD
LAKE SUCCESS, NY 11042

Provider Details

NPI 1285764670
Specialty Hematology & Oncology Physician
Gender Female
NPI Issued 03/06/2007

CMS Quality Score (MIPS)

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

74.0668
Final Score
Avg: 83.1
60.1704
Quality
56.3758
Cost
85
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JANE CARLETON 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.

NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC
NEW HYDE PARK, NY

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

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to JANE CARLETON. To verify JANE CARLETON's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

JANE CARLETON — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 896 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.

896
Total Claims
$1.6M
Total Drug Cost
210
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,869
Total Day Supply
55,334
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$1.4M
Generic Drug Cost
$155K

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
1.32
Age Distribution
<65: 12, 65-74: 103, 75-84: 73, 85+: 22

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Anastrozole
324
Letrozole
151
Gabapentin
53
Ibrance
Palbociclib
53
Tamoxifen Citrate
40
Risedronate Sodium
34
Exemestane
19
Raloxifene Hcl
16
Alendronate Sodium
15
Venlafaxine Hcl Er
Venlafaxine Hcl
13

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

Hematology & Oncology Physician Overview

How JANE CARLETON fits within the Hematology & Oncology Physician landscape nationally.

11,215
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider

JANE CARLETON's 896 claims are above the specialty average of 847.

Nearby Hematology & Oncology Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as CARLETON.

Compare Hematology & Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JANE CARLETON's specialty?
JANE CARLETON specializes in Hematology & Oncology Physician and practices in LAKE SUCCESS, New York.
How much does JANE CARLETON prescribe under Medicare Part D?
In 2023, JANE CARLETON wrote 896 Medicare Part D claims totaling $1.6M in drug costs for 210 beneficiaries.
What is JANE CARLETON's Medicare quality score?
JANE CARLETON has a CMS MIPS Final Score of 74.0668/100 (Quality: 60.1704, Cost: 56.3758). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JANE CARLETON located?
JANE CARLETON is located at 450 LAKEVILLE ROAD, LAKE SUCCESS, NY, 11042. Phone: (516) 734-8967.
What is JANE CARLETON's NPI number?
JANE CARLETON's National Provider Identifier (NPI) is 1285764670, issued on 03/06/2007.
Does JANE CARLETON prescribe more brand-name or generic drugs?
JANE CARLETON's prescribing is 13% brand-name and 87% generic drugs by claim count, with $1.4M in brand drug costs.
How many Hematology & Oncology Physician providers are there in the US?
There are 11,215 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
What drugs does JANE CARLETON prescribe most often?
Based on 2023 Medicare Part D data, JANE CARLETON's most frequently prescribed drugs include Anastrozole, Letrozole, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JANE CARLETON accept Medicare?
JANE CARLETON appears in CMS Medicare data with 896 Part D claims and 210 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JANE CARLETON's credentials?
JANE CARLETON's NPI is 1285764670. 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