2026 NPPES data Dermatology Physician NPI 1407864556 M.D.
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JEFFREY MIDDLETON, M.D.

Dermatology Physician in BALTIMORE, Maryland. 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
128
Medicare Part D claims · 58 beneficiaries · Dermatology Physician avg: 729
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
72.8697/100
▼ 10 pts below national avg 83.1 · [object Object]
What the federal data reveals: JEFFREY MIDDLETON, M.D. is a Dermatology Physician ([object Object]) practicing in BALTIMORE, Maryland with a Medicare Part D prescribing footprint of 128 claims across 58 beneficiaries — 15% brand-name prescribing . Their CMS MIPS Final Score of 72.8697/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JEFFREY MIDDLETON, M.D. reported a CMS MIPS final score of 72.8697 out of 100, below the 83.1 national average, and filed 128 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)

JEFFREY MIDDLETON, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JEFFREY MIDDLETON, M.D. at a glance

Below national average

NPI registry status

Active

Issued 08/04/2006

NPI 1407864556

Primary specialty

Dermatology Physician

Mid-sized

14,610 US NPIs in this specialty

Medicare Part D claims

128 82% vs specialty avg

2023 prescription claims

Specialty avg: 729

MIPS final score

72.8697/100 10.2303% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Maryland

How Dermatology Physician compares to other specialties among Maryland providers

Maryland providers

Dermatology Physician share within Maryland

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

Medicare quality performance — MIPS

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

Below national average
MIPS Final Score
72.8697/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Dermatology Physician) — 72.8697/100 vs national avg 83.1

0%100%National avg83%72.9%
MIPS final score (Dermatology Physician) — 72.8697/100 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).

JEFFREY MIDDLETON, M.D. is a Dermatology Physician provider practicing in BALTIMORE, Maryland, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1407864556. 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.

JEFFREY MIDDLETON, M.D. appears in the CMS NPPES registry as a Dermatology Physician provider holding M.D. credentials at 3455 WILKENS AVE, BALTIMORE, MD, 21229, with a listed phone of (410) 646-0644. NPI 1407864556 was issued on 08/04/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MIDDLETON 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 128 prescription claims written by this provider, covering 58 Medicare beneficiaries and totaling roughly $5K in drug spend, split 15% brand-name and 85% 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 72.8697/100 for the 2023 performance year (Quality 60.1877, Cost 48.8412), 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

3455 WILKENS AVE
BALTIMORE, MD 21229

Provider Details

NPI 1407864556
Specialty Dermatology Physician
Credentials M.D.
Gender Male
NPI Issued 08/04/2006

CMS Quality Score (MIPS)

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

72.8697
Final Score
Avg: 83.1
60.1877
Quality
48.8412
Cost
95
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Typical

JEFFREY MIDDLETON, M.D. — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 128 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.

128
Total Claims
$5K
Total Drug Cost
58
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
137
Total Day Supply
3,292
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$2K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
76.2 years
Avg HCC Risk Score
1.21
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.

Drug Claims
Triamcinolone Acetonide
36
Ketoconazole
22
Metronidazole
15

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

Dermatology Physician Overview

How JEFFREY MIDDLETON, 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

JEFFREY MIDDLETON, M.D.'s 128 claims are below the specialty average of 729.

Nearby Dermatology Physician Providers in Maryland

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

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

Frequently Asked Questions

What is JEFFREY MIDDLETON, M.D.'s specialty?
JEFFREY MIDDLETON, M.D. specializes in Dermatology Physician and practices in BALTIMORE, Maryland. Credentials: M.D..
How much does JEFFREY MIDDLETON, M.D. prescribe under Medicare Part D?
In 2023, JEFFREY MIDDLETON, M.D. wrote 128 Medicare Part D claims totaling $5K in drug costs for 58 beneficiaries.
What is JEFFREY MIDDLETON, M.D.'s Medicare quality score?
JEFFREY MIDDLETON, M.D. has a CMS MIPS Final Score of 72.8697/100 (Quality: 60.1877, Cost: 48.8412). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JEFFREY MIDDLETON, M.D. located?
JEFFREY MIDDLETON, M.D. is located at 3455 WILKENS AVE, BALTIMORE, MD, 21229. Phone: (410) 646-0644.
What is JEFFREY MIDDLETON, M.D.'s NPI number?
JEFFREY MIDDLETON, M.D.'s National Provider Identifier (NPI) is 1407864556, issued on 08/04/2006.
Does JEFFREY MIDDLETON, M.D. prescribe more brand-name or generic drugs?
JEFFREY MIDDLETON, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $2K 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 JEFFREY MIDDLETON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JEFFREY MIDDLETON, M.D.'s most frequently prescribed drugs include Triamcinolone Acetonide, Ketoconazole, Metronidazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JEFFREY MIDDLETON, M.D. accept Medicare?
JEFFREY MIDDLETON, M.D. appears in CMS Medicare data with 128 Part D claims and 58 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JEFFREY MIDDLETON, M.D.'s credentials?
JEFFREY MIDDLETON, M.D.'s NPI is 1407864556 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