2026 NPPES data Pediatric Nephrology Physician NPI 1558485524 M.D.
Verify on CMS →

JENNIFER CHARLTON, M.D.

Pediatric Nephrology Physician in CHARLOTTESVILLE, 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
11
Medicare Part D claims · Pediatric Nephrology Physician avg: 97
MIPS score
79.3949/100
▼ 4 pts below national avg 83.1 · [object Object]

What the federal data shows

JENNIFER CHARLTON, M.D. reported a CMS MIPS final score of 79.3949/100 — below the 83.1 national average — and filed 11 Medicare Part D claims in 2023.

79.3949/100
MIPS score · -4 vs avg
11
Part D claims, 2023
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.

JENNIFER CHARLTON, 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

79 30th percentile higher than 30% 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%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

JENNIFER CHARLTON, 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 JENNIFER CHARLTON, M.D.?

Near national average

NPI registry status

Active

Issued 03/16/2007

NPI 1558485524

Primary specialty

Pediatric Nephrology Physician

Niche

723 US NPIs in this specialty

Medicare Part D claims

11 89% vs specialty avg

2023 prescription claims

Specialty avg: 97

MIPS final score

79.3949/100 3.7050999999999874% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Pediatric Nephrology Physician compares to other specialties among Virginia providers

Virginia providers

Pediatric Nephrology Physician share within Virginia

1. Pediatric Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Nephrology Physician share within Virginia

Medicare quality performance — MIPS

JENNIFER CHARLTON, M.D.'s 2023 MIPS final score plotted against the Pediatric Nephrology Physician national average

Near national average
MIPS Final Score
79.3949/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Nephrology Physician) — 79.3949/100 vs national avg 83.1

0%100%National avg83%79.4%
MIPS final score (Pediatric Nephrology Physician) — 79.3949/100 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).

JENNIFER CHARLTON, M.D. is a Pediatric Nephrology Physician provider practicing in CHARLOTTESVILLE, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1558485524. 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.

JENNIFER CHARLTON, M.D. appears in the CMS NPPES registry as a Pediatric Nephrology Physician provider holding M.D. credentials at 1204 W MAIN ST, CHARLOTTESVILLE, VA, 22903, with a listed phone of (434) 924-0123. NPI 1558485524 was issued on 03/16/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CHARLTON 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 11 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $423 in drug spend. 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 79.3949/100 for the 2023 performance year (Quality 73.6607, Cost 57.6556), compared with the national average of 83.1.

Pediatric Nephrology Physician is a narrow specialty nationwide, with 723 enrolled providers across 50 states and an average of 97 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

1204 W MAIN ST
CHARLOTTESVILLE, VA 22903

Provider Details

NPI 1558485524
Specialty Pediatric Nephrology Physician
Credentials M.D.
Gender Female
NPI Issued 03/16/2007

CMS Quality Score (MIPS)

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

79.3949
Final Score
Avg: 83.1
73.6607
Quality
57.6556
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JENNIFER CHARLTON, 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.

UNIVERSITY OF VIRGINIA PHYSICIANS GROUP
CHARLOTTESVILLE, 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).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

11
Total Claims
$423
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11
Total Day Supply
257

Patient Demographics

Average Patient Age
26.5 years
Avg HCC Risk Score
4.02

Pediatric Nephrology Physician Overview

How JENNIFER CHARLTON, M.D. fits within the Pediatric Nephrology Physician landscape nationally.

723
Pediatric Nephrology Physician Providers in US
50
States with Pediatric Nephrology Physician
97
Avg Claims per Provider

JENNIFER CHARLTON, M.D.'s 11 claims are below the specialty average of 97.

Nearby Pediatric Nephrology Physician Providers in Virginia

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

Compare Pediatric Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JENNIFER CHARLTON, M.D.'s specialty?
JENNIFER CHARLTON, M.D. specializes in Pediatric Nephrology Physician and practices in CHARLOTTESVILLE, Virginia. Credentials: M.D..
How much does JENNIFER CHARLTON, M.D. prescribe under Medicare Part D?
In 2023, JENNIFER CHARLTON, M.D. wrote 11 Medicare Part D claims totaling $423 in drug costs for N/A beneficiaries.
What is JENNIFER CHARLTON, M.D.'s Medicare quality score?
JENNIFER CHARLTON, M.D. has a CMS MIPS Final Score of 79.3949/100 (Quality: 73.6607, Cost: 57.6556). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JENNIFER CHARLTON, M.D. located?
JENNIFER CHARLTON, M.D. is located at 1204 W MAIN ST, CHARLOTTESVILLE, VA, 22903. Phone: (434) 924-0123.
What is JENNIFER CHARLTON, M.D.'s NPI number?
JENNIFER CHARLTON, M.D.'s National Provider Identifier (NPI) is 1558485524, issued on 03/16/2007.
How many Pediatric Nephrology Physician providers are there in the US?
There are 723 Pediatric Nephrology Physician providers across 50 states in the US. The average Pediatric Nephrology Physician provider writes 97 Medicare Part D claims per year.
Does JENNIFER CHARLTON, M.D. accept Medicare?
JENNIFER CHARLTON, M.D. appears in CMS Medicare data with 11 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JENNIFER CHARLTON, M.D.'s credentials?
JENNIFER CHARLTON, M.D.'s NPI is 1558485524 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