NPI registry status
Active
2026 NPPES data Gynecology Physician NPI 1073165304 MD
Verify on CMS → Lauren Tholemeier, MD
Gynecology Physician in Chapel Hill, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,912 in Gynecology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
235
Medicare Part D claims · 111 beneficiaries · Gynecology Physician avg: 319
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$2.1K
18 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Lauren Tholemeier, MD filed 235 Medicare Part D claims in 2024 as a Gynecology Physician in Chapel Hill, North Carolina, prescribing 81% generic.
- 235
- Part D claims, 2024
- 81%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥48th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Lauren Tholemeier, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1073165304), first enumerated 07/16/2019.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 235 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$2.1K in reported industry payments (18 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1073165304 · Gynecology Physician
NPI-10 · ENUM-RECENT · TAX-NARROW · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1073165304
- ENUM-RECENT 2019
- TAX-NARROW 3,912
- RX-LIGHT 235
- BOOK-THIN 154 in North Carolina
- PHOTO-ENUM Courtney Ritchie, MD · 2019
Lauren Tholemeier, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
235 ≥ 48th percentile 48% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Lauren Tholemeier, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Lauren Tholemeier, MD?
Quality data not reportedPrimary specialty
Gynecology Physician
Medicare Part D claims
235 26% vs specialty avg
Specialty distribution in North Carolina
How Gynecology Physician compares to other specialties among North Carolina providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Gynecology Physician. Verify directly:
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1073165304 |
|---|---|
| Specialty | Gynecology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 07/16/2019 |
Hospital and facility affiliations
Facilities where Lauren Tholemeier, 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.
University OF North Carolina AT Chapel Hill
Chapel Hill, 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).
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 Lauren Tholemeier, MD. Source: openpaymentsdata.cms.gov.
Total received
$2.1K
Largest payer
COLOPLAST CORP
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
Lauren Tholemeier, MD - brand share 19.0%
Gynecology Physician average
19% brand-name claims vs 81% generic, on 235 2024 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 2024.
235
Total Claims
$42K
Total Drug Cost
111
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 367.8
- Total Day Supply
- 8,179
- Brand vs Generic
- 19% brand / 81% generic
- Brand Drug Cost
- $37K
- Generic Drug Cost
- $5K
- Opioid Claims
- 51 (21.7% rate)
- Antibiotic Claims
- 13
Patient Demographics
- Average Patient Age
- 73.0 years
- Avg HCC Risk Score
- 1.00
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Lauren Tholemeier, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Ibuprofen
Ibuprofen
52 claims
- Oxycodone Hcl
Oxycodone Hcl
45 claims
- Estradiol
Estradiol
36 claims
- Gemtesa
Gemtesa
27 claims
- Myrbetriq 15
Myrbetriq
15 claims
- Trospium Chloride 13
Trospium Chloride
13 claims
- Ibu 11
Ibu
11 claims
| Drug | Claims |
|---|---|
| Ibuprofen | 52 |
| Oxycodone Hcl | 45 |
| Estradiol | 36 |
| Gemtesa Vibegron | 27 |
| Myrbetriq Mirabegron | 15 |
| Trospium Chloride | 13 |
| Ibu Ibuprofen | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gynecology Physician Overview
How Lauren Tholemeier, MD fits within the Gynecology Physician landscape nationally.
3,912
Gynecology Physician Providers in US
53
States with Gynecology Physician
319
Avg Claims per Provider
Lauren Tholemeier, MD's 235 claims are below the specialty average of 319.
Nationwide Gynecology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Tholemeier, both outside North Carolina so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2019)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Gynecology Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Tholemeier.
One of 154 Gynecology Physician providers enrolled in North Carolina, 5 are shown here.
Dr. Amy Abouzied
MD
Lenoir, NC
Dr. Christana Ajewole
MD
Greensboro, NC
Janice Alexander Taylor
CNM, MN
Raleigh, NC
Dr. Sheila Allison
MD
Durham, NC
Dr. Teresa Alvarado
MD
Jacksonville, NC
Compare Gynecology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Lauren Tholemeier, MD's specialty? ▼
Lauren Tholemeier, MD specializes in Gynecology Physician and practices in Chapel Hill, North Carolina. Credentials: MD.
How much does Lauren Tholemeier, MD prescribe under Medicare Part D? ▼
In 2024, Lauren Tholemeier, MD wrote 235 Medicare Part D claims totaling $42K in drug costs for 111 beneficiaries.
Where is Lauren Tholemeier, MD located? ▼
Lauren Tholemeier, MD is located at 101 MANNING DR, Chapel Hill, NC, 27514. Phone: (984) 974-1000.
What is Lauren Tholemeier, MD's NPI number? ▼
Lauren Tholemeier, MD's National Provider Identifier (NPI) is 1073165304, issued on 07/16/2019.
Does Lauren Tholemeier, MD prescribe more brand-name or generic drugs? ▼
Lauren Tholemeier, MD's prescribing is 19% brand-name and 81% generic drugs by claim count, with $37K in brand drug costs.
Does Lauren Tholemeier, MD prescribe opioids? ▼
Yes, Lauren Tholemeier, MD had 51 opioid claims in 2024 with an opioid prescribing rate of 21.7%.
How many Gynecology Physician providers are there in the US? ▼
There are 3,912 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 319 Medicare Part D claims per year.
What drugs does Lauren Tholemeier, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Lauren Tholemeier, MD's most frequently prescribed drugs include Ibuprofen, Oxycodone Hcl, Estradiol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Lauren Tholemeier, MD accept Medicare? ▼
Lauren Tholemeier, MD appears in CMS Medicare data with 235 Part D claims and 111 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Lauren Tholemeier, MD's credentials? ▼
Lauren Tholemeier, MD's NPI is 1073165304 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
View source datasets and methodology notes
- 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.