2026 NPPES data Pediatric Nurse Practitioner NPI 1922340371
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LORI MIDDLETON

Pediatric Nurse Practitioner in JACKSBORO, Tennessee. 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
552
Medicare Part D claims · 135 beneficiaries · Pediatric Nurse Practitioner avg: 312
MIPS score
45.604/100
▼ 37 pts below national avg 83.1 · [object Object]
Industry payments
$1.0K
38 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

LORI MIDDLETON reported a CMS MIPS final score of 45.604/100 — below the 83.1 national average — and filed 552 Medicare Part D claims in 2023.

45.604/100
MIPS score · -37 vs avg
552
Part D claims, 2023
$1.0K
industry payments (Sunshine Act)

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.

LORI MIDDLETON's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

46 4th percentile higher than 4% 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%). This entry sits in this band. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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

What does the federal data show about LORI MIDDLETON?

Below national average

NPI registry status

Active

Issued 03/25/2013

NPI 1922340371

Primary specialty

Pediatric Nurse Practitioner

Mid-sized

21,082 US NPIs in this specialty

Medicare Part D claims

552 77% vs specialty avg

2023 prescription claims

Specialty avg: 312

MIPS final score

45.604/100 37.495999999999995% pts

Below average band

vs 83.1 national avg

Specialty distribution in Tennessee

How Pediatric Nurse Practitioner compares to other specialties among Tennessee providers

Tennessee providers

Pediatric Nurse Practitioner share within Tennessee

1. Pediatric Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Nurse Practitioner share within Tennessee

Medicare quality performance — MIPS

LORI MIDDLETON's 2023 MIPS final score plotted against the Pediatric Nurse Practitioner national average

Below national average
MIPS Final Score
45.604/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Nurse Practitioner) — 45.604/100 vs national avg 83.1

0%100%National avg83%45.6%
MIPS final score (Pediatric Nurse Practitioner) — 45.604/100 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).

LORI MIDDLETON appears in the CMS NPPES registry as a Pediatric Nurse Practitioner provider at 136 MOUNTAIN PERKINS LN, JACKSBORO, TN, 37757, with a listed phone of (423) 562-4149. NPI 1922340371 was issued on 03/25/2013. 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 552 prescription claims written by this provider, covering 135 Medicare beneficiaries and totaling roughly $219K 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 45.604/100 for the 2023 performance year (Quality 69.2733, Cost 59.649), compared with the national average of 83.1.

Pediatric Nurse Practitioner is a mid-sized specialty nationwide, with 21,082 enrolled providers across 52 states and an average of 312 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

136 MOUNTAIN PERKINS LN
JACKSBORO, TN 37757

Provider Details

NPI 1922340371
Specialty Pediatric Nurse Practitioner
Gender Female
NPI Issued 03/25/2013

CMS Quality Score (MIPS)

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

45.604
Final Score
Avg: 83.1
69.2733
Quality
59.649
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where LORI MIDDLETON 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.

ALLERGIC DISEASES ASTHMA AND IMMUNOLOGY CLINIC PC
GREENEVILLE, TN

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 LORI MIDDLETON. Source: openpaymentsdata.cms.gov.

Total received

$1.0K

Largest payer

AstraZeneca Pharmaceuticals LP

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.

Medicare Part D Prescribing Data

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

552
Total Claims
$219K
Total Drug Cost
135
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,058
Total Day Supply
29,613
Generic Drug Cost
$18K
Antibiotic Claims
35

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.23
Gender Split
79% female / 21% male

Top Prescribed Drugs (Medicare Part D)

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

What LORI MIDDLETON 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
Montelukast Sodium
79
Fluticasone Propionate
61
Hydroxychloroquine Sulfate
44
Albuterol Sulfate Hfa
Albuterol Sulfate
31
Azelastine Hcl
31
Xolair
Omalizumab
26
Prednisone
23
Azithromycin
21
Breo Ellipta
Fluticasone/Vilanterol
20
Arnuity Ellipta
Fluticasone Furoate
15

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

Pediatric Nurse Practitioner Overview

How LORI MIDDLETON fits within the Pediatric Nurse Practitioner landscape nationally.

21,082
Pediatric Nurse Practitioner Providers in US
52
States with Pediatric Nurse Practitioner
312
Avg Claims per Provider

LORI MIDDLETON's 552 claims are above the specialty average of 312.

Nearby Pediatric Nurse Practitioner Providers in Tennessee

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

Compare Pediatric Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is LORI MIDDLETON's specialty?
LORI MIDDLETON specializes in Pediatric Nurse Practitioner and practices in JACKSBORO, Tennessee.
How much does LORI MIDDLETON prescribe under Medicare Part D?
In 2023, LORI MIDDLETON wrote 552 Medicare Part D claims totaling $219K in drug costs for 135 beneficiaries.
What is LORI MIDDLETON's Medicare quality score?
LORI MIDDLETON has a CMS MIPS Final Score of 45.604/100 (Quality: 69.2733, Cost: 59.649). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LORI MIDDLETON located?
LORI MIDDLETON is located at 136 MOUNTAIN PERKINS LN, JACKSBORO, TN, 37757. Phone: (423) 562-4149.
What is LORI MIDDLETON's NPI number?
LORI MIDDLETON's National Provider Identifier (NPI) is 1922340371, issued on 03/25/2013.
How many Pediatric Nurse Practitioner providers are there in the US?
There are 21,082 Pediatric Nurse Practitioner providers across 52 states in the US. The average Pediatric Nurse Practitioner provider writes 312 Medicare Part D claims per year.
What drugs does LORI MIDDLETON prescribe most often?
Based on 2023 Medicare Part D data, LORI MIDDLETON's most frequently prescribed drugs include Montelukast Sodium, Fluticasone Propionate, Hydroxychloroquine Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LORI MIDDLETON accept Medicare?
LORI MIDDLETON appears in CMS Medicare data with 552 Part D claims and 135 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LORI MIDDLETON's credentials?
LORI MIDDLETON's NPI is 1922340371. 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