NPI registry status
Active
2026 NPPES data Pediatric Nurse Practitioner NPI 1922340371
Verify on CMS → Lori Middleton
Pediatric Nurse Practitioner in Jacksboro, Tennessee.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 21,480 in Pediatric Nurse Practitioner, 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
517
Medicare Part D claims · 134 beneficiaries · Pediatric Nurse Practitioner avg: 317
MIPS score
45.6/100
▼ 38 pts below national avg 83.5 · Below average
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 45.6/100 - below the 83.5 national average - and filed 517 Medicare Part D claims in 2024.
- 45.6/100
- MIPS score · -38 vs avg
- 517
- Part D claims, 2024
- $1.0K
- industry payments (Sunshine Act)
- ≥4th
- pct among measured MIPS (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 Lori Middleton
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1922340371), first enumerated 03/25/2013.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 517 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 45.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- 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
$1.0K in reported industry payments (38 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 1922340371 · Pediatric Nurse Practitioner
NPI-10 · ENUM-MID · TAX-MID · MIPS-LOW · RX-LIGHT · BOOK-LIGHT · NEAR-MIPS
- NPI-10 1922340371
- ENUM-MID 2013
- TAX-MID 21K Pediatric Nurse
- MIPS-LOW 45.6/100
- RX-LIGHT 517
- BOOK-LIGHT 604 in Tennessee
- NEAR-MIPS Anna Picard, NP · 3.8
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Middleton · this…
Middleton · this provider
45.6 MIPS pts
- Anna Picard, NP …
Anna Picard, NP
49.4 MIPS pts
- Adriana Nash, FN…
Adriana Nash, FNP-C
53.4 MIPS pts
- Maria Del Carmen…
Maria Del Carmen Romero, NP
53.4 MIPS pts
- Chinelo Flores, …
Chinelo Flores, FNP-C
55.7 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Lori Middleton's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
46 ≥ 4th percentile 4% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Lori Middleton sits
This provider among pediatric nurse practitioner peers
Across the 142 pediatric nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Lori Middleton writes more Part D claims than 80% of them and scores higher on MIPS quality than 0% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one pediatric nurse practitioner peer from a representative sample of 60; the gold marker is Lori Middleton. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Lori Middleton?
Below national averagePrimary specialty
Pediatric Nurse Practitioner
Medicare Part D claims
517 63% vs specialty avg
MIPS final score
45.6/100 37.9 pts vs avg
Specialty distribution in Tennessee
How Pediatric Nurse Practitioner compares to other specialties among Tennessee providers
Medicare quality performance, MIPS
Lori Middleton's 2023 MIPS final score plotted against the Pediatric Nurse Practitioner national average
- MIPS Final Score
- 45.6/100
- vs 83.5 national avg · 2023 performance year
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 | 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
Measured-score avg: 83.5
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 2024.
517
Total Claims
$285K
Total Drug Cost
134
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,034.8
- Total Day Supply
- 28,819
- Generic Drug Cost
- $12K
- Antibiotic Claims
- 40
Patient Demographics
- Average Patient Age
- 73.0 years
- Avg HCC Risk Score
- 1.23
- Gender Split
- 75% female / 25% male
- Age Distribution
- <65: 15, 65-74: N/A, 75-84: 55, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Lori Middleton prescribes most
Top Medicare Part D drugs by claim count, 2024
- Fluticasone Propio…
Fluticasone Propionate
67 claims
- Montelukast Sodium
Montelukast Sodium
62 claims
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
36 claims
- Azelastine Hcl
Azelastine Hcl
28 claims
- Xolair 24
Xolair
24 claims
- Albuterol Sulfate … 23
Albuterol Sulfate Hfa
23 claims
- Azithromycin 22
Azithromycin
22 claims
- Trelegy Ellipta 20
Trelegy Ellipta
20 claims
| Drug | Claims |
|---|---|
| Fluticasone Propionate | 67 |
| Montelukast Sodium | 62 |
| Hydroxychloroquine Sulfate | 36 |
| Azelastine Hcl | 28 |
| Xolair Omalizumab | 24 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 23 |
| Azithromycin | 22 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 20 |
| Prednisone | 19 |
| Breo Ellipta Fluticasone/Vilanterol | 18 |
* 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.
21,480
Pediatric Nurse Practitioner Providers in US
52
States with Pediatric Nurse Practitioner
317
Avg Claims per Provider
Lori Middleton's 517 claims are above the specialty average of 317.
Nationwide Pediatric Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Middleton, both outside Tennessee so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (45.6 here).
Same NPPES enumeration year (2013)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 604 Pediatric Nurse Practitioner providers enrolled in Tennessee, 5 are shown here.
Sean Abasta
PNP
Knoxville, TN
Lindley Abrams
Memphis, TN
Siddhida Acharya
White House, TN
Hilary Adamec
Nashville, TN
Kerry Adams
Nashville, TN
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 2024, Lori Middleton wrote 517 Medicare Part D claims totaling $285K in drug costs for 134 beneficiaries.
What is Lori Middleton's Medicare quality score? ▼
Lori Middleton has a CMS MIPS Final Score of 45.6/100 (Quality: 69.3, Cost: 59.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. 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 21,480 Pediatric Nurse Practitioner providers across 52 states in the US. The average Pediatric Nurse Practitioner provider writes 317 Medicare Part D claims per year.
What drugs does Lori Middleton prescribe most often? ▼
Based on 2024 Medicare Part D data, Lori Middleton's most frequently prescribed drugs include Fluticasone Propionate, Montelukast Sodium, 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 517 Part D claims and 134 Medicare beneficiaries in 2024. 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
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.
- 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 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.