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.
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
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 averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Tennessee
How Pediatric Nurse Practitioner compares to other specialties among Tennessee providers
Pediatric Nurse Practitioner share within Tennessee
Pediatric Nurse Practitioner is one of the more visible NUCC categories in Tennessee
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
LORI MIDDLETON's 2023 MIPS final score plotted against the Pediatric Nurse Practitioner 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
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Pediatric Nurse Practitioner US NPIs
45.604/100 MIPS final score — 37.5 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Pediatric Nurse Practitioner. Quality dim: 69.2733. Cost dim: 59.649.
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
Provider Details
| NPI | 1922340371 |
|---|---|
| Specialty | Pediatric Nurse Practitioner |
| Gender | Female |
| NPI Issued | 03/25/2013 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm LORI MIDDLETON's current license status, disciplinary history, and board certifications with the Tennessee Board of Medical Examiners in Tennessee before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
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.
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.
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
- Montelukast Sodium
Montelukast Sodium
79 claims
- Fluticasone Propio…
Fluticasone Propionate
61 claims
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
44 claims
- Albuterol Sulfate … 31
Albuterol Sulfate Hfa
31 claims
- Azelastine Hcl 31
Azelastine Hcl
31 claims
- Xolair 26
Xolair
26 claims
- Prednisone 23
Prednisone
23 claims
- Azithromycin 21
Azithromycin
21 claims
| 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.
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 →
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Frequently Asked Questions
What is LORI MIDDLETON's specialty? ▼
How much does LORI MIDDLETON prescribe under Medicare Part D? ▼
What is LORI MIDDLETON's Medicare quality score? ▼
Where is LORI MIDDLETON located? ▼
What is LORI MIDDLETON's NPI number? ▼
How many Pediatric Nurse Practitioner providers are there in the US? ▼
What drugs does LORI MIDDLETON prescribe most often? ▼
Does LORI MIDDLETON accept Medicare? ▼
How can I verify LORI MIDDLETON's credentials? ▼
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