NPI registry status
Active
2026 NPPES data Child & Adolescent Psychiatry Physician NPI 1164492567 MD
Verify on CMS → Marcialee Ledbetter, MD
Child & Adolescent Psychiatry Physician in Sanford, Maine.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,160 in Child & Adolescent Psychiatry 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
850
Medicare Part D claims · 129 beneficiaries · Child & Adolescent Psychiatry Physician avg: 600
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.1/100
▲ 15 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Marcialee Ledbetter, MD reported a CMS MIPS final score of 98.1/100 - above the 83.1 national average - and filed 850 Medicare Part D claims in 2023.
- 98.1/100
- MIPS score · +15 vs avg
- 850
- Part D claims, 2023
- 93%
- generic prescribing
- 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.
Marcialee Ledbetter, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
98 Top 11% higher than 89% 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
Where Marcialee Ledbetter, MD sits
This provider among child & adolescent psychiatry physician peers
Across the 332 child & adolescent psychiatry physician providers who report both Medicare Part D prescribing and a MIPS quality score, Marcialee Ledbetter, MD writes more Part D claims than 78% of them and scores higher on MIPS quality than 86% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one child & adolescent psychiatry physician peer from a representative sample of 60; the gold marker is Marcialee Ledbetter, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Marcialee Ledbetter, MD 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 Marcialee Ledbetter, MD?
High performer (top quartile)Primary specialty
Child & Adolescent Psychiatry Physician
Medicare Part D claims
850 42% vs specialty avg
MIPS final score
98.1/100 15 pts vs avg
Specialty distribution in Maine
How Child & Adolescent Psychiatry Physician compares to other specialties among Maine providers
Medicare quality performance, MIPS
Marcialee Ledbetter, MD's 2023 MIPS final score plotted against the Child & Adolescent Psychiatry Physician national average
- MIPS Final Score
- 98.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Child & Adolescent Psychiatry Physician) - 98.1/100 vs national avg 83.1
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).
Marcialee Ledbetter, MD appears in the CMS NPPES registry as a Child & Adolescent Psychiatry Physician provider holding MD credentials at 25 JUNE ST, Sanford, ME, 04073, with a listed phone of (207) 324-4310. NPI 1164492567 was issued on 01/26/2006.
Medicare Part D records for calendar year 2023 show 850 prescription claims written by this provider, covering 129 Medicare beneficiaries and totaling roughly $140K in drug spend, split 7% brand-name and 93% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 98.1/100 for the 2023 performance year (Quality 86.1), compared with the national average of 83.1.
Child & Adolescent Psychiatry Physician is a mid-sized specialty nationwide, with 6,160 enrolled providers across 54 states and an average of 600 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 | 1164492567 |
|---|---|
| Specialty | Child & Adolescent Psychiatry Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 01/26/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
98.0699
Final Score
Avg: 83.1
86.1398
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Marcialee Ledbetter, 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.
Southeast Alaska Regional Health Consortium
★★★☆☆ 3/5
Sitka, AK
Critical Access Hospitals
CMS CCN: 021314
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Generic-heavy
Marcialee Ledbetter, MD - brand share 7.0%
Child & Adolescent Psychiatry Physician average
7% brand-name claims vs 93% generic, on 850 2023 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 2023.
850
Total Claims
$140K
Total Drug Cost
129
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,062
- Total Day Supply
- 29,962
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $95K
- Generic Drug Cost
- $46K
Patient Demographics
- Average Patient Age
- 56.4 years
- Avg HCC Risk Score
- 1.35
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 85, 65-74: 34, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Marcialee Ledbetter, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Lamotrigine
Lamotrigine
48 claims
- Trazodone Hcl
Trazodone Hcl
46 claims
- Quetiapine Fumarate
Quetiapine Fumarate
39 claims
- Sertraline Hcl
Sertraline Hcl
39 claims
- Aripiprazole
Aripiprazole
31 claims
- Clonazepam
Clonazepam
31 claims
- Alprazolam
Alprazolam
28 claims
- Duloxetine Hcl
Duloxetine Hcl
27 claims
| Drug | Claims |
|---|---|
| Lamotrigine | 48 |
| Trazodone Hcl | 46 |
| Quetiapine Fumarate | 39 |
| Sertraline Hcl | 39 |
| Aripiprazole | 31 |
| Clonazepam | 31 |
| Alprazolam | 28 |
| Duloxetine Hcl | 27 |
| Hydroxyzine Hcl | 26 |
| Benztropine Mesylate | 25 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Child & Adolescent Psychiatry Physician Overview
How Marcialee Ledbetter, MD fits within the Child & Adolescent Psychiatry Physician landscape nationally.
6,160
Child & Adolescent Psychiatry Physician Providers in US
54
States with Child & Adolescent Psychiatry Physician
600
Avg Claims per Provider
Marcialee Ledbetter, MD's 850 claims are above the specialty average of 600.
Nearby Child & Adolescent Psychiatry Physician Providers in Maine
Other clinicians with the same primary specialty enrolled in Maine, drawn from the same CMS NPPES roster as Ledbetter.
Peri Akchurin
Portland, ME
Dr. Corabell Arps
M.D.
Bangor, ME
Dr. Jessica Arsenault
M.D.
Bangor, ME
Sumayya Ayaz
Portland, ME
Dr. Dana Bartone
M.D.
Brunswick, ME
Compare Child & Adolescent Psychiatry Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Maine medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Child & Adolescent Psychiatry Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Maine
Frequently Asked Questions
What is Marcialee Ledbetter, MD's specialty? ▼
Marcialee Ledbetter, MD specializes in Child & Adolescent Psychiatry Physician and practices in Sanford, Maine. Credentials: MD.
How much does Marcialee Ledbetter, MD prescribe under Medicare Part D? ▼
In 2023, Marcialee Ledbetter, MD wrote 850 Medicare Part D claims totaling $140K in drug costs for 129 beneficiaries.
What is Marcialee Ledbetter, MD's Medicare quality score? ▼
Marcialee Ledbetter, MD has a CMS MIPS Final Score of 98.1/100 (Quality: 86.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Marcialee Ledbetter, MD located? ▼
Marcialee Ledbetter, MD is located at 25 JUNE ST, Sanford, ME, 04073. Phone: (207) 324-4310.
What is Marcialee Ledbetter, MD's NPI number? ▼
Marcialee Ledbetter, MD's National Provider Identifier (NPI) is 1164492567, issued on 01/26/2006.
Does Marcialee Ledbetter, MD prescribe more brand-name or generic drugs? ▼
Marcialee Ledbetter, MD's prescribing is 7% brand-name and 93% generic drugs by claim count, with $95K in brand drug costs.
How many Child & Adolescent Psychiatry Physician providers are there in the US? ▼
There are 6,160 Child & Adolescent Psychiatry Physician providers across 54 states in the US. The average Child & Adolescent Psychiatry Physician provider writes 600 Medicare Part D claims per year.
What drugs does Marcialee Ledbetter, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Marcialee Ledbetter, MD's most frequently prescribed drugs include Lamotrigine, Trazodone Hcl, Quetiapine Fumarate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Marcialee Ledbetter, MD accept Medicare? ▼
Marcialee Ledbetter, MD appears in CMS Medicare data with 850 Part D claims and 129 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Marcialee Ledbetter, MD's credentials? ▼
Marcialee Ledbetter, MD's NPI is 1164492567 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 (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
Compiled from official public sources by the PlainDoctor editorial team.