2026 NPPES data Child & Adolescent Psychiatry Physician NPI 1164492567 MD
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MARCIALEE LEDBETTER, MD

Child & Adolescent Psychiatry Physician in SANFORD, Maine. 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
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
98.0699/100
▲ 15 pts above national avg 83.1 · [object Object]
What the federal data reveals: MARCIALEE LEDBETTER, MD is a Child & Adolescent Psychiatry Physician ([object Object]) practicing in SANFORD, Maine with a Medicare Part D prescribing footprint of 850 claims across 129 beneficiaries — 7% brand-name prescribing . Their CMS MIPS Final Score of 98.0699/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: MARCIALEE LEDBETTER, MD reported a CMS MIPS final score of 98.0699 out of 100, above the 83.1 national average, and filed 850 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

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).

MARCIALEE LEDBETTER, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 01/26/2006

NPI 1164492567

Primary specialty

Child & Adolescent Psychiatry Physician

Mid-sized

6,160 US NPIs in this specialty

Medicare Part D claims

850 42% vs specialty avg

2023 prescription claims

Specialty avg: 600

MIPS final score

98.0699/100 14.96990000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Maine

How Child & Adolescent Psychiatry Physician compares to other specialties among Maine providers

Maine providers

Child & Adolescent Psychiatry Physician share within Maine

1. Child & Adolescent Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Child & Adolescent Psychiatry Physician share within Maine

Medicare quality performance — MIPS

MARCIALEE LEDBETTER, MD's 2023 MIPS final score plotted against the Child & Adolescent Psychiatry Physician national average

High performer (top quartile)
MIPS Final Score
98.0699/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Child & Adolescent Psychiatry Physician) — 98.0699/100 vs national avg 83.1

0%100%National avg83%98.1%
MIPS final score (Child & Adolescent Psychiatry Physician) — 98.0699/100 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).

MARCIALEE LEDBETTER, MD is a Child & Adolescent Psychiatry Physician provider practicing in SANFORD, Maine, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1164492567. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LEDBETTER 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 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. 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 98.0699/100 for the 2023 performance year (Quality 86.1398), 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

25 JUNE ST
SANFORD, ME 04073

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%
Specialty average (est.)

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.

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.

Compare Child & Adolescent Psychiatry Physician nationally: see state-by-state distribution →

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 98.0699/100 (Quality: 86.1398). 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

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