NPI registry status
Active
2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1134118417 MD
Verify on CMS → Margaret Carlini, MD
Pain Medicine (Physical Medicine & Rehabilitation) Physician in Lorton, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,630 in Pain Medicine (Physical Medicine & Rehabilitation) 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
519
Medicare Part D claims · 51 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.6/100
▼ 7 pts below national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Margaret Carlini, MD reported a CMS MIPS final score of 76.6/100 - below the 83.1 national average - and filed 519 Medicare Part D claims in 2023.
- 76.6/100
- MIPS score · -7 vs avg
- 519
- Part D claims, 2023
- 94%
- 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.
Margaret Carlini, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
77 21st percentile higher than 21% 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 Margaret Carlini, MD sits
This provider among pain medicine (physical medicine & rehabilitation) physician peers
Across the 526 pain medicine (physical medicine & rehabilitation) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Margaret Carlini, MD writes more Part D claims than 37% of them and scores higher on MIPS quality than 49% - placing this provider in the lower-volume, lower-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 pain medicine (physical medicine & rehabilitation) physician peer from a representative sample of 60; the gold marker is Margaret Carlini, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Margaret Carlini, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Margaret Carlini, MD?
Below national averagePrimary specialty
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Medicare Part D claims
519 63% vs specialty avg
MIPS final score
76.6/100 6.5 pts vs avg
Specialty distribution in Virginia
How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Margaret Carlini, MD's 2023 MIPS final score plotted against the Pain Medicine (Physical Medicine & Rehabilitation) Physician national average
- MIPS Final Score
- 76.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) - 76.6/100 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).
Margaret Carlini, MD appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding MD credentials at 9455 LORTON MARKET ST, Lorton, VA, 22079, with a listed phone of (301) 856-1682. NPI 1134118417 was issued on 10/19/2005.
Medicare Part D records for calendar year 2023 show 519 prescription claims written by this provider, covering 51 Medicare beneficiaries and totaling roughly $30K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 23.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.6/100 for the 2023 performance year (Quality 63.2, Cost 55.9), compared with the national average of 83.1.
Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,630 enrolled providers across 50 states and an average of 1,401 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 | 1134118417 |
|---|---|
| Specialty | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 10/19/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
76.555
Final Score
Avg: 83.1
63.1616
Quality
55.9413
Cost
100
Promoting Interoperability
Reporting: Group practice
Brand vs generic prescribing mix · Generic-heavy
Margaret Carlini, MD - brand share 6.0%
Pain Medicine (Physical Medicine & Rehabilitation) Physician average
6% brand-name claims vs 94% generic, on 519 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.
519
Total Claims
$30K
Total Drug Cost
51
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 677
- Total Day Supply
- 18,949
- Brand vs Generic
- 6% brand / 94% generic
- Brand Drug Cost
- $7K
- Generic Drug Cost
- $23K
- Opioid Claims
- 122 (23.5% rate)
Patient Demographics
- Average Patient Age
- 68.4 years
- Avg HCC Risk Score
- 1.41
- Gender Split
- 71% female / 29% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Margaret Carlini, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Diclofenac Sodium
Diclofenac Sodium
52 claims
- Cyclobenzaprine Hcl
Cyclobenzaprine Hcl
49 claims
- Lidocaine
Lidocaine
48 claims
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
41 claims
- Duloxetine Hcl
Duloxetine Hcl
37 claims
- Gabapentin
Gabapentin
37 claims
- Nortriptyline Hcl
Nortriptyline Hcl
35 claims
- Meloxicam
Meloxicam
29 claims
| Drug | Claims |
|---|---|
| Diclofenac Sodium | 52 |
| Cyclobenzaprine Hcl | 49 |
| Lidocaine | 48 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 41 |
| Duloxetine Hcl | 37 |
| Gabapentin | 37 |
| Nortriptyline Hcl | 35 |
| Meloxicam | 29 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 27 |
| Oxycodone Hcl | 23 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pain Medicine (Physical Medicine & Rehabilitation) Physician in VA →
All providers in Virginia →
Compare specialties →
Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview
How Margaret Carlini, MD fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.
1,630
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider
Margaret Carlini, MD's 519 claims are below the specialty average of 1,401.
Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Carlini.
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 Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pain Medicine (Physical Medicine & Rehabilitation) 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 Virginia
Frequently Asked Questions
What is Margaret Carlini, MD's specialty? ▼
Margaret Carlini, MD specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in Lorton, Virginia. Credentials: MD.
How much does Margaret Carlini, MD prescribe under Medicare Part D? ▼
In 2023, Margaret Carlini, MD wrote 519 Medicare Part D claims totaling $30K in drug costs for 51 beneficiaries.
What is Margaret Carlini, MD's Medicare quality score? ▼
Margaret Carlini, MD has a CMS MIPS Final Score of 76.6/100 (Quality: 63.2, Cost: 55.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Margaret Carlini, MD located? ▼
Margaret Carlini, MD is located at 9455 LORTON MARKET ST, Lorton, VA, 22079. Phone: (301) 856-1682.
What is Margaret Carlini, MD's NPI number? ▼
Margaret Carlini, MD's National Provider Identifier (NPI) is 1134118417, issued on 10/19/2005.
Does Margaret Carlini, MD prescribe more brand-name or generic drugs? ▼
Margaret Carlini, MD's prescribing is 6% brand-name and 94% generic drugs by claim count, with $7K in brand drug costs.
Does Margaret Carlini, MD prescribe opioids? ▼
Yes, Margaret Carlini, MD had 122 opioid claims in 2023 with an opioid prescribing rate of 23.5%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US? ▼
There are 1,630 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does Margaret Carlini, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Margaret Carlini, MD's most frequently prescribed drugs include Diclofenac Sodium, Cyclobenzaprine Hcl, Lidocaine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Margaret Carlini, MD accept Medicare? ▼
Margaret Carlini, MD appears in CMS Medicare data with 519 Part D claims and 51 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Margaret Carlini, MD's credentials? ▼
Margaret Carlini, MD's NPI is 1134118417 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
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 May 2026.