2026 NPPES data Internal Medicine Physician NPI 1972863447 MD
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MARIE CALDWELL, MD

Internal Medicine Physician in SCARBOROUGH, 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
1K
Medicare Part D claims · 249 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
53%
generic claims · 47% 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: MARIE CALDWELL, MD is a Internal Medicine Physician ([object Object]) practicing in SCARBOROUGH, Maine with a Medicare Part D prescribing footprint of 1K claims across 249 beneficiaries — 47% 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: MARIE CALDWELL, MD reported a CMS MIPS final score of 98.0699 out of 100, above the 83.1 national average, and filed 1,388 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)

MARIE CALDWELL, 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).

MARIE CALDWELL, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/18/2012

NPI 1972863447

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

1,388 49% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

98.0699/100 14.96990000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Maine

How Internal Medicine Physician compares to other specialties among Maine providers

Maine providers

Internal Medicine Physician share within Maine

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Maine

Medicare quality performance — MIPS

MARIE CALDWELL, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

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

MIPS final score (Internal Medicine Physician) — 98.0699/100 vs national avg 83.1

0%100%National avg83%98.1%
MIPS final score (Internal Medicine 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).

MARIE CALDWELL, MD is a Internal Medicine Physician provider practicing in SCARBOROUGH, Maine, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1972863447. 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.

MARIE CALDWELL, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 175 US ROUTE 1, SCARBOROUGH, ME, 04074, with a listed phone of (207) 396-7700. NPI 1972863447 was issued on 05/18/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CALDWELL 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 1,388 prescription claims written by this provider, covering 249 Medicare beneficiaries and totaling roughly $827K in drug spend, split 47% brand-name and 53% 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.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

175 US ROUTE 1
SCARBOROUGH, ME 04074

Provider Details

NPI 1972863447
Specialty Internal Medicine Physician
Credentials MD
Gender Female
NPI Issued 05/18/2012

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 MARIE CALDWELL, 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.

MAINEHEALTH
BIDDEFORD, ME

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 · Above average

MARIE CALDWELL, MD — brand share 47.0%
Specialty average (est.)

47% brand-name claims vs 53% generic, on 1,388 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.

1,388
Total Claims
$827K
Total Drug Cost
249
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,176
Total Day Supply
93,191
Brand vs Generic
47% brand / 53% generic
Brand Drug Cost
$744K
Generic Drug Cost
$26K

Patient Demographics

Average Patient Age
68.1 years
Avg HCC Risk Score
1.91
Gender Split
57% female / 43% male
Age Distribution
<65: 58, 65-74: 118, 75-84: 61, 85+: 12

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Levothyroxine Sodium
204
Trulicity
Dulaglutide
96
Methimazole
61
Jardiance
Empagliflozin
56
Metformin Hcl Er
Metformin Hcl
54
Novolog Flexpen
Insulin Aspart
47
Mounjaro
Tirzepatide
46
Synthroid
Levothyroxine Sodium
35
Novolog
Insulin Aspart
33
Glipizide Er
Glipizide
30

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Internal Medicine Physician Overview

How MARIE CALDWELL, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

MARIE CALDWELL, MD's 1,388 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Maine

Other clinicians with the same primary specialty enrolled in Maine, drawn from the same CMS NPPES roster as CALDWELL.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARIE CALDWELL, MD's specialty?
MARIE CALDWELL, MD specializes in Internal Medicine Physician and practices in SCARBOROUGH, Maine. Credentials: MD.
How much does MARIE CALDWELL, MD prescribe under Medicare Part D?
In 2023, MARIE CALDWELL, MD wrote 1,388 Medicare Part D claims totaling $827K in drug costs for 249 beneficiaries.
What is MARIE CALDWELL, MD's Medicare quality score?
MARIE CALDWELL, 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 MARIE CALDWELL, MD located?
MARIE CALDWELL, MD is located at 175 US ROUTE 1, SCARBOROUGH, ME, 04074. Phone: (207) 396-7700.
What is MARIE CALDWELL, MD's NPI number?
MARIE CALDWELL, MD's National Provider Identifier (NPI) is 1972863447, issued on 05/18/2012.
Does MARIE CALDWELL, MD prescribe more brand-name or generic drugs?
MARIE CALDWELL, MD's prescribing is 47% brand-name and 53% generic drugs by claim count, with $744K in brand drug costs.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does MARIE CALDWELL, MD prescribe most often?
Based on 2023 Medicare Part D data, MARIE CALDWELL, MD's most frequently prescribed drugs include Levothyroxine Sodium, Trulicity, Methimazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARIE CALDWELL, MD accept Medicare?
MARIE CALDWELL, MD appears in CMS Medicare data with 1,388 Part D claims and 249 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARIE CALDWELL, MD's credentials?
MARIE CALDWELL, MD's NPI is 1972863447 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