2026 NPPES data Pediatric Nurse Practitioner NPI 1912475351 FNP
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Mary Lethco, FNP

Pediatric Nurse Practitioner in Columbia, South Carolina.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 21,480 in Pediatric Nurse Practitioner, 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
22
Medicare Part D claims · Pediatric Nurse Practitioner avg: 317
MIPS score
99.3/100
▲ 16 pts above national avg 83.5 · Exceptional
Industry payments
$124.26
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Mary Lethco, FNP reported a CMS MIPS final score of 99.3/100 - above the 83.5 national average - and filed 22 Medicare Part D claims in 2024.

99.3/100
MIPS score · +16 vs avg
22
Part D claims, 2024
$124.26
industry payments (Sunshine Act)
≥91st
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Mary Lethco, FNP

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1912475351), first enumerated 11/04/2018.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 22 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 99.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $124.26 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1912475351 · Pediatric Nurse Practitioner

NPI-10 · ENUM-RECENT · TAX-MID · MIPS-ELITE · RX-TRACE · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1912475351
  • ENUM-RECENT 2018
  • TAX-MID 21K Pediatric Nurse
  • MIPS-ELITE 99.3/100
  • RX-TRACE 22
  • BOOK-THIN 282 in South Carolina
  • PHOTO-FINISH Tammy Fleming, CRNA · ±0.1

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Mary Lethco, FNP's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

99 ≥ 91st percentile 91% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Mary Lethco, FNP sits

This provider among pediatric nurse practitioner peers

Across the 142 pediatric nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Mary Lethco, FNP writes more Part D claims than 20% of them and scores higher on MIPS quality than 87% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.647.370.994.5Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 32Mary Lethco, FNP, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 87
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one pediatric nurse practitioner peer from a representative sample of 60; the gold marker is Mary Lethco, FNP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Mary Lethco, FNP?

High performer (top quartile)

NPI registry status

Active

Issued 11/04/2018

NPI 1912475351

Primary specialty

Pediatric Nurse Practitioner

Mid-sized

21,480 US NPIs in this specialty

Medicare Part D claims

22 93% vs specialty avg

2024 prescription claims

Specialty avg: 317

MIPS final score

99.3/100 15.8 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in South Carolina

How Pediatric Nurse Practitioner compares to other specialties among South Carolina providers

South Carolina providers
Pharmacist6.1%Mental Health Counselor5%Family Nurse Practitioner4.5%Physical Therapist4.5%Behavior Technician4.2%Speech-Language Pathologist3.6%Pediatric Nurse Practitioner0.3%
Largest specialties in South Carolina (% of in-state providers)

Medicare quality performance, MIPS

Mary Lethco, FNP's 2023 MIPS final score plotted against the Pediatric Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
99.3/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%99%
MIPS final score (Pediatric Nurse Practitioner) - 99.3/100 vs national avg 83.5
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).

Practice Address

9 RICHLAND MEDICAL PARK DR STE 500
Columbia, SC 29203

Provider Details

NPI 1912475351
Specialty Pediatric Nurse Practitioner
Credentials FNP
Gender Female
NPI Issued 11/04/2018

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

99.3294
Final Score
Measured-score avg: 83.5
90.5979
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Mary Lethco, FNP 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.

Prisma Health Medical Group-Midlands
Columbia, SC

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 Mary Lethco, FNP. Source: openpaymentsdata.cms.gov.

Total received

$124

Largest payer

PFIZER INC.

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 2024.

22
Total Claims
$1K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
22
Total Day Supply
610
Brand Drug Cost
$0
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
38.0 years
Avg HCC Risk Score
5.33

Pediatric Nurse Practitioner Overview

How Mary Lethco, FNP fits within the Pediatric Nurse Practitioner landscape nationally.

21,480
Pediatric Nurse Practitioner Providers in US
52
States with Pediatric Nurse Practitioner
317
Avg Claims per Provider

Mary Lethco, FNP's 22 claims are below the specialty average of 317.

Nationwide Pediatric Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Lethco, both outside South Carolina so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (99.3 here).

Same NPPES enumeration year (2018)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Pediatric Nurse Practitioner Providers in South Carolina

Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as Lethco.

One of 282 Pediatric Nurse Practitioner providers enrolled in South Carolina, 5 are shown here.

Compare Pediatric Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is Mary Lethco, FNP's specialty?
Mary Lethco, FNP specializes in Pediatric Nurse Practitioner and practices in Columbia, South Carolina. Credentials: FNP.
How much does Mary Lethco, FNP prescribe under Medicare Part D?
In 2024, Mary Lethco, FNP wrote 22 Medicare Part D claims totaling $1K in drug costs for N/A beneficiaries.
What is Mary Lethco, FNP's Medicare quality score?
Mary Lethco, FNP has a CMS MIPS Final Score of 99.3/100 (Quality: 90.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mary Lethco, FNP located?
Mary Lethco, FNP is located at 9 RICHLAND MEDICAL PARK DR STE 500, Columbia, SC, 29203. Phone: (803) 434-4555.
What is Mary Lethco, FNP's NPI number?
Mary Lethco, FNP's National Provider Identifier (NPI) is 1912475351, issued on 11/04/2018.
How many Pediatric Nurse Practitioner providers are there in the US?
There are 21,480 Pediatric Nurse Practitioner providers across 52 states in the US. The average Pediatric Nurse Practitioner provider writes 317 Medicare Part D claims per year.
Does Mary Lethco, FNP accept Medicare?
Mary Lethco, FNP appears in CMS Medicare data with 22 Part D claims and N/A Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mary Lethco, FNP's credentials?
Mary Lethco, FNP's NPI is 1912475351 with credentials FNP. 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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.