MEGAN MILNE, MD
Rheumatology Physician in NEW BERN, North Carolina. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
MEGAN MILNE, MD filed 1,868 Medicare Part D claims in 2023 as a Rheumatology Physician in NEW BERN, North Carolina.
- 2K
- Part D claims, 2023
- 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.
MEGAN MILNE, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
1,868 Top 17% higher than 83% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
MEGAN MILNE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — 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 MEGAN MILNE, MD?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in North Carolina
How Rheumatology Physician compares to other specialties among North Carolina providers
Rheumatology Physician share within North Carolina
Rheumatology Physician is one of the more visible NUCC categories in North Carolina
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Rheumatology Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Rheumatology Physician ABMS/AOA estimate
Est. board-certified rate (Rheumatology Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Rheumatology Physician US NPIs
Specialty board-certified rate — Rheumatology Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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).
MEGAN MILNE, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 702 NEWMAN RD, NEW BERN, NC, 28562, with a listed phone of (252) 633-5333. NPI 1720519622 was issued on 03/22/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MILNE 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 1,868 prescription claims written by this provider, covering 304 Medicare beneficiaries and totaling roughly $829K in drug spend, with an opioid prescribing rate of 1.7%. 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.
Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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 | 1720519622 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 03/22/2017 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm MEGAN MILNE, MD's current license status, disciplinary history, and board certifications with the North Carolina Medical Board in North Carolina before relying on this page for a clinical or care decision.
How we sourced this profile
Hospital and facility affiliations
Facilities where MEGAN MILNE, 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.
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 MEGAN MILNE, MD. Source: openpaymentsdata.cms.gov.
Total received
$919
Largest payer
ABBVIE 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 2023.
Prescribing Breakdown
- 30-Day Fills
- 2,674
- Total Day Supply
- 77,657
- Generic Drug Cost
- $53K
- Opioid Claims
- 32 (1.7% rate)
- Antibiotic Claims
- 26
Patient Demographics
- Average Patient Age
- 71.0 years
- Avg HCC Risk Score
- 1.48
- Gender Split
- 76% female / 24% male
- Age Distribution
- <65: 45, 65-74: 155, 75-84: 91, 85+: 13
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What MEGAN MILNE, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prednisone
Prednisone
396 claims
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
326 claims
- Methotrexate
Methotrexate
229 claims
- Leflunomide 77
Leflunomide
77 claims
- Allopurinol 52
Allopurinol
52 claims
- Diclofenac Sodium 51
Diclofenac Sodium
51 claims
- Celecoxib 46
Celecoxib
46 claims
- Colchicine 46
Colchicine
46 claims
| Drug | Claims |
|---|---|
| Prednisone | 396 |
| Hydroxychloroquine Sulfate | 326 |
| Methotrexate Methotrexate Sodium | 229 |
| Leflunomide | 77 |
| Allopurinol | 52 |
| Diclofenac Sodium | 51 |
| Celecoxib | 46 |
| Colchicine | 46 |
| Cyclobenzaprine Hcl | 42 |
| Duloxetine Hcl | 42 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How MEGAN MILNE, MD fits within the Rheumatology Physician landscape nationally.
MEGAN MILNE, MD's 1,868 claims are below the specialty average of 2,054.
Nearby Rheumatology Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as MILNE.
Compare Rheumatology Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
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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.
- 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