NPI registry status
Active
2026 NPPES data Pediatrics Physician NPI 1700953015 MD
Verify on CMS → Melanie Fitzsimmons, MD
Pediatrics Physician in Windham, Maine.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 80,576 in Pediatrics 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
4K
Medicare Part D claims · 400 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
87%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Melanie Fitzsimmons, MD filed 4,446 Medicare Part D claims in 2023 as a Pediatrics Physician in Windham, Maine, prescribing 87% generic.
- 4K
- Part D claims, 2023
- 87%
- 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.
Melanie Fitzsimmons, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
4,446 Top 7% higher than 93% 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
✓
Board certification likely (heuristic, not verified)
Melanie Fitzsimmons, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - 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 Melanie Fitzsimmons, MD?
Quality data not reportedPrimary specialty
Pediatrics Physician
Medicare Part D claims
4,446 6× vs specialty avg
Specialty distribution in Maine
How Pediatrics Physician compares to other specialties among Maine providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pediatrics Physician. Verify directly:
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).
Melanie Fitzsimmons, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 584 ROOSEVELT TRAIL, Windham, ME, 04062, with a listed phone of (207) 892-3233. NPI 1700953015 was issued on 11/29/2006.
Medicare Part D records for calendar year 2023 show 4,446 prescription claims written by this provider, covering 400 Medicare beneficiaries and totaling roughly $404K in drug spend, split 12% brand-name and 87% generic by claim count, with an opioid prescribing rate of 2.0%.
Pediatrics Physician is a high-volume specialty nationwide, with 80,576 enrolled providers across 56 states and an average of 762 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 | 1700953015 |
|---|---|
| Specialty | Pediatrics Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 11/29/2006 |
Hospital and facility affiliations
Facilities where Melanie Fitzsimmons, 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
Portland, 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 · Typical
Melanie Fitzsimmons, MD - brand share 12.0%
Pediatrics Physician average
12% brand-name claims vs 87% generic, on 4,446 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.
4,446
Total Claims
$404K
Total Drug Cost
400
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 10,643
- Total Day Supply
- 310,599
- Brand vs Generic
- 12% brand / 87% generic
- Brand Drug Cost
- $308K
- Generic Drug Cost
- $94K
- Opioid Claims
- 91 (2.0% rate)
- Antibiotic Claims
- 128
Patient Demographics
- Average Patient Age
- 71.6 years
- Avg HCC Risk Score
- 1.17
- Gender Split
- 78% female / 23% male
- Age Distribution
- <65: 49, 65-74: 203, 75-84: 121, 85+: 27
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Melanie Fitzsimmons, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
465 claims
- Omeprazole
Omeprazole
205 claims
- Levothyroxine Sodium
Levothyroxine Sodium
201 claims
- Lisinopril
Lisinopril
191 claims
- Losartan Potassium 152
Losartan Potassium
152 claims
- Metoprolol Succinate 123
Metoprolol Succinate
123 claims
- Metformin Hcl Er 106
Metformin Hcl Er
106 claims
- Amlodipine Besylate 101
Amlodipine Besylate
101 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 465 |
| Omeprazole | 205 |
| Levothyroxine Sodium | 201 |
| Lisinopril | 191 |
| Losartan Potassium | 152 |
| Metoprolol Succinate | 123 |
| Metformin Hcl Er Metformin Hcl | 106 |
| Amlodipine Besylate | 101 |
| Glipizide Er Glipizide | 83 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 82 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatrics Physician Overview
How Melanie Fitzsimmons, MD fits within the Pediatrics Physician landscape nationally.
80,576
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider
Melanie Fitzsimmons, MD's 4,446 claims are above the specialty average of 762.
Nearby Pediatrics Physician Providers in Maine
Other clinicians with the same primary specialty enrolled in Maine, drawn from the same CMS NPPES roster as Fitzsimmons.
Dr. Albert Adams
MD
Brewer, ME
Dr. Samuel Adler
MD
Norway, ME
Dr. Farhana Ahmad
M.D.
Caribou, ME
Dr. Ambia Ahmed
MD
Lewiston, ME
Dr. Lucy Amory
MD
Westbrook, ME
Compare Pediatrics Physician nationally: see state-by-state distribution →
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 Maine medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatrics 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.
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Frequently Asked Questions
What is Melanie Fitzsimmons, MD's specialty? ▼
Melanie Fitzsimmons, MD specializes in Pediatrics Physician and practices in Windham, Maine. Credentials: MD.
How much does Melanie Fitzsimmons, MD prescribe under Medicare Part D? ▼
In 2023, Melanie Fitzsimmons, MD wrote 4,446 Medicare Part D claims totaling $404K in drug costs for 400 beneficiaries.
Where is Melanie Fitzsimmons, MD located? ▼
Melanie Fitzsimmons, MD is located at 584 ROOSEVELT TRAIL, Windham, ME, 04062. Phone: (207) 892-3233.
What is Melanie Fitzsimmons, MD's NPI number? ▼
Melanie Fitzsimmons, MD's National Provider Identifier (NPI) is 1700953015, issued on 11/29/2006.
Does Melanie Fitzsimmons, MD prescribe more brand-name or generic drugs? ▼
Melanie Fitzsimmons, MD's prescribing is 12% brand-name and 87% generic drugs by claim count, with $308K in brand drug costs.
Does Melanie Fitzsimmons, MD prescribe opioids? ▼
Yes, Melanie Fitzsimmons, MD had 91 opioid claims in 2023 with an opioid prescribing rate of 2.0%.
How many Pediatrics Physician providers are there in the US? ▼
There are 80,576 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does Melanie Fitzsimmons, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Melanie Fitzsimmons, MD's most frequently prescribed drugs include Atorvastatin Calcium, Omeprazole, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Melanie Fitzsimmons, MD accept Medicare? ▼
Melanie Fitzsimmons, MD appears in CMS Medicare data with 4,446 Part D claims and 400 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Melanie Fitzsimmons, MD's credentials? ▼
Melanie Fitzsimmons, MD's NPI is 1700953015 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.
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.