2026 NPPES data Emergency Medical Services (Emergency Medicine) Physician NPI 1528243367 MD
Verify on CMS →

MELANIE LIPPMANN, MD

Emergency Medical Services (Emergency Medicine) Physician in PROVIDENCE, Rhode Island. 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
54
Medicare Part D claims · 44 beneficiaries · Emergency Medical Services (Emergency Medicine) Physician avg: 394
MIPS score
97.9178/100
▲ 15 pts above national avg 83.1 · [object Object]

What the federal data shows

MELANIE LIPPMANN, MD reported a CMS MIPS final score of 97.9178/100 — above the 83.1 national average — and filed 54 Medicare Part D claims in 2023.

97.9178/100
MIPS score · +15 vs avg
54
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.

MELANIE LIPPMANN, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

98 Top 15% higher than 85% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

MELANIE LIPPMANN, 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).

What does the federal data show about MELANIE LIPPMANN, MD?

High performer (top quartile)

NPI registry status

Active

Issued 12/28/2007

NPI 1528243367

Primary specialty

Emergency Medical Services (Emergency Medicine) Physician

Niche

3,616 US NPIs in this specialty

Medicare Part D claims

54 86% vs specialty avg

2023 prescription claims

Specialty avg: 394

MIPS final score

97.9178/100 14.817800000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Rhode Island

How Emergency Medical Services (Emergency Medicine) Physician compares to other specialties among Rhode Island providers

Rhode Island providers

Emergency Medical Services (Emergency Medicine) Physician share within Rhode Island

1. Emergency Medical Services (Emergency Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medical Services (Emergency Medicine) Physician share within Rhode Island

Medicare quality performance — MIPS

MELANIE LIPPMANN, MD's 2023 MIPS final score plotted against the Emergency Medical Services (Emergency Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
97.9178/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medical Services (Emergency Medicine) Physician) — 97.9178/100 vs national avg 83.1

0%100%National avg83%97.9%
MIPS final score (Emergency Medical Services (Emergency Medicine) Physician) — 97.9178/100 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).

MELANIE LIPPMANN, MD appears in the CMS NPPES registry as a Emergency Medical Services (Emergency Medicine) Physician provider holding MD credentials at 593 EDDY ST, PROVIDENCE, RI, 02903, with a listed phone of (401) 444-5175. NPI 1528243367 was issued on 12/28/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LIPPMANN 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 54 prescription claims written by this provider, covering 44 Medicare beneficiaries and totaling roughly $1K in drug spend. 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 97.9178/100 for the 2023 performance year (Quality 87.9745), compared with the national average of 83.1.

Emergency Medical Services (Emergency Medicine) Physician is a narrow specialty nationwide, with 3,616 enrolled providers across 55 states and an average of 394 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

593 EDDY ST
PROVIDENCE, RI 02903

Provider Details

NPI 1528243367
Specialty Emergency Medical Services (Emergency Medicine) Physician
Credentials MD
Gender Female
NPI Issued 12/28/2007

CMS Quality Score (MIPS)

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

97.9178
Final Score
Avg: 83.1
87.9745
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MELANIE LIPPMANN, 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.

BROWN EMERGENCY MEDICINE
PROVIDENCE, RI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

54
Total Claims
$1K
Total Drug Cost
44
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
56
Total Day Supply
433
Generic Drug Cost
$625
Antibiotic Claims
27

Patient Demographics

Average Patient Age
67.2 years
Avg HCC Risk Score
1.40
Gender Split
61% female / 39% male
Age Distribution
<65: 13, 65-74: 17, 75-84: N/A, 85+: N/A

Emergency Medical Services (Emergency Medicine) Physician Overview

How MELANIE LIPPMANN, MD fits within the Emergency Medical Services (Emergency Medicine) Physician landscape nationally.

3,616
Emergency Medical Services (Emergency Medicine) Physician Providers in US
55
States with Emergency Medical Services (Emergency Medicine) Physician
394
Avg Claims per Provider

MELANIE LIPPMANN, MD's 54 claims are below the specialty average of 394.

Nearby Emergency Medical Services (Emergency Medicine) Physician Providers in Rhode Island

Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as LIPPMANN.

Compare Emergency Medical Services (Emergency Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MELANIE LIPPMANN, MD's specialty?
MELANIE LIPPMANN, MD specializes in Emergency Medical Services (Emergency Medicine) Physician and practices in PROVIDENCE, Rhode Island. Credentials: MD.
How much does MELANIE LIPPMANN, MD prescribe under Medicare Part D?
In 2023, MELANIE LIPPMANN, MD wrote 54 Medicare Part D claims totaling $1K in drug costs for 44 beneficiaries.
What is MELANIE LIPPMANN, MD's Medicare quality score?
MELANIE LIPPMANN, MD has a CMS MIPS Final Score of 97.9178/100 (Quality: 87.9745). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MELANIE LIPPMANN, MD located?
MELANIE LIPPMANN, MD is located at 593 EDDY ST, PROVIDENCE, RI, 02903. Phone: (401) 444-5175.
What is MELANIE LIPPMANN, MD's NPI number?
MELANIE LIPPMANN, MD's National Provider Identifier (NPI) is 1528243367, issued on 12/28/2007.
How many Emergency Medical Services (Emergency Medicine) Physician providers are there in the US?
There are 3,616 Emergency Medical Services (Emergency Medicine) Physician providers across 55 states in the US. The average Emergency Medical Services (Emergency Medicine) Physician provider writes 394 Medicare Part D claims per year.
Does MELANIE LIPPMANN, MD accept Medicare?
MELANIE LIPPMANN, MD appears in CMS Medicare data with 54 Part D claims and 44 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MELANIE LIPPMANN, MD's credentials?
MELANIE LIPPMANN, MD's NPI is 1528243367 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