2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1861695520 MD
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MICHAELINA BOLTON, MD

Student in an Organized Health Care Education/Training Program in OAK LAWN, Illinois. 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
71
Medicare Part D claims · 44 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.6206/100
▲ 11 pts above national avg 83.1 · [object Object]

What the federal data shows

MICHAELINA BOLTON, MD reported a CMS MIPS final score of 93.6206/100 — above the 83.1 national average — and filed 71 Medicare Part D claims in 2023.

93.6206/100
MIPS score · +11 vs avg
71
Part D claims, 2023
85%
generic prescribing

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.

MICHAELINA BOLTON, MD's MIPS score vs every scored U.S. clinician

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

94 Top 29% higher than 71% 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

What does the federal data show about MICHAELINA BOLTON, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/08/2007

NPI 1861695520

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

71 85% vs specialty avg

2023 prescription claims

Specialty avg: 459

MIPS final score

93.6206/100 10.520600000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Student in an Organized Health Care Education/Training Program compares to other specialties among Illinois providers

Illinois providers

Student in an Organized Health Care Education/Training Program share within Illinois

1. Student in an Organized Health Care Education/Training Program42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Student in an Organized Health Care Education/Training Program share within Illinois

Medicare quality performance — MIPS

MICHAELINA BOLTON, MD's 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average

High performer (top quartile)
MIPS Final Score
93.6206/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Student in an Organized Health Care Education/Training Program) — 93.6206/100 vs national avg 83.1

0%100%National avg83%93.6%
MIPS final score (Student in an Organized Health Care Education/Training Program) — 93.6206/100 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).

MICHAELINA BOLTON, MD appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding MD credentials at 4440 W 95TH ST, OAK LAWN, IL, 60453, with a listed phone of (708) 684-4077. NPI 1861695520 was issued on 06/08/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BOLTON 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 71 prescription claims written by this provider, covering 44 Medicare beneficiaries and totaling roughly $2K in drug spend, split 15% brand-name and 85% 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 93.6206/100 for the 2023 performance year (Quality 63.8119, Cost 82.062), compared with the national average of 83.1.

Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 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

4440 W 95TH ST
OAK LAWN, IL 60453

Provider Details

NPI 1861695520
Specialty Student in an Organized Health Care Education/Training Program
Credentials MD
Gender Female
NPI Issued 06/08/2007

CMS Quality Score (MIPS)

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

93.6206
Final Score
Avg: 83.1
63.8119
Quality
82.062
Cost
100
Promoting Interoperability

Reporting: Group practice

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to MICHAELINA BOLTON, MD. To verify MICHAELINA BOLTON, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

MICHAELINA BOLTON, MD — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 71 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.

71
Total Claims
$2K
Total Drug Cost
44
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
74
Total Day Supply
962
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$1K
Generic Drug Cost
$627
Antibiotic Claims
22

Patient Demographics

Average Patient Age
59.8 years
Avg HCC Risk Score
1.96
Gender Split
55% female / 45% male
Age Distribution
<65: 26, 65-74: N/A, 75-84: N/A, 85+: 0

Student in an Organized Health Care Education/Training Program Overview

How MICHAELINA BOLTON, MD fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

MICHAELINA BOLTON, MD's 71 claims are below the specialty average of 459.

Nearby Student in an Organized Health Care Education/Training Program Providers in Illinois

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

Compare Student in an Organized Health Care Education/Training Program nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAELINA BOLTON, MD's specialty?
MICHAELINA BOLTON, MD specializes in Student in an Organized Health Care Education/Training Program and practices in OAK LAWN, Illinois. Credentials: MD.
How much does MICHAELINA BOLTON, MD prescribe under Medicare Part D?
In 2023, MICHAELINA BOLTON, MD wrote 71 Medicare Part D claims totaling $2K in drug costs for 44 beneficiaries.
What is MICHAELINA BOLTON, MD's Medicare quality score?
MICHAELINA BOLTON, MD has a CMS MIPS Final Score of 93.6206/100 (Quality: 63.8119, Cost: 82.062). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAELINA BOLTON, MD located?
MICHAELINA BOLTON, MD is located at 4440 W 95TH ST, OAK LAWN, IL, 60453. Phone: (708) 684-4077.
What is MICHAELINA BOLTON, MD's NPI number?
MICHAELINA BOLTON, MD's National Provider Identifier (NPI) is 1861695520, issued on 06/08/2007.
Does MICHAELINA BOLTON, MD prescribe more brand-name or generic drugs?
MICHAELINA BOLTON, MD's prescribing is 15% brand-name and 85% generic drugs by claim count, with $1K in brand drug costs.
How many Student in an Organized Health Care Education/Training Program providers are there in the US?
There are 331,761 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
Does MICHAELINA BOLTON, MD accept Medicare?
MICHAELINA BOLTON, MD appears in CMS Medicare data with 71 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 MICHAELINA BOLTON, MD's credentials?
MICHAELINA BOLTON, MD's NPI is 1861695520 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