2026 NPPES data Maternal & Fetal Medicine Physician NPI 1326158502 MD
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NANCY CARLSON, MD

Maternal & Fetal Medicine Physician in ROCKFORD, 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.
MIPS score
84.8851/100
▲ 2 pts above national avg 83.1 · [object Object]
What the federal data reveals: NANCY CARLSON, MD is a Maternal & Fetal Medicine Physician ([object Object]) practicing in ROCKFORD, Illinois . Their CMS MIPS Final Score of 84.8851/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: NANCY CARLSON, MD reported a CMS MIPS final score of 84.8851 out of 100, above the 83.1 national average. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

NANCY CARLSON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

NANCY CARLSON, MD at a glance

Near national average

NPI registry status

Active

Issued 08/30/2006

NPI 1326158502

Primary specialty

Maternal & Fetal Medicine Physician

Niche

2,103 US NPIs in this specialty

MIPS final score

84.8851/100 1.7851% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Maternal & Fetal Medicine Physician compares to other specialties among Illinois providers

Illinois providers

Maternal & Fetal Medicine Physician share within Illinois

1. Maternal & Fetal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Maternal & Fetal Medicine Physician share within Illinois

Medicare quality performance — MIPS

NANCY CARLSON, MD's 2023 MIPS final score plotted against the Maternal & Fetal Medicine Physician national average

Near national average
MIPS Final Score
84.8851/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Maternal & Fetal Medicine Physician) — 84.8851/100 vs national avg 83.1

0%100%National avg83%84.9%
MIPS final score (Maternal & Fetal Medicine Physician) — 84.8851/100 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).

NANCY CARLSON, MD is a Maternal & Fetal Medicine Physician provider practicing in ROCKFORD, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1326158502. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

NANCY CARLSON, MD appears in the CMS NPPES registry as a Maternal & Fetal Medicine Physician provider holding MD credentials at 2400 N ROCKTON AVE, ROCKFORD, IL, 61103, with a listed phone of (815) 971-5000. NPI 1326158502 was issued on 08/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARLSON 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 prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Maternal & Fetal Medicine Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.8851/100 for the 2023 performance year (Quality 81.2912, Cost 68.3258), compared with the national average of 83.1.

Maternal & Fetal Medicine Physician is a narrow specialty nationwide, with 2,103 enrolled providers across 52 states and an average of 75 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

2400 N ROCKTON AVE
ROCKFORD, IL 61103

Provider Details

NPI 1326158502
Specialty Maternal & Fetal Medicine Physician
Credentials MD
Gender Female
NPI Issued 08/30/2006

CMS Quality Score (MIPS)

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

84.8851
Final Score
Avg: 83.1
81.2912
Quality
68.3258
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 NANCY CARLSON, MD. To verify NANCY CARLSON, 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.

Maternal & Fetal Medicine Physician Overview

How NANCY CARLSON, MD fits within the Maternal & Fetal Medicine Physician landscape nationally.

2,103
Maternal & Fetal Medicine Physician Providers in US
52
States with Maternal & Fetal Medicine Physician
75
Avg Claims per Provider

Nearby Maternal & Fetal Medicine Physician Providers in Illinois

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

Compare Maternal & Fetal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NANCY CARLSON, MD's specialty?
NANCY CARLSON, MD specializes in Maternal & Fetal Medicine Physician and practices in ROCKFORD, Illinois. Credentials: MD.
What is NANCY CARLSON, MD's Medicare quality score?
NANCY CARLSON, MD has a CMS MIPS Final Score of 84.8851/100 (Quality: 81.2912, Cost: 68.3258). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NANCY CARLSON, MD located?
NANCY CARLSON, MD is located at 2400 N ROCKTON AVE, ROCKFORD, IL, 61103. Phone: (815) 971-5000.
What is NANCY CARLSON, MD's NPI number?
NANCY CARLSON, MD's National Provider Identifier (NPI) is 1326158502, issued on 08/30/2006.
How many Maternal & Fetal Medicine Physician providers are there in the US?
There are 2,103 Maternal & Fetal Medicine Physician providers across 52 states in the US. The average Maternal & Fetal Medicine Physician provider writes 75 Medicare Part D claims per year.
Does NANCY CARLSON, MD accept Medicare?
NANCY CARLSON, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NANCY CARLSON, MD's credentials?
NANCY CARLSON, MD's NPI is 1326158502 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.
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