2026 NPPES data Dermatology Physician NPI 1922531201 M.D.
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NATALIE FRAGOSO, M.D.

Dermatology Physician in LEBANON, New Hampshire. 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
900
Medicare Part D claims · 410 beneficiaries · Dermatology Physician avg: 729
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
69.4014/100
▼ 14 pts below national avg 83.1 · [object Object]
Industry payments
$1.9K
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NATALIE FRAGOSO, M.D. is a Dermatology Physician ([object Object]) practicing in LEBANON, New Hampshire with a Medicare Part D prescribing footprint of 900 claims across 410 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 69.4014/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.9K across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NATALIE FRAGOSO, M.D. reported a CMS MIPS final score of 69.4014 out of 100, below the 83.1 national average, and filed 900 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

NATALIE FRAGOSO, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

NATALIE FRAGOSO, M.D. at a glance

Below national average

NPI registry status

Active

Issued 04/04/2017

NPI 1922531201

Primary specialty

Dermatology Physician

Mid-sized

14,610 US NPIs in this specialty

Medicare Part D claims

900 23% vs specialty avg

2023 prescription claims

Specialty avg: 729

MIPS final score

69.4014/100 13.698599999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in New Hampshire

How Dermatology Physician compares to other specialties among New Hampshire providers

New Hampshire providers

Dermatology Physician share within New Hampshire

1. Dermatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Dermatology Physician share within New Hampshire

Medicare quality performance — MIPS

NATALIE FRAGOSO, M.D.'s 2023 MIPS final score plotted against the Dermatology Physician national average

Below national average
MIPS Final Score
69.4014/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Dermatology Physician) — 69.4014/100 vs national avg 83.1

0%100%National avg83%69.4%
MIPS final score (Dermatology Physician) — 69.4014/100 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).

NATALIE FRAGOSO, M.D. is a Dermatology Physician provider practicing in LEBANON, New Hampshire, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1922531201. 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.

NATALIE FRAGOSO, M.D. appears in the CMS NPPES registry as a Dermatology Physician provider holding M.D. credentials at 18 OLD ETNA RD, LEBANON, NH, 03766, with a listed phone of (603) 650-3100. NPI 1922531201 was issued on 04/04/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FRAGOSO 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 900 prescription claims written by this provider, covering 410 Medicare beneficiaries and totaling roughly $734K in drug spend, split 12% brand-name and 88% 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 69.4014/100 for the 2023 performance year (Quality 55.6429, Cost 42.3618), compared with the national average of 83.1.

Dermatology Physician is a mid-sized specialty nationwide, with 14,610 enrolled providers across 53 states and an average of 729 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

18 OLD ETNA RD
LEBANON, NH 03766

Provider Details

NPI 1922531201
Specialty Dermatology Physician
Credentials M.D.
Gender Female
NPI Issued 04/04/2017

CMS Quality Score (MIPS)

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

69.4014
Final Score
Avg: 83.1
55.6429
Quality
42.3618
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NATALIE FRAGOSO, M.D. 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.

MARY HITCHCOCK MEMORIAL HOSPITAL
★★★☆☆ 3/5
LEBANON, NH
Acute Care Hospitals
CMS CCN: 300003
DARTMOUTH-HITCHCOCK CLINIC
LEBANON, NH

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 NATALIE FRAGOSO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.9K

Largest payer

UCB, 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.

Brand vs generic prescribing mix · Typical

NATALIE FRAGOSO, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 900 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.

900
Total Claims
$734K
Total Drug Cost
410
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,151
Total Day Supply
29,874
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$703K
Generic Drug Cost
$31K
Antibiotic Claims
33

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
0.95
Gender Split
63% female / 37% male
Age Distribution
<65: 25, 65-74: 179, 75-84: 159, 85+: 47

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Ketoconazole
111
Triamcinolone Acetonide
103
Fluorouracil
59
Clobetasol Propionate
58
Clindamycin Phosphate
55
Betamethasone Diprop Augmented
Betamethasone/Propylene Glyc
41
Dupixent Pen
Dupilumab
39
Metronidazole
35
Hydrocortisone
32
Fluocinonide
31

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Dermatology Physician Overview

How NATALIE FRAGOSO, M.D. fits within the Dermatology Physician landscape nationally.

14,610
Dermatology Physician Providers in US
53
States with Dermatology Physician
729
Avg Claims per Provider

NATALIE FRAGOSO, M.D.'s 900 claims are above the specialty average of 729.

Nearby Dermatology Physician Providers in New Hampshire

Other clinicians with the same primary specialty enrolled in New Hampshire, drawn from the same CMS NPPES roster as FRAGOSO.

Compare Dermatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NATALIE FRAGOSO, M.D.'s specialty?
NATALIE FRAGOSO, M.D. specializes in Dermatology Physician and practices in LEBANON, New Hampshire. Credentials: M.D..
How much does NATALIE FRAGOSO, M.D. prescribe under Medicare Part D?
In 2023, NATALIE FRAGOSO, M.D. wrote 900 Medicare Part D claims totaling $734K in drug costs for 410 beneficiaries.
What is NATALIE FRAGOSO, M.D.'s Medicare quality score?
NATALIE FRAGOSO, M.D. has a CMS MIPS Final Score of 69.4014/100 (Quality: 55.6429, Cost: 42.3618). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NATALIE FRAGOSO, M.D. located?
NATALIE FRAGOSO, M.D. is located at 18 OLD ETNA RD, LEBANON, NH, 03766. Phone: (603) 650-3100.
What is NATALIE FRAGOSO, M.D.'s NPI number?
NATALIE FRAGOSO, M.D.'s National Provider Identifier (NPI) is 1922531201, issued on 04/04/2017.
Does NATALIE FRAGOSO, M.D. prescribe more brand-name or generic drugs?
NATALIE FRAGOSO, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $703K in brand drug costs.
How many Dermatology Physician providers are there in the US?
There are 14,610 Dermatology Physician providers across 53 states in the US. The average Dermatology Physician provider writes 729 Medicare Part D claims per year.
What drugs does NATALIE FRAGOSO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, NATALIE FRAGOSO, M.D.'s most frequently prescribed drugs include Ketoconazole, Triamcinolone Acetonide, Fluorouracil. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NATALIE FRAGOSO, M.D. accept Medicare?
NATALIE FRAGOSO, M.D. appears in CMS Medicare data with 900 Part D claims and 410 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NATALIE FRAGOSO, M.D.'s credentials?
NATALIE FRAGOSO, M.D.'s NPI is 1922531201 with credentials M.D.. 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