2026 NPPES data Pediatrics Physician NPI 1295093615 M.D.
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RACHEL APPLE, M.D.

Pediatrics Physician in NASHVILLE, Tennessee. 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
1K
Medicare Part D claims · 105 beneficiaries · Pediatrics Physician avg: 762
MIPS score
97.1279/100
▲ 14 pts above national avg 83.1 · [object Object]
What the federal data reveals: RACHEL APPLE, M.D. is a Pediatrics Physician ([object Object]) practicing in NASHVILLE, Tennessee with a Medicare Part D prescribing footprint of 1K claims across 105 beneficiaries . Their CMS MIPS Final Score of 97.1279/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: RACHEL APPLE, M.D. reported a CMS MIPS final score of 97.1279 out of 100, above the 83.1 national average, and filed 1,477 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)

RACHEL APPLE, M.D. 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).

RACHEL APPLE, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/24/2012

NPI 1295093615

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

1,477 94% vs specialty avg

2023 prescription claims

Specialty avg: 762

MIPS final score

97.1279/100 14.027900000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Tennessee

How Pediatrics Physician compares to other specialties among Tennessee providers

Tennessee providers

Pediatrics Physician share within Tennessee

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within Tennessee

Medicare quality performance — MIPS

RACHEL APPLE, M.D.'s 2023 MIPS final score plotted against the Pediatrics Physician national average

High performer (top quartile)
MIPS Final Score
97.1279/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatrics Physician) — 97.1279/100 vs national avg 83.1

0%100%National avg83%97.1%
MIPS final score (Pediatrics Physician) — 97.1279/100 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).

RACHEL APPLE, M.D. is a Pediatrics Physician provider practicing in NASHVILLE, Tennessee, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1295093615. 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.

RACHEL APPLE, M.D. appears in the CMS NPPES registry as a Pediatrics Physician provider holding M.D. credentials at 3601 THE VANDERBILT CLINIC, NASHVILLE, TN, 37232, with a listed phone of (615) 322-3000. NPI 1295093615 was issued on 04/24/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what APPLE 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 1,477 prescription claims written by this provider, covering 105 Medicare beneficiaries and totaling roughly $201K in drug spend, with an opioid prescribing rate of 3.0%. 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 97.1279/100 for the 2023 performance year (Quality 85.6458), compared with the national average of 83.1.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 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

3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232

Provider Details

NPI 1295093615
Specialty Pediatrics Physician
Credentials M.D.
Gender Female
NPI Issued 04/24/2012

CMS Quality Score (MIPS)

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

97.1279
Final Score
Avg: 83.1
85.6458
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where RACHEL APPLE, 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.

VANDERBILT UNIVERSITY MEDICAL CENTER
★★★★★ 5/5
NASHVILLE, TN
Acute Care Hospitals
CMS CCN: 440039

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.

1,477
Total Claims
$201K
Total Drug Cost
105
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,019
Total Day Supply
88,012
Generic Drug Cost
$30K
Opioid Claims
45 (3.0% rate)

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
1.43
Gender Split
69% female / 31% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
79
Losartan Potassium
74
Amlodipine Besylate
55
Gabapentin
43
Rosuvastatin Calcium
43
Omeprazole
39
Levothyroxine Sodium
38
Buspirone Hcl
35
Mirtazapine
34
Hydrochlorothiazide
25

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

Pediatrics Physician Overview

How RACHEL APPLE, M.D. fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

RACHEL APPLE, M.D.'s 1,477 claims are above the specialty average of 762.

Nearby Pediatrics Physician Providers in Tennessee

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

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

Frequently Asked Questions

What is RACHEL APPLE, M.D.'s specialty?
RACHEL APPLE, M.D. specializes in Pediatrics Physician and practices in NASHVILLE, Tennessee. Credentials: M.D..
How much does RACHEL APPLE, M.D. prescribe under Medicare Part D?
In 2023, RACHEL APPLE, M.D. wrote 1,477 Medicare Part D claims totaling $201K in drug costs for 105 beneficiaries.
What is RACHEL APPLE, M.D.'s Medicare quality score?
RACHEL APPLE, M.D. has a CMS MIPS Final Score of 97.1279/100 (Quality: 85.6458). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RACHEL APPLE, M.D. located?
RACHEL APPLE, M.D. is located at 3601 THE VANDERBILT CLINIC, NASHVILLE, TN, 37232. Phone: (615) 322-3000.
What is RACHEL APPLE, M.D.'s NPI number?
RACHEL APPLE, M.D.'s National Provider Identifier (NPI) is 1295093615, issued on 04/24/2012.
Does RACHEL APPLE, M.D. prescribe opioids?
Yes, RACHEL APPLE, M.D. had 45 opioid claims in 2023 with an opioid prescribing rate of 3.0%.
How many Pediatrics Physician providers are there in the US?
There are 80,574 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 RACHEL APPLE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RACHEL APPLE, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Losartan Potassium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RACHEL APPLE, M.D. accept Medicare?
RACHEL APPLE, M.D. appears in CMS Medicare data with 1,477 Part D claims and 105 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RACHEL APPLE, M.D.'s credentials?
RACHEL APPLE, M.D.'s NPI is 1295093615 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