NPI registry status
Active
2026 NPPES data Pediatrics Physician NPI 1295093615 M.D.
Verify on CMS → Rachel Apple, M.D.
Pediatrics Physician in Nashville, Tennessee.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 80,576 in Pediatrics Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 105 beneficiaries · Pediatrics Physician avg: 762
MIPS score
97.1/100
▲ 14 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Rachel Apple, M.D. reported a CMS MIPS final score of 97.1/100 - above the 83.1 national average - and filed 1,477 Medicare Part D claims in 2023.
- 97.1/100
- MIPS score · +14 vs avg
- 1K
- 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.
Rachel Apple, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
97 Top 15% higher than 85% of 477,587 scored providers
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
Where Rachel Apple, M.D. sits
This provider among pediatrics physician peers
Across the 1,120 pediatrics physician providers who report both Medicare Part D prescribing and a MIPS quality score, Rachel Apple, M.D. writes more Part D claims than 80% of them and scores higher on MIPS quality than 81% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pediatrics physician peer from a representative sample of 60; the gold marker is Rachel Apple, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
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).
What does the federal data show about Rachel Apple, M.D.?
High performer (top quartile)Primary specialty
Pediatrics Physician
Medicare Part D claims
1,477 94% vs specialty avg
MIPS final score
97.1/100 14 pts vs avg
Specialty distribution in Tennessee
How Pediatrics Physician compares to other specialties among Tennessee providers
Medicare quality performance, MIPS
Rachel Apple, M.D.'s 2023 MIPS final score plotted against the Pediatrics Physician national average
- MIPS Final Score
- 97.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatrics Physician) - 97.1/100 vs national avg 83.1
How MIPS and board certification work
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. 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.
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%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.1/100 for the 2023 performance year (Quality 85.6), compared with the national average of 83.1.
Pediatrics Physician is a high-volume specialty nationwide, with 80,576 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
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.
What Rachel Apple, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
79 claims
- Losartan Potassium
Losartan Potassium
74 claims
- Amlodipine Besylate
Amlodipine Besylate
55 claims
- Gabapentin
Gabapentin
43 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
43 claims
- Omeprazole
Omeprazole
39 claims
- Levothyroxine Sodium
Levothyroxine Sodium
38 claims
- Buspirone Hcl
Buspirone Hcl
35 claims
| 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.
80,576
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.
Kristie Aamodt
Nashville, TN
Dr. Emad Abdel-Fattah
M.D.
Union City, TN
Dr. Faria Abdullah
M.D
Memphis, TN
Dr. Ma Irene Abillar
MD
Madison, TN
Dr. Angel Acevedo
MD
Knoxville, TN
Compare Pediatrics Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Tennessee medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatrics Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
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How insurance networks affect your costs
Telehealth Guide
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Explore Tennessee
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 97.1/100 (Quality: 85.6). 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 80,576 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.