NPI registry status
Active
2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1851719280 MD
Verify on CMS → Rachel Valentine, MD
Student in an Organized Health Care Education/Training Program 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 331,274 in Student in an Organized Health Care Education/Training Program, 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
84
Medicare Part D claims · 41 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.1/100
▲ 14 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Rachel Valentine, MD reported a CMS MIPS final score of 97.1/100 - above the 83.5 national average - and filed 84 Medicare Part D claims in 2023.
- 97.1/100
- MIPS score · +14 vs avg
- 84
- Part D claims, 2023
- 83%
- generic prescribing
- ≥84th
- pct among measured MIPS (lower-bound band)
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.
CMS NPPES provider registry desk
NPI 1851719280 · Student in an Organized Health Care Education/Training Program
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-ELITE · RX-TRACE · BOOK-MID · PHOTO-FINISH
- NPI-10 1851719280
- ENUM-MID 2014
- TAX-MEGA 331K Student in
- MIPS-ELITE 97.1/100
- RX-TRACE 84
- BOOK-MID 5,613 in Tennessee
- PHOTO-FINISH Thomas Horton · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Valentine · this…
Valentine · this provider
97.1 MIPS pts
- Amanda Shakal · …
Amanda Shakal
97.1 MIPS pts
- Thomas Horton · …
Thomas Horton
97.1 MIPS pts
- Mary Ellen Koran…
Mary Ellen Koran
97.1 MIPS pts
- Margaret Rinaldi…
Margaret Rinaldi
97.1 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Rachel Valentine, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
97 ≥ 84th percentile 84% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Rachel Valentine, MD sits
This provider among student in an organized health care education/training program peers
Across the 12,177 student in an organized health care education/training program providers who report both Medicare Part D prescribing and a MIPS quality score, Rachel Valentine, MD writes more Part D claims than 23% of them and scores higher on MIPS quality than 84% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one student in an organized health care education/training program peer from a representative sample of 60; the gold marker is Rachel Valentine, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Rachel Valentine, MD?
High performer (top quartile)Primary specialty
Student in an Organized Health Care Education/Training Program
Medicare Part D claims
84 82% vs specialty avg
MIPS final score
97.1/100 13.6 pts vs avg
Specialty distribution in Tennessee
How Student in an Organized Health Care Education/Training Program compares to other specialties among Tennessee providers
Medicare quality performance, MIPS
Rachel Valentine, MD's 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average
- MIPS Final Score
- 97.1/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1851719280 |
|---|---|
| Specialty | Student in an Organized Health Care Education/Training Program |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 04/02/2014 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.1279
Final Score
Measured-score avg: 83.5
85.6458
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Rachel Valentine, MD 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).
Brand vs generic prescribing mix · Typical
Rachel Valentine, MD - brand share 17.0%
Student in an Organized Health Care Education/Training Program average
17% brand-name claims vs 83% generic, on 84 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.
84
Total Claims
$6K
Total Drug Cost
41
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 127
- Total Day Supply
- 3,089
- Brand vs Generic
- 17% brand / 83% generic
- Brand Drug Cost
- $4K
- Generic Drug Cost
- $2K
Patient Demographics
- Average Patient Age
- 66.5 years
- Avg HCC Risk Score
- 1.10
- Gender Split
- 100% female / 0% 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 |
|---|---|
| Estradiol | 16 |
| Naproxen | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Student in an Organized Health Care Education/Training Program in TN →
All providers in Tennessee →
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Student in an Organized Health Care Education/Training Program Overview
How Rachel Valentine, MD fits within the Student in an Organized Health Care Education/Training Program landscape nationally.
331,274
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
Rachel Valentine, MD's 84 claims are below the specialty average of 459.
Nationwide Student in an Organized Health Care Education/Training Program peers with similar MIPS or enrollment year
Two federal-record peer sets for Valentine, both outside Tennessee so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (97.1 here).
Same NPPES enumeration year (2014)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Student in an Organized Health Care Education/Training Program Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as Valentine.
One of 5,613 Student in an Organized Health Care Education/Training Program providers enrolled in Tennessee, 5 are shown here.
Frequently Asked Questions
What is Rachel Valentine, MD's specialty? ▼
Rachel Valentine, MD specializes in Student in an Organized Health Care Education/Training Program and practices in Nashville, Tennessee. Credentials: MD.
How much does Rachel Valentine, MD prescribe under Medicare Part D? ▼
In 2023, Rachel Valentine, MD wrote 84 Medicare Part D claims totaling $6K in drug costs for 41 beneficiaries.
What is Rachel Valentine, MD's Medicare quality score? ▼
Rachel Valentine, MD has a CMS MIPS Final Score of 97.1/100 (Quality: 85.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Rachel Valentine, MD located? ▼
Rachel Valentine, MD is located at 3601 THE VANDERBILT CLINIC, Nashville, TN, 37232. Phone: (615) 963-2000.
What is Rachel Valentine, MD's NPI number? ▼
Rachel Valentine, MD's National Provider Identifier (NPI) is 1851719280, issued on 04/02/2014.
Does Rachel Valentine, MD prescribe more brand-name or generic drugs? ▼
Rachel Valentine, MD's prescribing is 17% brand-name and 83% generic drugs by claim count, with $4K in brand drug costs.
How many Student in an Organized Health Care Education/Training Program providers are there in the US? ▼
There are 331,274 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.
What drugs does Rachel Valentine, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Rachel Valentine, MD's most frequently prescribed drugs include Estradiol, Naproxen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rachel Valentine, MD accept Medicare? ▼
Rachel Valentine, MD appears in CMS Medicare data with 84 Part D claims and 41 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rachel Valentine, MD's credentials? ▼
Rachel Valentine, MD's NPI is 1851719280 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
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
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.