2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1043717432 MD
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Serena Macdonald, MD

Student in an Organized Health Care Education/Training Program in Wilson, North Carolina. 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
6K
Medicare Part D claims · 359 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.3/100
▲ 15 pts above national avg 83.1 · Exceptional
Industry payments
$169.86
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Serena Macdonald, MD reported a CMS MIPS final score of 98.3/100 — above the 83.1 national average — and filed 5,962 Medicare Part D claims in 2023.

98.3/100
MIPS score · +15 vs avg
6K
Part D claims, 2023
86%
generic prescribing
$169.86
industry payments (Sunshine Act)

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.

Serena Macdonald, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

98 Top 11% higher than 89% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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 Serena Macdonald, MD sits

This provider among student in an organized health care education/training program peers

Across the 12,645 student in an organized health care education/training program providers who report both Medicare Part D prescribing and a MIPS quality score, Serena Macdonald, MD writes more Part D claims than 97% of them and scores higher on MIPS quality than 89% — 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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentile
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one student in an organized health care education/training program peer from a representative sample of 60; the gold marker is Serena Macdonald, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Serena Macdonald, MD?

High performer (top quartile)

NPI registry status

Active

Issued 04/11/2018

NPI 1043717432

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

5,962 13× vs specialty avg

2023 prescription claims

Specialty avg: 459

MIPS final score

98.3/100 15.2 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Student in an Organized Health Care Education/Training Program compares to other specialties among North Carolina providers

North Carolina providers

Student in an Organized Health Care Education/Training Program share within North Carolina

1. Student in an Organized Health Care Education/Training Program42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Student in an Organized Health Care Education/Training Program share within North Carolina

Medicare quality performance — MIPS

Serena Macdonald, MD's 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average

High performer (top quartile)
MIPS Final Score
98.3/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Student in an Organized Health Care Education/Training Program) — 98.3/100 vs national avg 83.1

0%100%National avg83%98.3%
MIPS final score (Student in an Organized Health Care Education/Training Program) — 98.3/100 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).

Serena Macdonald, MD appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding MD credentials at 3724 RALEIGH ROAD PKWY W, Wilson, NC, 27896, with a listed phone of (252) 246-8840. NPI 1043717432 was issued on 04/11/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Macdonald 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 5,962 prescription claims written by this provider, covering 359 Medicare beneficiaries and totaling roughly $728K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 0.8%. 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 98.3/100 for the 2023 performance year (Quality 82.9), compared with the national average of 83.1.

Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 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

3724 RALEIGH ROAD PKWY W
Wilson, NC 27896

Provider Details

NPI 1043717432
Specialty Student in an Organized Health Care Education/Training Program
Credentials MD
Gender Female
NPI Issued 04/11/2018

CMS Quality Score (MIPS)

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

98.333
Final Score
Avg: 83.1
82.9398
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Serena Macdonald, 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.

Comprehensive Rehab OF Wilson, Inc.
Wilson, NC
Vidant Medical Group LLC
Wilson, NC

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 Serena Macdonald, MD. Source: openpaymentsdata.cms.gov.

Total received

$170

Largest payer

ABBVIE 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

Serena Macdonald, MD — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 5,962 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.

5,962
Total Claims
$728K
Total Drug Cost
359
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
12,080
Total Day Supply
354,466
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$629K
Generic Drug Cost
$98K
Opioid Claims
48 (0.8% rate)
Antibiotic Claims
95

Patient Demographics

Average Patient Age
71.0 years
Avg HCC Risk Score
1.19
Gender Split
60% female / 40% male
Age Distribution
<65: 62, 65-74: 167, 75-84: 100, 85+: 30

Top Prescribed Drugs (Medicare Part D)

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

What Serena Macdonald, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Amlodipine Besylate
359
Atorvastatin Calcium
340
Gabapentin
212
Lisinopril
199
Rosuvastatin Calcium
199
Levothyroxine Sodium
151
Hydrochlorothiazide
143
Metformin Hcl
136
Pantoprazole Sodium
132
Pravastatin Sodium
127

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

Student in an Organized Health Care Education/Training Program Overview

How Serena Macdonald, MD fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,761
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

Serena Macdonald, MD's 5,962 claims are above the specialty average of 459.

Nearby Student in an Organized Health Care Education/Training Program Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Macdonald.

Compare Student in an Organized Health Care Education/Training Program 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 North Carolina medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Student in an Organized Health Care Education/Training Program 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.

Frequently Asked Questions

What is Serena Macdonald, MD's specialty?
Serena Macdonald, MD specializes in Student in an Organized Health Care Education/Training Program and practices in Wilson, North Carolina. Credentials: MD.
How much does Serena Macdonald, MD prescribe under Medicare Part D?
In 2023, Serena Macdonald, MD wrote 5,962 Medicare Part D claims totaling $728K in drug costs for 359 beneficiaries.
What is Serena Macdonald, MD's Medicare quality score?
Serena Macdonald, MD has a CMS MIPS Final Score of 98.3/100 (Quality: 82.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Serena Macdonald, MD located?
Serena Macdonald, MD is located at 3724 RALEIGH ROAD PKWY W, Wilson, NC, 27896. Phone: (252) 246-8840.
What is Serena Macdonald, MD's NPI number?
Serena Macdonald, MD's National Provider Identifier (NPI) is 1043717432, issued on 04/11/2018.
Does Serena Macdonald, MD prescribe more brand-name or generic drugs?
Serena Macdonald, MD's prescribing is 14% brand-name and 86% generic drugs by claim count, with $629K in brand drug costs.
Does Serena Macdonald, MD prescribe opioids?
Yes, Serena Macdonald, MD had 48 opioid claims in 2023 with an opioid prescribing rate of 0.8%.
How many Student in an Organized Health Care Education/Training Program providers are there in the US?
There are 331,761 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 Serena Macdonald, MD prescribe most often?
Based on 2023 Medicare Part D data, Serena Macdonald, MD's most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Serena Macdonald, MD accept Medicare?
Serena Macdonald, MD appears in CMS Medicare data with 5,962 Part D claims and 359 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Serena Macdonald, MD's credentials?
Serena Macdonald, MD's NPI is 1043717432 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.
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