2026 NPPES data Pediatric Nurse Practitioner NPI 1700227733 PPCNP-BC
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DANA MADDEN, PPCNP-BC

Pediatric Nurse Practitioner in CHARLOTTESVILLE, Virginia. 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
39
Medicare Part D claims · Pediatric Nurse Practitioner avg: 312
MIPS score
79.3949/100
▼ 4 pts below national avg 83.1 · [object Object]

What the federal data shows

DANA MADDEN, PPCNP-BC reported a CMS MIPS final score of 79.3949/100 — below the 83.1 national average — and filed 39 Medicare Part D claims in 2023.

79.3949/100
MIPS score · -4 vs avg
39
Part D claims, 2023

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.

DANA MADDEN, PPCNP-BC's MIPS score vs every scored U.S. clinician

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

79 30th percentile higher than 30% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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

What does the federal data show about DANA MADDEN, PPCNP-BC?

Near national average

NPI registry status

Active

Issued 07/06/2013

NPI 1700227733

Primary specialty

Pediatric Nurse Practitioner

Mid-sized

21,082 US NPIs in this specialty

Medicare Part D claims

39 87% vs specialty avg

2023 prescription claims

Specialty avg: 312

MIPS final score

79.3949/100 3.7050999999999874% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Pediatric Nurse Practitioner compares to other specialties among Virginia providers

Virginia providers

Pediatric Nurse Practitioner share within Virginia

1. Pediatric Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Nurse Practitioner share within Virginia

Medicare quality performance — MIPS

DANA MADDEN, PPCNP-BC's 2023 MIPS final score plotted against the Pediatric Nurse Practitioner national average

Near national average
MIPS Final Score
79.3949/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Nurse Practitioner) — 79.3949/100 vs national avg 83.1

0%100%National avg83%79.4%
MIPS final score (Pediatric Nurse Practitioner) — 79.3949/100 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).

DANA MADDEN, PPCNP-BC appears in the CMS NPPES registry as a Pediatric Nurse Practitioner provider holding PPCNP-BC credentials at 1204 W MAIN ST, CHARLOTTESVILLE, VA, 22903, with a listed phone of (434) 924-0123. NPI 1700227733 was issued on 07/06/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MADDEN 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 39 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $1K in drug spend. 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 79.3949/100 for the 2023 performance year (Quality 73.6607, Cost 57.6556), compared with the national average of 83.1.

Pediatric Nurse Practitioner is a mid-sized specialty nationwide, with 21,082 enrolled providers across 52 states and an average of 312 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

1204 W MAIN ST
CHARLOTTESVILLE, VA 22903

Provider Details

NPI 1700227733
Specialty Pediatric Nurse Practitioner
Credentials PPCNP-BC
Gender Female
NPI Issued 07/06/2013

CMS Quality Score (MIPS)

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

79.3949
Final Score
Avg: 83.1
73.6607
Quality
57.6556
Cost
100
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

39
Total Claims
$1K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
57
Total Day Supply
1,710
Brand Drug Cost
$0
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
23.5 years
Avg HCC Risk Score
0.67

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Clonidine Hcl
15

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

Pediatric Nurse Practitioner Overview

How DANA MADDEN, PPCNP-BC fits within the Pediatric Nurse Practitioner landscape nationally.

21,082
Pediatric Nurse Practitioner Providers in US
52
States with Pediatric Nurse Practitioner
312
Avg Claims per Provider

DANA MADDEN, PPCNP-BC's 39 claims are below the specialty average of 312.

Nearby Pediatric Nurse Practitioner Providers in Virginia

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

Compare Pediatric Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is DANA MADDEN, PPCNP-BC's specialty?
DANA MADDEN, PPCNP-BC specializes in Pediatric Nurse Practitioner and practices in CHARLOTTESVILLE, Virginia. Credentials: PPCNP-BC.
How much does DANA MADDEN, PPCNP-BC prescribe under Medicare Part D?
In 2023, DANA MADDEN, PPCNP-BC wrote 39 Medicare Part D claims totaling $1K in drug costs for N/A beneficiaries.
What is DANA MADDEN, PPCNP-BC's Medicare quality score?
DANA MADDEN, PPCNP-BC has a CMS MIPS Final Score of 79.3949/100 (Quality: 73.6607, Cost: 57.6556). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DANA MADDEN, PPCNP-BC located?
DANA MADDEN, PPCNP-BC is located at 1204 W MAIN ST, CHARLOTTESVILLE, VA, 22903. Phone: (434) 924-0123.
What is DANA MADDEN, PPCNP-BC's NPI number?
DANA MADDEN, PPCNP-BC's National Provider Identifier (NPI) is 1700227733, issued on 07/06/2013.
How many Pediatric Nurse Practitioner providers are there in the US?
There are 21,082 Pediatric Nurse Practitioner providers across 52 states in the US. The average Pediatric Nurse Practitioner provider writes 312 Medicare Part D claims per year.
What drugs does DANA MADDEN, PPCNP-BC prescribe most often?
Based on 2023 Medicare Part D data, DANA MADDEN, PPCNP-BC's most frequently prescribed drugs include Clonidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DANA MADDEN, PPCNP-BC accept Medicare?
DANA MADDEN, PPCNP-BC appears in CMS Medicare data with 39 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DANA MADDEN, PPCNP-BC's credentials?
DANA MADDEN, PPCNP-BC's NPI is 1700227733 with credentials PPCNP-BC. 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