2026 NPPES data Family Medicine Physician NPI 1356318406 MD
Verify on CMS →

DULCE MADRID, MD

Family Medicine Physician in HUMBOLDT, 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
13K
Medicare Part D claims · 554 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.6985/100
▲ 10 pts above national avg 83.1 · [object Object]

What the federal data shows

DULCE MADRID, MD reported a CMS MIPS final score of 92.6985/100 — above the 83.1 national average — and filed 13,339 Medicare Part D claims in 2023.

92.6985/100
MIPS score · +10 vs avg
13K
Part D claims, 2023
88%
generic prescribing
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.

DULCE MADRID, MD's MIPS score vs every scored U.S. clinician

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

93 Top 32% higher than 68% 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

Board certification likely (heuristic — not verified)

DULCE MADRID, MD 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 DULCE MADRID, MD?

High performer (top quartile)

NPI registry status

Active

Issued 03/07/2006

NPI 1356318406

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

13,339 290% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

92.6985/100 9.598500000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Tennessee

How Family Medicine Physician compares to other specialties among Tennessee providers

Tennessee providers

Family Medicine Physician share within Tennessee

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

Medicare quality performance — MIPS

DULCE MADRID, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
92.6985/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 92.6985/100 vs national avg 83.1

0%100%National avg83%92.7%
MIPS final score (Family Medicine Physician) — 92.6985/100 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).

DULCE MADRID, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 3568 CHERE CAROL RD, HUMBOLDT, TN, 38343, with a listed phone of (731) 784-7602. NPI 1356318406 was issued on 03/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MADRID 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 13,339 prescription claims written by this provider, covering 554 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 1.8%. 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 92.6985/100 for the 2023 performance year (Quality 85.397), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

3568 CHERE CAROL RD
HUMBOLDT, TN 38343

Provider Details

NPI 1356318406
Specialty Family Medicine Physician
Credentials MD
Gender Female
NPI Issued 03/07/2006

CMS Quality Score (MIPS)

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

92.6985
Final Score
Avg: 83.1
85.397
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where DULCE MADRID, 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.

JACKSON CLINIC PA
JACKSON, TN

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

DULCE MADRID, MD — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 13,339 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.

13,339
Total Claims
$1.1M
Total Drug Cost
554
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
25,007
Total Day Supply
724,669
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$848K
Generic Drug Cost
$203K
Opioid Claims
237 (1.8% rate)
Antibiotic Claims
302

Patient Demographics

Average Patient Age
72.0 years
Avg HCC Risk Score
1.58
Gender Split
71% female / 29% male
Age Distribution
<65: 100, 65-74: 226, 75-84: 155, 85+: 73

Top Prescribed Drugs (Medicare Part D)

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

What DULCE MADRID, 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
Gabapentin
531
Omeprazole
431
Amlodipine Besylate
377
Furosemide
346
Lisinopril
345
Atorvastatin Calcium
330
Alprazolam
326
Albuterol Sulfate Hfa
Albuterol Sulfate
304
Levothyroxine Sodium
273
Pantoprazole Sodium
241

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

Family Medicine Physician Overview

How DULCE MADRID, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

DULCE MADRID, MD's 13,339 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Tennessee

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DULCE MADRID, MD's specialty?
DULCE MADRID, MD specializes in Family Medicine Physician and practices in HUMBOLDT, Tennessee. Credentials: MD.
How much does DULCE MADRID, MD prescribe under Medicare Part D?
In 2023, DULCE MADRID, MD wrote 13,339 Medicare Part D claims totaling $1.1M in drug costs for 554 beneficiaries.
What is DULCE MADRID, MD's Medicare quality score?
DULCE MADRID, MD has a CMS MIPS Final Score of 92.6985/100 (Quality: 85.397). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DULCE MADRID, MD located?
DULCE MADRID, MD is located at 3568 CHERE CAROL RD, HUMBOLDT, TN, 38343. Phone: (731) 784-7602.
What is DULCE MADRID, MD's NPI number?
DULCE MADRID, MD's National Provider Identifier (NPI) is 1356318406, issued on 03/07/2006.
Does DULCE MADRID, MD prescribe more brand-name or generic drugs?
DULCE MADRID, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $848K in brand drug costs.
Does DULCE MADRID, MD prescribe opioids?
Yes, DULCE MADRID, MD had 237 opioid claims in 2023 with an opioid prescribing rate of 1.8%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does DULCE MADRID, MD prescribe most often?
Based on 2023 Medicare Part D data, DULCE MADRID, MD's most frequently prescribed drugs include Gabapentin, Omeprazole, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DULCE MADRID, MD accept Medicare?
DULCE MADRID, MD appears in CMS Medicare data with 13,339 Part D claims and 554 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DULCE MADRID, MD's credentials?
DULCE MADRID, MD's NPI is 1356318406 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