GRANT MACAULAY, M.D.
Legal Medicine in MADISON, Wisconsin. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What stands out: GRANT MACAULAY, M.D. filed 1,373 Medicare Part D claims in 2023 across MADISON, Wisconsin. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.
GRANT MACAULAY, M.D. at a glance
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Wisconsin
How Legal Medicine compares to other specialties among Wisconsin providers
Legal Medicine share within Wisconsin
Legal Medicine is one of the more visible NUCC categories in Wisconsin
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Legal Medicine (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Legal Medicine ABMS/AOA estimate
Est. board-certified rate (Legal Medicine) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Legal Medicine US NPIs
Specialty board-certified rate — Legal Medicine estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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).
GRANT MACAULAY, M.D. is a Legal Medicine provider practicing in MADISON, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1053360719. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.
GRANT MACAULAY, M.D. appears in the CMS NPPES registry as a Legal Medicine provider holding M.D. credentials at 752 N HIGH POINT RD, MADISON, WI, 53717, with a listed phone of (608) 824-4000. NPI 1053360719 was issued on 05/09/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MACAULAY 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 1,373 prescription claims written by this provider, covering 328 Medicare beneficiaries and totaling roughly $112K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 5.8%. 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.
Legal Medicine is a narrow specialty nationwide, with 1,067 enrolled providers across 51 states and an average of 2,821 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 | 1053360719 |
|---|---|
| Specialty | Legal Medicine |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 05/09/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm GRANT MACAULAY, M.D.'s current license status, disciplinary history, and board certifications with the Wisconsin Department of Safety and Professional Services in Wisconsin before relying on this page for a clinical or care decision.
How we sourced this profile
Brand vs generic prescribing mix · Typical
11% brand-name claims vs 89% generic, on 1,373 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.
Prescribing Breakdown
- 30-Day Fills
- 2,558
- Total Day Supply
- 71,500
- Brand vs Generic
- 11% brand / 89% generic
- Brand Drug Cost
- $86K
- Generic Drug Cost
- $26K
- Opioid Claims
- 80 (5.8% rate)
- Antibiotic Claims
- 33
Patient Demographics
- Average Patient Age
- 74.4 years
- Avg HCC Risk Score
- 1.02
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 30, 65-74: 139, 75-84: 110, 85+: 49
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 69 |
| Levothyroxine Sodium | 41 |
| Omeprazole | 39 |
| Metoprolol Succinate | 33 |
| Amlodipine Besylate | 32 |
| Eliquis Apixaban | 26 |
| Diclofenac Sodium | 25 |
| Hydrochlorothiazide | 25 |
| Tramadol Hcl | 25 |
| Oxycodone Hcl | 24 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Legal Medicine Overview
How GRANT MACAULAY, M.D. fits within the Legal Medicine landscape nationally.
GRANT MACAULAY, M.D.'s 1,373 claims are below the specialty average of 2,821.
Nearby Legal Medicine Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as MACAULAY.
Compare Legal Medicine nationally: see state-by-state distribution →
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Frequently Asked Questions
What is GRANT MACAULAY, M.D.'s specialty? ▼
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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.
- 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