2026 NPPES data Orthopaedic Surgery Physician NPI 1376544262 MD
Verify on CMS →

J. MADDOX, MD

Orthopaedic Surgery Physician in DOTHAN, Alabama. 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
794
Medicare Part D claims · 250 beneficiaries · Orthopaedic Surgery Physician avg: 324
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$39.99
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: J. MADDOX, MD is a Orthopaedic Surgery Physician ([object Object]) practicing in DOTHAN, Alabama with a Medicare Part D prescribing footprint of 794 claims across 250 beneficiaries — 9% brand-name prescribing . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $39.99 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: J. MADDOX, MD reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 794 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

J. MADDOX, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

J. MADDOX, MD at a glance

Below national average

NPI registry status

Active

Issued 08/02/2005

NPI 1376544262

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

794 145% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Alabama

How Orthopaedic Surgery Physician compares to other specialties among Alabama providers

Alabama providers

Orthopaedic Surgery Physician share within Alabama

1. Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery Physician share within Alabama

Medicare quality performance — MIPS

J. MADDOX, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Orthopaedic Surgery Physician) — 75/100 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).

J. MADDOX, MD is a Orthopaedic Surgery Physician provider practicing in DOTHAN, Alabama, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1376544262. 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.

J. MADDOX, MD appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding MD credentials at 1500 ROSS CLARK CIR, DOTHAN, AL, 36301, with a listed phone of (334) 793-2663. NPI 1376544262 was issued on 08/02/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MADDOX 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 794 prescription claims written by this provider, covering 250 Medicare beneficiaries and totaling roughly $75K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 22.5%. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

1500 ROSS CLARK CIR
DOTHAN, AL 36301

Provider Details

NPI 1376544262
Specialty Orthopaedic Surgery Physician
Credentials MD
Gender Male
NPI Issued 08/02/2005

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

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 J. MADDOX, MD. Source: openpaymentsdata.cms.gov.

Total received

$40

Largest payer

PFIZER INC.

Most common payment type

Education

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 · Generic-heavy

J. MADDOX, MD — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 794 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.

794
Total Claims
$75K
Total Drug Cost
250
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
933
Total Day Supply
20,280
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$57K
Generic Drug Cost
$19K
Opioid Claims
179 (22.5% rate)
Antibiotic Claims
57

Patient Demographics

Average Patient Age
70.2 years
Avg HCC Risk Score
1.42
Gender Split
64% female / 36% male
Age Distribution
<65: 54, 65-74: 119, 75-84: 65, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Meloxicam
78
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
74
Tramadol Hcl
64
Diclofenac Sodium
62
Methocarbamol
62
Celecoxib
50
Gabapentin
45
Ondansetron Hcl
31
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
22
Acetaminophen-Codeine
Acetaminophen With Codeine
15

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

Orthopaedic Surgery Physician Overview

How J. MADDOX, MD fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

J. MADDOX, MD's 794 claims are above the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Alabama

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

Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is J. MADDOX, MD's specialty?
J. MADDOX, MD specializes in Orthopaedic Surgery Physician and practices in DOTHAN, Alabama. Credentials: MD.
How much does J. MADDOX, MD prescribe under Medicare Part D?
In 2023, J. MADDOX, MD wrote 794 Medicare Part D claims totaling $75K in drug costs for 250 beneficiaries.
What is J. MADDOX, MD's Medicare quality score?
J. MADDOX, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is J. MADDOX, MD located?
J. MADDOX, MD is located at 1500 ROSS CLARK CIR, DOTHAN, AL, 36301. Phone: (334) 793-2663.
What is J. MADDOX, MD's NPI number?
J. MADDOX, MD's National Provider Identifier (NPI) is 1376544262, issued on 08/02/2005.
Does J. MADDOX, MD prescribe more brand-name or generic drugs?
J. MADDOX, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $57K in brand drug costs.
Does J. MADDOX, MD prescribe opioids?
Yes, J. MADDOX, MD had 179 opioid claims in 2023 with an opioid prescribing rate of 22.5%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does J. MADDOX, MD prescribe most often?
Based on 2023 Medicare Part D data, J. MADDOX, MD's most frequently prescribed drugs include Meloxicam, Hydrocodone-Acetaminophen, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does J. MADDOX, MD accept Medicare?
J. MADDOX, MD appears in CMS Medicare data with 794 Part D claims and 250 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify J. MADDOX, MD's credentials?
J. MADDOX, MD's NPI is 1376544262 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