2026 NPPES data Family Medicine Physician NPI 1538652813 MD
Verify on CMS →

Jacob Maddela, MD

Family Medicine Physician in Moneta, 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
4K
Medicare Part D claims · 483 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.1/100
▲ 11 pts above national avg 83.1 · [object Object]

What the federal data shows

Jacob Maddela, MD reported a CMS MIPS final score of 94.1/100 — above the 83.1 national average — and filed 4,273 Medicare Part D claims in 2023.

94.1/100
MIPS score · +11 vs avg
4K
Part D claims, 2023
90%
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.

Jacob Maddela, MD's MIPS score vs every scored U.S. clinician

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

94 Top 25% higher than 75% 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)

Jacob Maddela, 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 Jacob Maddela, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/11/2018

NPI 1538652813

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

4,273 25% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

94.1/100 11 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Family Medicine Physician compares to other specialties among Virginia providers

Virginia providers

Family Medicine Physician share within Virginia

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

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
94.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 94.1/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Family Medicine Physician) — 94.1/100 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).

Jacob Maddela, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 4830 RUCKER RD, Moneta, VA, 24121, with a listed phone of (540) 297-7181. NPI 1538652813 was issued on 06/11/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Maddela 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 4,273 prescription claims written by this provider, covering 483 Medicare beneficiaries and totaling roughly $365K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 4.7%. 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 94.1/100 for the 2023 performance year (Quality 86.4), 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

4830 RUCKER RD
Moneta, VA 24121

Provider Details

NPI 1538652813
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/11/2018

CMS Quality Score (MIPS)

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

94.0743
Final Score
Avg: 83.1
86.4483
Quality
94
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Jacob Maddela, 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.

Centra Medical Group LLC
Moneta, VA

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

Jacob Maddela, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 4,273 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.

4,273
Total Claims
$365K
Total Drug Cost
483
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,603
Total Day Supply
247,241
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$275K
Generic Drug Cost
$87K
Opioid Claims
199 (4.7% rate)
Antibiotic Claims
194

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
1.03
Gender Split
52% female / 48% male
Age Distribution
<65: 81, 65-74: 240, 75-84: 123, 85+: 39

Top Prescribed Drugs (Medicare Part D)

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

What Jacob Maddela, 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
Atorvastatin Calcium
187
Levothyroxine Sodium
134
Lisinopril
124
Amlodipine Besylate
121
Gabapentin
120
Omeprazole
114
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
110
Losartan Potassium
108
Pantoprazole Sodium
92
Rosuvastatin Calcium
89

* 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 Jacob Maddela, 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

Jacob Maddela, MD's 4,273 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Virginia

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

Compare Family Medicine Physician 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 Virginia medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine Physician 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 Jacob Maddela, MD's specialty?
Jacob Maddela, MD specializes in Family Medicine Physician and practices in Moneta, Virginia. Credentials: MD.
How much does Jacob Maddela, MD prescribe under Medicare Part D?
In 2023, Jacob Maddela, MD wrote 4,273 Medicare Part D claims totaling $365K in drug costs for 483 beneficiaries.
What is Jacob Maddela, MD's Medicare quality score?
Jacob Maddela, MD has a CMS MIPS Final Score of 94.1/100 (Quality: 86.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jacob Maddela, MD located?
Jacob Maddela, MD is located at 4830 RUCKER RD, Moneta, VA, 24121. Phone: (540) 297-7181.
What is Jacob Maddela, MD's NPI number?
Jacob Maddela, MD's National Provider Identifier (NPI) is 1538652813, issued on 06/11/2018.
Does Jacob Maddela, MD prescribe more brand-name or generic drugs?
Jacob Maddela, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $275K in brand drug costs.
Does Jacob Maddela, MD prescribe opioids?
Yes, Jacob Maddela, MD had 199 opioid claims in 2023 with an opioid prescribing rate of 4.7%.
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 Jacob Maddela, MD prescribe most often?
Based on 2023 Medicare Part D data, Jacob Maddela, MD's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jacob Maddela, MD accept Medicare?
Jacob Maddela, MD appears in CMS Medicare data with 4,273 Part D claims and 483 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jacob Maddela, MD's credentials?
Jacob Maddela, MD's NPI is 1538652813 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