2026 NPPES data Pediatric Rheumatology Physician NPI 1255777520 MD
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Jacqueline Madison, MD

Pediatric Rheumatology Physician in Ann Arbor, Michigan. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 390 in Pediatric Rheumatology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
274
Medicare Part D claims · 43 beneficiaries · Pediatric Rheumatology Physician avg: 200
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Jacqueline Madison, MD filed 274 Medicare Part D claims in 2023 as a Pediatric Rheumatology Physician in Ann Arbor, Michigan.

274
Part D claims, 2023
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.

Jacqueline Madison, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

274 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2K+: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic, not verified)

Jacqueline Madison, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Jacqueline Madison, MD?

Quality data not reported

NPI registry status

Active

Issued 05/14/2013

NPI 1255777520

Primary specialty

Pediatric Rheumatology Physician

Rare

390 US NPIs in this specialty

Medicare Part D claims

274 37% vs specialty avg

2023 prescription claims

Specialty avg: 200

Specialty distribution in Michigan

How Pediatric Rheumatology Physician compares to other specialties among Michigan providers

Michigan providers
Behavior Technician - 21.4%Behavior Technician21.4%Clinical Social Worker - 5.8%Clinical Social Worker5.8%Student in an Organized Health Care Education/Training Program - 3.6%Student in an Organized Health Care Education/Training Program3.6%Physical Therapist - 3.4%Physical Therapist3.4%Social Worker - 3.4%Social Worker3.4%Pharmacist - 3%Pharmacist3%Pediatric Rheumatology Physician - 0%Pediatric Rheumatology Physician0%
Largest specialties in Michigan (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pediatric Rheumatology Physician. Verify directly:

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).

Jacqueline Madison, MD appears in the CMS NPPES registry as a Pediatric Rheumatology Physician provider holding MD credentials at 1500 E MEDICAL CENTER DR, Ann Arbor, MI, 48109, with a listed phone of (734) 936-4000. NPI 1255777520 was issued on 05/14/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Madison 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 274 prescription claims written by this provider, covering 43 Medicare beneficiaries and totaling roughly $437K 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.

Pediatric Rheumatology Physician is a narrow specialty nationwide, with 390 enrolled providers across 43 states and an average of 200 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 E MEDICAL CENTER DR
Ann Arbor, MI 48109

Provider Details

NPI 1255777520
Specialty Pediatric Rheumatology Physician
Credentials MD
Gender Female
NPI Issued 05/14/2013

Hospital and facility affiliations

Facilities where Jacqueline Madison, 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.

Regents OF The University OF Michigan
Ann Arbor, MI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context - Michigan MI-BOM 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 - they are NOT specific to Jacqueline Madison, MD. To verify Jacqueline Madison, MD's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

274
Total Claims
$437K
Total Drug Cost
43
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
511
Total Day Supply
14,902
Generic Drug Cost
$14K

Patient Demographics

Average Patient Age
63.9 years
Avg HCC Risk Score
1.93
Gender Split
70% female / 30% male
Age Distribution
<65: 12, 65-74: 22, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What Jacqueline Madison, 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
Hydroxychloroquine Sulfate
31
Methotrexate
Methotrexate Sodium
31
Prednisone
18
Orencia Clickject
Abatacept
15
Mycophenolate Mofetil
14
Kineret
Anakinra
13
Enbrel
Etanercept
12

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

Pediatric Rheumatology Physician Overview

How Jacqueline Madison, MD fits within the Pediatric Rheumatology Physician landscape nationally.

390
Pediatric Rheumatology Physician Providers in US
43
States with Pediatric Rheumatology Physician
200
Avg Claims per Provider

Jacqueline Madison, MD's 274 claims are above the specialty average of 200.

Nearby Pediatric Rheumatology Physician Providers in Michigan

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

Compare Pediatric Rheumatology 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 Michigan medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Pediatric Rheumatology 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 Jacqueline Madison, MD's specialty?
Jacqueline Madison, MD specializes in Pediatric Rheumatology Physician and practices in Ann Arbor, Michigan. Credentials: MD.
How much does Jacqueline Madison, MD prescribe under Medicare Part D?
In 2023, Jacqueline Madison, MD wrote 274 Medicare Part D claims totaling $437K in drug costs for 43 beneficiaries.
Where is Jacqueline Madison, MD located?
Jacqueline Madison, MD is located at 1500 E MEDICAL CENTER DR, Ann Arbor, MI, 48109. Phone: (734) 936-4000.
What is Jacqueline Madison, MD's NPI number?
Jacqueline Madison, MD's National Provider Identifier (NPI) is 1255777520, issued on 05/14/2013.
How many Pediatric Rheumatology Physician providers are there in the US?
There are 390 Pediatric Rheumatology Physician providers across 43 states in the US. The average Pediatric Rheumatology Physician provider writes 200 Medicare Part D claims per year.
What drugs does Jacqueline Madison, MD prescribe most often?
Based on 2023 Medicare Part D data, Jacqueline Madison, MD's most frequently prescribed drugs include Hydroxychloroquine Sulfate, Methotrexate, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jacqueline Madison, MD accept Medicare?
Jacqueline Madison, MD appears in CMS Medicare data with 274 Part D claims and 43 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jacqueline Madison, MD's credentials?
Jacqueline Madison, MD's NPI is 1255777520 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.
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

Compiled from official public sources by the PlainDoctor editorial team.