2026 NPPES data Allergy & Immunology Physician NPI 1891788147 M.D.
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JAMES MADDEN, M.D.

Allergy & Immunology Physician in MANAHAWKIN, New Jersey. 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
2K
Medicare Part D claims · 348 beneficiaries · Allergy & Immunology Physician avg: 764
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
What the federal data reveals: JAMES MADDEN, M.D. is a Allergy & Immunology Physician ([object Object]) practicing in MANAHAWKIN, New Jersey with a Medicare Part D prescribing footprint of 2K claims across 348 beneficiaries — 18% brand-name prescribing . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JAMES MADDEN, M.D. reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 1,759 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)

JAMES MADDEN, M.D. 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).

JAMES MADDEN, M.D. at a glance

Below national average

NPI registry status

Active

Issued 08/23/2005

NPI 1891788147

Primary specialty

Allergy & Immunology Physician

Niche

3,390 US NPIs in this specialty

Medicare Part D claims

1,759 130% vs specialty avg

2023 prescription claims

Specialty avg: 764

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Jersey

How Allergy & Immunology Physician compares to other specialties among New Jersey providers

New Jersey providers

Allergy & Immunology Physician share within New Jersey

1. Allergy & Immunology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Allergy & Immunology Physician share within New Jersey

Medicare quality performance — MIPS

JAMES MADDEN, M.D.'s 2023 MIPS final score plotted against the Allergy & Immunology Physician national average

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

MIPS final score (Allergy & Immunology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Allergy & Immunology 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).

JAMES MADDEN, M.D. is a Allergy & Immunology Physician provider practicing in MANAHAWKIN, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1891788147. 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.

JAMES MADDEN, M.D. appears in the CMS NPPES registry as a Allergy & Immunology Physician provider holding M.D. credentials at 400 E BAY AVE, MANAHAWKIN, NJ, 08050, with a listed phone of (609) 978-7200. NPI 1891788147 was issued on 08/23/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MADDEN 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 1,759 prescription claims written by this provider, covering 348 Medicare beneficiaries and totaling roughly $404K in drug spend, split 18% brand-name and 82% generic by claim count. 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.

Allergy & Immunology Physician is a narrow specialty nationwide, with 3,390 enrolled providers across 52 states and an average of 764 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

400 E BAY AVE
MANAHAWKIN, NJ 08050

Provider Details

NPI 1891788147
Specialty Allergy & Immunology Physician
Credentials M.D.
Gender Male
NPI Issued 08/23/2005

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Individual

Brand vs generic prescribing mix · Typical

JAMES MADDEN, M.D. — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 1,759 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.

1,759
Total Claims
$404K
Total Drug Cost
348
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,173
Total Day Supply
122,239
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$341K
Generic Drug Cost
$64K
Antibiotic Claims
34

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
1.07
Gender Split
75% female / 25% male
Age Distribution
<65: 11, 65-74: 163, 75-84: 150, 85+: 24

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Montelukast Sodium
744
Fluticasone Propionate
171
Azelastine Hcl
127
Albuterol Sulfate Hfa
Albuterol Sulfate
83
Levocetirizine Dihydrochloride
72
Symbicort
Budesonide/Formoterol Fumarate
70
Breo Ellipta
Fluticasone/Vilanterol
56
Prednisone
51
Mometasone Furoate
36
Nucala
Mepolizumab
35

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

Allergy & Immunology Physician Overview

How JAMES MADDEN, M.D. fits within the Allergy & Immunology Physician landscape nationally.

3,390
Allergy & Immunology Physician Providers in US
52
States with Allergy & Immunology Physician
764
Avg Claims per Provider

JAMES MADDEN, M.D.'s 1,759 claims are above the specialty average of 764.

Nearby Allergy & Immunology Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as MADDEN.

Compare Allergy & Immunology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES MADDEN, M.D.'s specialty?
JAMES MADDEN, M.D. specializes in Allergy & Immunology Physician and practices in MANAHAWKIN, New Jersey. Credentials: M.D..
How much does JAMES MADDEN, M.D. prescribe under Medicare Part D?
In 2023, JAMES MADDEN, M.D. wrote 1,759 Medicare Part D claims totaling $404K in drug costs for 348 beneficiaries.
What is JAMES MADDEN, M.D.'s Medicare quality score?
JAMES MADDEN, M.D. 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 JAMES MADDEN, M.D. located?
JAMES MADDEN, M.D. is located at 400 E BAY AVE, MANAHAWKIN, NJ, 08050. Phone: (609) 978-7200.
What is JAMES MADDEN, M.D.'s NPI number?
JAMES MADDEN, M.D.'s National Provider Identifier (NPI) is 1891788147, issued on 08/23/2005.
Does JAMES MADDEN, M.D. prescribe more brand-name or generic drugs?
JAMES MADDEN, M.D.'s prescribing is 18% brand-name and 82% generic drugs by claim count, with $341K in brand drug costs.
How many Allergy & Immunology Physician providers are there in the US?
There are 3,390 Allergy & Immunology Physician providers across 52 states in the US. The average Allergy & Immunology Physician provider writes 764 Medicare Part D claims per year.
What drugs does JAMES MADDEN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES MADDEN, M.D.'s most frequently prescribed drugs include Montelukast Sodium, Fluticasone Propionate, Azelastine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES MADDEN, M.D. accept Medicare?
JAMES MADDEN, M.D. appears in CMS Medicare data with 1,759 Part D claims and 348 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES MADDEN, M.D.'s credentials?
JAMES MADDEN, M.D.'s NPI is 1891788147 with credentials M.D.. 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