2026 NPPES data Pulmonary Disease Physician NPI 1275529760 MD
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JAN MADISON, MD

Pulmonary Disease Physician in ROSTRAVER TOWNSHIP, Pennsylvania. 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
1K
Medicare Part D claims · 253 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
62%
generic claims · 38% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$2.0K
82 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAN MADISON, MD filed 1,267 Medicare Part D claims in 2023 as a Pulmonary Disease Physician in ROSTRAVER TOWNSHIP, Pennsylvania, prescribing 62% generic.

1K
Part D claims, 2023
62%
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.

JAN MADISON, MD's Medicare Part D volume vs every U.S. prescriber

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

1,267 Top 22% higher than 78% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). This entry sits in this band. 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. 2,000–2,200: 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)

JAN 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 JAN MADISON, MD?

Quality data not reported

NPI registry status

Active

Issued 09/21/2005

NPI 1275529760

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

1,267 13% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

Specialty distribution in Pennsylvania

How Pulmonary Disease Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Pulmonary Disease Physician share within Pennsylvania

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Pennsylvania

Specialty board-certification context

Estimated specialty board-certified rate — Pulmonary Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pulmonary Disease Physician ABMS/AOA estimate

Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

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).

JAN MADISON, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 800 PLAZA DR STE 160, ROSTRAVER TOWNSHIP, PA, 15012, with a listed phone of (724) 797-9550. NPI 1275529760 was issued on 09/21/2005. 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 1,267 prescription claims written by this provider, covering 253 Medicare beneficiaries and totaling roughly $354K in drug spend, split 38% brand-name and 62% 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.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

800 PLAZA DR STE 160
ROSTRAVER TOWNSHIP, PA 15012

Provider Details

NPI 1275529760
Specialty Pulmonary Disease Physician
Credentials MD
Gender Female
NPI Issued 09/21/2005

Hospital and facility affiliations

Facilities where JAN 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.

MON-VALE SPECIALTY PRACTICES, INC
ROSTRAVER TOWNSHIP, PA

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

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 JAN MADISON, MD. Source: openpaymentsdata.cms.gov.

Total received

$2.0K

Largest payer

AstraZeneca Pharmaceuticals LP

Most common payment type

Food and Beverage

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.

License & disciplinary context — Pennsylvania PA-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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to JAN MADISON, MD. To verify JAN MADISON, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

JAN MADISON, MD — brand share 38.0%
Specialty average (est.)

38% brand-name claims vs 62% generic, on 1,267 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.

1,267
Total Claims
$354K
Total Drug Cost
253
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,689
Total Day Supply
44,617
Brand vs Generic
38% brand / 62% generic
Brand Drug Cost
$335K
Generic Drug Cost
$19K
Antibiotic Claims
108

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
1.79
Gender Split
72% female / 28% male
Age Distribution
<65: 42, 65-74: 115, 75-84: 81, 85+: 15

Top Prescribed Drugs (Medicare Part D)

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

What JAN 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
Montelukast Sodium
292
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
215
Prednisone
211
Albuterol Sulfate Hfa
Albuterol Sulfate
90
Breo Ellipta
Fluticasone/Vilanterol
72
Azithromycin
40
Doxycycline Hyclate
28
Symbicort
Budesonide/Formoterol Fumarate
28
Ventolin Hfa
Albuterol Sulfate
24
Pantoprazole Sodium
20

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

Pulmonary Disease Physician Overview

How JAN MADISON, MD fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

JAN MADISON, MD's 1,267 claims are below the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Pennsylvania

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

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAN MADISON, MD's specialty?
JAN MADISON, MD specializes in Pulmonary Disease Physician and practices in ROSTRAVER TOWNSHIP, Pennsylvania. Credentials: MD.
How much does JAN MADISON, MD prescribe under Medicare Part D?
In 2023, JAN MADISON, MD wrote 1,267 Medicare Part D claims totaling $354K in drug costs for 253 beneficiaries.
Where is JAN MADISON, MD located?
JAN MADISON, MD is located at 800 PLAZA DR STE 160, ROSTRAVER TOWNSHIP, PA, 15012. Phone: (724) 797-9550.
What is JAN MADISON, MD's NPI number?
JAN MADISON, MD's National Provider Identifier (NPI) is 1275529760, issued on 09/21/2005.
Does JAN MADISON, MD prescribe more brand-name or generic drugs?
JAN MADISON, MD's prescribing is 38% brand-name and 62% generic drugs by claim count, with $335K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does JAN MADISON, MD prescribe most often?
Based on 2023 Medicare Part D data, JAN MADISON, MD's most frequently prescribed drugs include Montelukast Sodium, Trelegy Ellipta, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAN MADISON, MD accept Medicare?
JAN MADISON, MD appears in CMS Medicare data with 1,267 Part D claims and 253 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAN MADISON, MD's credentials?
JAN MADISON, MD's NPI is 1275529760 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