2026 NPPES data Emergency Medicine Physician NPI 1376953075
Verify on CMS →

MATTHEW MADISETTY

Emergency Medicine Physician in HUNTSVILLE, 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
215
Medicare Part D claims · 157 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
84.3396/100
▲ 1 pts above national avg 83.1 · [object Object]

What the federal data shows

MATTHEW MADISETTY reported a CMS MIPS final score of 84.3396/100 — above the 83.1 national average — and filed 215 Medicare Part D claims in 2023.

84.3396/100
MIPS score · +1 vs avg
215
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.

MATTHEW MADISETTY's MIPS score vs every scored U.S. clinician

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

84 45th percentile higher than 45% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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)

MATTHEW MADISETTY 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).

What does the federal data show about MATTHEW MADISETTY?

Near national average

NPI registry status

Active

Issued 05/02/2014

NPI 1376953075

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

215 39% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

84.3396/100 1.23960000000001% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Alabama

How Emergency Medicine Physician compares to other specialties among Alabama providers

Alabama providers

Emergency Medicine Physician share within Alabama

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

Medicare quality performance — MIPS

MATTHEW MADISETTY's 2023 MIPS final score plotted against the Emergency Medicine Physician national average

Near national average
MIPS Final Score
84.3396/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 84.3396/100 vs national avg 83.1

0%100%National avg83%84.3%
MIPS final score (Emergency Medicine Physician) — 84.3396/100 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).

MATTHEW MADISETTY appears in the CMS NPPES registry as a Emergency Medicine Physician provider at 101 SIVLEY RD SW, HUNTSVILLE, AL, 35801, with a listed phone of (256) 265-9889. NPI 1376953075 was issued on 05/02/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MADISETTY 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 215 prescription claims written by this provider, covering 157 Medicare beneficiaries and totaling roughly $6K in drug spend, with an opioid prescribing rate of 18.1%. 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 84.3396/100 for the 2023 performance year (Quality 76.9696), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

101 SIVLEY RD SW
HUNTSVILLE, AL 35801

Provider Details

NPI 1376953075
Specialty Emergency Medicine Physician
Gender Male
NPI Issued 05/02/2014

CMS Quality Score (MIPS)

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

84.3396
Final Score
Avg: 83.1
76.9696
Quality

Reporting: Alternative Payment Model

Medicare Part D Prescribing Data

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

215
Total Claims
$6K
Total Drug Cost
157
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
220
Total Day Supply
2,751
Generic Drug Cost
$2K
Opioid Claims
39 (18.1% rate)
Antibiotic Claims
45

Patient Demographics

Average Patient Age
68.7 years
Avg HCC Risk Score
1.88
Gender Split
67% female / 33% male
Age Distribution
<65: 47, 65-74: 51, 75-84: 45, 85+: 14

Top Prescribed Drugs (Medicare Part D)

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

What MATTHEW MADISETTY 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
22
Methylprednisolone
19
Oxycodone Hcl
17
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
11
Cephalexin
11

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

Emergency Medicine Physician Overview

How MATTHEW MADISETTY fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

MATTHEW MADISETTY's 215 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Alabama

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

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MATTHEW MADISETTY's specialty?
MATTHEW MADISETTY specializes in Emergency Medicine Physician and practices in HUNTSVILLE, Alabama.
How much does MATTHEW MADISETTY prescribe under Medicare Part D?
In 2023, MATTHEW MADISETTY wrote 215 Medicare Part D claims totaling $6K in drug costs for 157 beneficiaries.
What is MATTHEW MADISETTY's Medicare quality score?
MATTHEW MADISETTY has a CMS MIPS Final Score of 84.3396/100 (Quality: 76.9696). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MATTHEW MADISETTY located?
MATTHEW MADISETTY is located at 101 SIVLEY RD SW, HUNTSVILLE, AL, 35801. Phone: (256) 265-9889.
What is MATTHEW MADISETTY's NPI number?
MATTHEW MADISETTY's National Provider Identifier (NPI) is 1376953075, issued on 05/02/2014.
Does MATTHEW MADISETTY prescribe opioids?
Yes, MATTHEW MADISETTY had 39 opioid claims in 2023 with an opioid prescribing rate of 18.1%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does MATTHEW MADISETTY prescribe most often?
Based on 2023 Medicare Part D data, MATTHEW MADISETTY's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Methylprednisolone, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MATTHEW MADISETTY accept Medicare?
MATTHEW MADISETTY appears in CMS Medicare data with 215 Part D claims and 157 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MATTHEW MADISETTY's credentials?
MATTHEW MADISETTY's NPI is 1376953075. 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