2026 NPPES data Pediatric Sports Medicine Physician NPI 1336889096 MD
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MATTHEW WALDROP, MD

Pediatric Sports Medicine Physician in MADISON, Wisconsin. 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
763
Medicare Part D claims · 152 beneficiaries · Pediatric Sports Medicine Physician avg: 224
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

MATTHEW WALDROP, MD filed 763 Medicare Part D claims in 2023 as a Pediatric Sports Medicine Physician in MADISON, Wisconsin, prescribing 82% generic.

763
Part D claims, 2023
82%
generic prescribing

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

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

763 Top 29% higher than 71% 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%). This entry sits in this band. 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. 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-eligible specialty (heuristic — not verified)

MATTHEW WALDROP, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about MATTHEW WALDROP, MD?

Quality data not reported

NPI registry status

Active

Issued 03/30/2022

NPI 1336889096

Primary specialty

Pediatric Sports Medicine Physician

Rare

212 US NPIs in this specialty

Medicare Part D claims

763 241% vs specialty avg

2023 prescription claims

Specialty avg: 224

Specialty distribution in Wisconsin

How Pediatric Sports Medicine Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Pediatric Sports Medicine Physician share within Wisconsin

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

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Sports Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Sports Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Sports Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Sports Medicine 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).

MATTHEW WALDROP, MD appears in the CMS NPPES registry as a Pediatric Sports Medicine Physician provider holding MD credentials at 600 HIGHLAND AVE, MADISON, WI, 53792, with a listed phone of (608) 263-6400. NPI 1336889096 was issued on 03/30/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WALDROP 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 763 prescription claims written by this provider, covering 152 Medicare beneficiaries and totaling roughly $118K 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.

Pediatric Sports Medicine Physician is a narrow specialty nationwide, with 212 enrolled providers across 39 states and an average of 224 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

600 HIGHLAND AVE
MADISON, WI 53792

Provider Details

NPI 1336889096
Specialty Pediatric Sports Medicine Physician
Credentials MD
Gender Male
NPI Issued 03/30/2022

Brand vs generic prescribing mix · Typical

MATTHEW WALDROP, MD — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 763 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.

763
Total Claims
$118K
Total Drug Cost
152
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,502
Total Day Supply
43,176
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$104K
Generic Drug Cost
$13K
Antibiotic Claims
26

Patient Demographics

Average Patient Age
68.0 years
Avg HCC Risk Score
2.54
Gender Split
52% female / 48% male
Age Distribution
<65: 40, 65-74: 72, 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 MATTHEW WALDROP, 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
Amlodipine Besylate
33
Gabapentin
32
Rosuvastatin Calcium
30
Atorvastatin Calcium
27
Lisinopril
25
Pantoprazole Sodium
23
Metformin Hcl
22
Jardiance
Empagliflozin
17
Losartan Potassium
17
Levothyroxine Sodium
16

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

Pediatric Sports Medicine Physician Overview

How MATTHEW WALDROP, MD fits within the Pediatric Sports Medicine Physician landscape nationally.

212
Pediatric Sports Medicine Physician Providers in US
39
States with Pediatric Sports Medicine Physician
224
Avg Claims per Provider

MATTHEW WALDROP, MD's 763 claims are above the specialty average of 224.

Nearby Pediatric Sports Medicine Physician Providers in Wisconsin

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

Compare Pediatric Sports Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MATTHEW WALDROP, MD's specialty?
MATTHEW WALDROP, MD specializes in Pediatric Sports Medicine Physician and practices in MADISON, Wisconsin. Credentials: MD.
How much does MATTHEW WALDROP, MD prescribe under Medicare Part D?
In 2023, MATTHEW WALDROP, MD wrote 763 Medicare Part D claims totaling $118K in drug costs for 152 beneficiaries.
Where is MATTHEW WALDROP, MD located?
MATTHEW WALDROP, MD is located at 600 HIGHLAND AVE, MADISON, WI, 53792. Phone: (608) 263-6400.
What is MATTHEW WALDROP, MD's NPI number?
MATTHEW WALDROP, MD's National Provider Identifier (NPI) is 1336889096, issued on 03/30/2022.
Does MATTHEW WALDROP, MD prescribe more brand-name or generic drugs?
MATTHEW WALDROP, MD's prescribing is 18% brand-name and 82% generic drugs by claim count, with $104K in brand drug costs.
How many Pediatric Sports Medicine Physician providers are there in the US?
There are 212 Pediatric Sports Medicine Physician providers across 39 states in the US. The average Pediatric Sports Medicine Physician provider writes 224 Medicare Part D claims per year.
What drugs does MATTHEW WALDROP, MD prescribe most often?
Based on 2023 Medicare Part D data, MATTHEW WALDROP, MD's most frequently prescribed drugs include Amlodipine Besylate, Gabapentin, Rosuvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MATTHEW WALDROP, MD accept Medicare?
MATTHEW WALDROP, MD appears in CMS Medicare data with 763 Part D claims and 152 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MATTHEW WALDROP, MD's credentials?
MATTHEW WALDROP, MD's NPI is 1336889096 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