NPI registry status
Active
2026 NPPES data Pediatric Sports Medicine Physician NPI 1336889096 MD
Verify on CMS → Matthew Waldrop, MD
Pediatric Sports Medicine Physician in Madison, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 211 in Pediatric Sports Medicine 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
763
Medicare Part D claims · 152 beneficiaries · Pediatric Sports Medicine Physician avg: 224
Generic prescribing
80%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
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 80% generic.
- 763
- Part D claims, 2023
- 80%
- generic prescribing
- ≥71st
- pct by Part D claim volume (lower-bound band)
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 ≥ 71st percentile 71% of 1,370,886 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
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 reportedPrimary specialty
Pediatric Sports Medicine Physician
Medicare Part D claims
763 241% vs specialty avg
Specialty distribution in Wisconsin
How Pediatric Sports Medicine Physician compares to other specialties among Wisconsin 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 Sports Medicine Physician. Verify directly:
How MIPS and board certification work
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.
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 80% generic by claim count.
Pediatric Sports Medicine Physician is a narrow specialty nationwide, with 211 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
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%
Pediatric Sports Medicine Physician average
18% brand-name claims vs 80% 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 / 80% 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
- Amlodipine Besylate
Amlodipine Besylate
33 claims
- Gabapentin
Gabapentin
32 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
30 claims
- Atorvastatin Calcium
Atorvastatin Calcium
27 claims
- Lisinopril
Lisinopril
25 claims
- Pantoprazole Sodium
Pantoprazole Sodium
23 claims
- Metformin Hcl
Metformin Hcl
22 claims
- Jardiance
Jardiance
17 claims
| 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.
211
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 →
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 Wisconsin medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric Sports Medicine 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.
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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 80% 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 211 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
View source datasets and methodology notes
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.