2026 NPPES data Addiction Medicine (Family Medicine) Physician NPI 1093866147 MD
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MICHAEL MADISON, MD

Addiction Medicine (Family Medicine) Physician in SALEM, Ohio. 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
170
Medicare Part D claims · 85 beneficiaries · Addiction Medicine (Family Medicine) Physician avg: 1K
MIPS score
78.3512/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$577.29
32 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MICHAEL MADISON, MD is a Addiction Medicine (Family Medicine) Physician ([object Object]) practicing in SALEM, Ohio with a Medicare Part D prescribing footprint of 170 claims across 85 beneficiaries . Their CMS MIPS Final Score of 78.3512/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $577.29 across 32 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MICHAEL MADISON, MD reported a CMS MIPS final score of 78.3512 out of 100, below the 83.1 national average, and filed 170 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)

MICHAEL MADISON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MICHAEL MADISON, MD at a glance

Near national average

NPI registry status

Active

Issued 01/16/2007

NPI 1093866147

Primary specialty

Addiction Medicine (Family Medicine) Physician

Niche

763 US NPIs in this specialty

Medicare Part D claims

170 85% vs specialty avg

2023 prescription claims

Specialty avg: 1,134

MIPS final score

78.3512/100 4.748799999999989% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Ohio

How Addiction Medicine (Family Medicine) Physician compares to other specialties among Ohio providers

Ohio providers

Addiction Medicine (Family Medicine) Physician share within Ohio

1. Addiction Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Addiction Medicine (Family Medicine) Physician share within Ohio

Medicare quality performance — MIPS

MICHAEL MADISON, MD's 2023 MIPS final score plotted against the Addiction Medicine (Family Medicine) Physician national average

Near national average
MIPS Final Score
78.3512/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Addiction Medicine (Family Medicine) Physician) — 78.3512/100 vs national avg 83.1

0%100%National avg83%78.4%
MIPS final score (Addiction Medicine (Family Medicine) Physician) — 78.3512/100 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).

MICHAEL MADISON, MD is a Addiction Medicine (Family Medicine) Physician provider practicing in SALEM, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1093866147. 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.

MICHAEL MADISON, MD appears in the CMS NPPES registry as a Addiction Medicine (Family Medicine) Physician provider holding MD credentials at 2094 E STATE ST STE B, SALEM, OH, 44460, with a listed phone of (330) 337-8709. NPI 1093866147 was issued on 01/16/2007. 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 170 prescription claims written by this provider, covering 85 Medicare beneficiaries and totaling roughly $3K in drug spend. 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 78.3512/100 for the 2023 performance year (Quality 76.0997, Cost 51.7376), compared with the national average of 83.1.

Addiction Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 763 enrolled providers across 48 states and an average of 1,134 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

2094 E STATE ST STE B
SALEM, OH 44460

Provider Details

NPI 1093866147
Specialty Addiction Medicine (Family Medicine) Physician
Credentials MD
Gender Male
NPI Issued 01/16/2007

CMS Quality Score (MIPS)

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

78.3512
Final Score
Avg: 83.1
76.0997
Quality
51.7376
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MICHAEL 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.

PARTNERS PHYSICIAN GROUP
AKRON, OH
SCH PROFESSIONAL CORPORATION
SALEM, OH

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

Total received

$577

Largest payer

Takeda Pharmaceuticals U.S.A., Inc.

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 — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to MICHAEL MADISON, MD. To verify MICHAEL MADISON, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

170
Total Claims
$3K
Total Drug Cost
85
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
390
Total Day Supply
10,691
Generic Drug Cost
$3K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.26
Gender Split
47% female / 53% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Omeprazole
89
Famotidine
25
Fluconazole
14
Gavilyte-G
"Peg3350/Sod Sulf
N/A

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

Addiction Medicine (Family Medicine) Physician Overview

How MICHAEL MADISON, MD fits within the Addiction Medicine (Family Medicine) Physician landscape nationally.

763
Addiction Medicine (Family Medicine) Physician Providers in US
48
States with Addiction Medicine (Family Medicine) Physician
1,134
Avg Claims per Provider

MICHAEL MADISON, MD's 170 claims are below the specialty average of 1,134.

Nearby Addiction Medicine (Family Medicine) Physician Providers in Ohio

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

Compare Addiction Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL MADISON, MD's specialty?
MICHAEL MADISON, MD specializes in Addiction Medicine (Family Medicine) Physician and practices in SALEM, Ohio. Credentials: MD.
How much does MICHAEL MADISON, MD prescribe under Medicare Part D?
In 2023, MICHAEL MADISON, MD wrote 170 Medicare Part D claims totaling $3K in drug costs for 85 beneficiaries.
What is MICHAEL MADISON, MD's Medicare quality score?
MICHAEL MADISON, MD has a CMS MIPS Final Score of 78.3512/100 (Quality: 76.0997, Cost: 51.7376). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL MADISON, MD located?
MICHAEL MADISON, MD is located at 2094 E STATE ST STE B, SALEM, OH, 44460. Phone: (330) 337-8709.
What is MICHAEL MADISON, MD's NPI number?
MICHAEL MADISON, MD's National Provider Identifier (NPI) is 1093866147, issued on 01/16/2007.
How many Addiction Medicine (Family Medicine) Physician providers are there in the US?
There are 763 Addiction Medicine (Family Medicine) Physician providers across 48 states in the US. The average Addiction Medicine (Family Medicine) Physician provider writes 1,134 Medicare Part D claims per year.
What drugs does MICHAEL MADISON, MD prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL MADISON, MD's most frequently prescribed drugs include Omeprazole, Famotidine, Fluconazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL MADISON, MD accept Medicare?
MICHAEL MADISON, MD appears in CMS Medicare data with 170 Part D claims and 85 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL MADISON, MD's credentials?
MICHAEL MADISON, MD's NPI is 1093866147 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.
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