NPI registry status
Active
2026 NPPES data Pediatrics Physician NPI 1295773687 M.D.
Verify on CMS → Nelson Madrazo, M.D.
Pediatrics Physician in Americus, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 80,576 in Pediatrics 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
145
Medicare Part D claims · 115 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
0%
generic claims · 97% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$230.46
11 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Nelson Madrazo, M.D. filed 145 Medicare Part D claims in 2023 as a Pediatrics Physician in Americus, Georgia, prescribing 0% generic.
- 145
- Part D claims, 2023
- 0%
- generic prescribing
- $230.46
- industry payments (Sunshine Act)
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.
Nelson Madrazo, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
145 35th percentile higher than 35% of 1,370,886 prescribers
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)
Nelson Madrazo, M.D. 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 Nelson Madrazo, M.D.?
Quality data not reportedPrimary specialty
Pediatrics Physician
Medicare Part D claims
145 81% vs specialty avg
Specialty distribution in Georgia
How Pediatrics Physician compares to other specialties among Georgia 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 Pediatrics 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).
Nelson Madrazo, M.D. appears in the CMS NPPES registry as a Pediatrics Physician provider holding M.D. credentials at 103 GA HIGHWAY 27 E, Americus, GA, 31709, with a listed phone of (229) 924-8082. NPI 1295773687 was issued on 06/04/2006.
Medicare Part D records for calendar year 2023 show 145 prescription claims written by this provider, covering 115 Medicare beneficiaries and totaling roughly $32K in drug spend, split 97% brand-name and 0% generic by claim count.
Pediatrics Physician is a high-volume specialty nationwide, with 80,576 enrolled providers across 56 states and an average of 762 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 | 1295773687 |
|---|---|
| Specialty | Pediatrics Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/04/2006 |
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 Nelson Madrazo, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$230
Largest payer
IRONSHORE PHARMACEUTICALS 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.
Brand vs generic prescribing mix · Brand-heavy
Nelson Madrazo, M.D. - brand share 97.0%
Pediatrics Physician average
97% brand-name claims vs 0% generic, on 145 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.
145
Total Claims
$32K
Total Drug Cost
115
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 145
- Total Day Supply
- 337
- Brand vs Generic
- 97% brand / 0% generic
- Brand Drug Cost
- $32K
Patient Demographics
- Average Patient Age
- 73.4 years
- Avg HCC Risk Score
- 1.05
- Gender Split
- 63% female / 37% 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 |
|---|---|
| Shingrix Varicella-Zoster Ge/As01b/Pf | 117 |
| Arexvy Rsvpref3 Antigen/As01e/Pf | 18 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatrics Physician Overview
How Nelson Madrazo, M.D. fits within the Pediatrics Physician landscape nationally.
80,576
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider
Nelson Madrazo, M.D.'s 145 claims are below the specialty average of 762.
Nearby Pediatrics Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Madrazo.
Dr. Anastacia Abdalla
MD
Atlanta, GA
Dr. Abeer Abdeldayem
M.D.
Dalton, GA
Dr. Richard Abel
M.D.
Atlanta, GA
Dr. Josefina Abendan Dubberly
M.D.
Baxley, GA
Dr. Sharifa Abou-Mediene
MD
Hinesville, GA
Compare Pediatrics 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 Georgia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatrics 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 Nelson Madrazo, M.D.'s specialty? ▼
Nelson Madrazo, M.D. specializes in Pediatrics Physician and practices in Americus, Georgia. Credentials: M.D..
How much does Nelson Madrazo, M.D. prescribe under Medicare Part D? ▼
In 2023, Nelson Madrazo, M.D. wrote 145 Medicare Part D claims totaling $32K in drug costs for 115 beneficiaries.
Where is Nelson Madrazo, M.D. located? ▼
Nelson Madrazo, M.D. is located at 103 GA HIGHWAY 27 E, Americus, GA, 31709. Phone: (229) 924-8082.
What is Nelson Madrazo, M.D.'s NPI number? ▼
Nelson Madrazo, M.D.'s National Provider Identifier (NPI) is 1295773687, issued on 06/04/2006.
Does Nelson Madrazo, M.D. prescribe more brand-name or generic drugs? ▼
Nelson Madrazo, M.D.'s prescribing is 97% brand-name and 0% generic drugs by claim count, with $32K in brand drug costs.
How many Pediatrics Physician providers are there in the US? ▼
There are 80,576 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does Nelson Madrazo, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Nelson Madrazo, M.D.'s most frequently prescribed drugs include Shingrix, Arexvy. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nelson Madrazo, M.D. accept Medicare? ▼
Nelson Madrazo, M.D. appears in CMS Medicare data with 145 Part D claims and 115 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nelson Madrazo, M.D.'s credentials? ▼
Nelson Madrazo, M.D.'s NPI is 1295773687 with credentials M.D.. 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
Compiled from official public sources by the PlainDoctor editorial team.
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.