2026 NPPES data Pediatrics Physician NPI 1295773687 M.D.
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NELSON MADRAZO, M.D.

Pediatrics Physician in AMERICUS, Georgia. 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
145
Medicare Part D claims · 115 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
3%
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)

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 3% generic.

145
Part D claims, 2023
3%
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

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 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)

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 reported

NPI registry status

Active

Issued 06/04/2006

NPI 1295773687

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

145 81% vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in Georgia

How Pediatrics Physician compares to other specialties among Georgia providers

Georgia providers

Pediatrics Physician share within Georgia

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within Georgia

Specialty board-certification context

Estimated specialty board-certified rate — Pediatrics Physician (ABMS / AOA reference)

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

Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatrics 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).

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MADRAZO 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 145 prescription claims written by this provider, covering 115 Medicare beneficiaries and totaling roughly $32K in drug spend, split 97% brand-name and 3% 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.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 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

103 GA HIGHWAY 27 E
AMERICUS, GA 31709

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%
Specialty average (est.)

97% brand-name claims vs 3% 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 / 3% 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.

80,574
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.

Compare Pediatrics Physician nationally: see state-by-state distribution →

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 3% generic drugs by claim count, with $32K in brand drug costs.
How many Pediatrics Physician providers are there in the US?
There are 80,574 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

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