2026 NPPES data Surgery Physician NPI 1487913257 D.O.
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NICHOLAS MADDEN, D.O.

Surgery Physician in ALTOONA, Pennsylvania. 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
130
Medicare Part D claims · 58 beneficiaries · Surgery Physician avg: 169
MIPS score
77.5068/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$2.6K
19 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NICHOLAS MADDEN, D.O. reported a CMS MIPS final score of 77.5068/100 — below the 83.1 national average — and filed 130 Medicare Part D claims in 2023.

77.5068/100
MIPS score · -6 vs avg
130
Part D claims, 2023
Likely
board-certified (heuristic)

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.

NICHOLAS MADDEN, D.O.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

78 24th percentile higher than 24% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

NICHOLAS MADDEN, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about NICHOLAS MADDEN, D.O.?

Below national average

NPI registry status

Active

Issued 05/14/2012

NPI 1487913257

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

130 23% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

77.5068/100 5.593199999999996% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Surgery Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Surgery Physician share within Pennsylvania

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

Medicare quality performance — MIPS

NICHOLAS MADDEN, D.O.'s 2023 MIPS final score plotted against the Surgery Physician national average

Below national average
MIPS Final Score
77.5068/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 77.5068/100 vs national avg 83.1

0%100%National avg83%77.5%
MIPS final score (Surgery Physician) — 77.5068/100 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).

NICHOLAS MADDEN, D.O. appears in the CMS NPPES registry as a Surgery Physician provider holding D.O. credentials at 620 HOWARD AVENEU, ALTOONA, PA, 16601, with a listed phone of (814) 889-2328. NPI 1487913257 was issued on 05/14/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MADDEN 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 130 prescription claims written by this provider, covering 58 Medicare beneficiaries and totaling roughly $9K 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 77.5068/100 for the 2023 performance year (Quality 68.6144, Cost 56.4081), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

620 HOWARD AVENEU
ALTOONA, PA 16601

Provider Details

NPI 1487913257
Specialty Surgery Physician
Credentials D.O.
Gender Male
NPI Issued 05/14/2012

CMS Quality Score (MIPS)

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

77.5068
Final Score
Avg: 83.1
68.6144
Quality
56.4081
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NICHOLAS MADDEN, D.O. 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.

UPMC ALTOONA REGIONAL HEALTH SERVICES, INC.
ALTOONA, PA

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 NICHOLAS MADDEN, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$2.6K

Largest payer

Silk Road Medical, 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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to NICHOLAS MADDEN, D.O.. To verify NICHOLAS MADDEN, D.O.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania 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.

130
Total Claims
$9K
Total Drug Cost
58
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
243
Total Day Supply
6,848
Generic Drug Cost
$2K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
1.94
Gender Split
43% female / 57% male

Top Prescribed Drugs (Medicare Part D)

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

What NICHOLAS MADDEN, D.O. 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
Cilostazol
42
Clopidogrel
Clopidogrel Bisulfate
41
Atorvastatin Calcium
17

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

Surgery Physician Overview

How NICHOLAS MADDEN, D.O. fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

NICHOLAS MADDEN, D.O.'s 130 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in Pennsylvania

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

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

Frequently Asked Questions

What is NICHOLAS MADDEN, D.O.'s specialty?
NICHOLAS MADDEN, D.O. specializes in Surgery Physician and practices in ALTOONA, Pennsylvania. Credentials: D.O..
How much does NICHOLAS MADDEN, D.O. prescribe under Medicare Part D?
In 2023, NICHOLAS MADDEN, D.O. wrote 130 Medicare Part D claims totaling $9K in drug costs for 58 beneficiaries.
What is NICHOLAS MADDEN, D.O.'s Medicare quality score?
NICHOLAS MADDEN, D.O. has a CMS MIPS Final Score of 77.5068/100 (Quality: 68.6144, Cost: 56.4081). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NICHOLAS MADDEN, D.O. located?
NICHOLAS MADDEN, D.O. is located at 620 HOWARD AVENEU, ALTOONA, PA, 16601. Phone: (814) 889-2328.
What is NICHOLAS MADDEN, D.O.'s NPI number?
NICHOLAS MADDEN, D.O.'s National Provider Identifier (NPI) is 1487913257, issued on 05/14/2012.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does NICHOLAS MADDEN, D.O. prescribe most often?
Based on 2023 Medicare Part D data, NICHOLAS MADDEN, D.O.'s most frequently prescribed drugs include Cilostazol, Clopidogrel, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICHOLAS MADDEN, D.O. accept Medicare?
NICHOLAS MADDEN, D.O. appears in CMS Medicare data with 130 Part D claims and 58 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICHOLAS MADDEN, D.O.'s credentials?
NICHOLAS MADDEN, D.O.'s NPI is 1487913257 with credentials D.O.. 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