2026 NPPES data Sports Medicine (Neuromusculoskeletal Medicine) Physician NPI 1528389244 MBCHB
Verify on CMS →

NICOLAS MADIGAN, MBCHB

Sports Medicine (Neuromusculoskeletal Medicine) Physician in ROCHESTER, Minnesota. 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
136
Medicare Part D claims · 24 beneficiaries · Sports Medicine (Neuromusculoskeletal Medicine) Physician avg: 1K
Generic prescribing
71%
generic claims · 29% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

NICOLAS MADIGAN, MBCHB filed 136 Medicare Part D claims in 2023 as a Sports Medicine (Neuromusculoskeletal Medicine) Physician in ROCHESTER, Minnesota, prescribing 71% generic.

136
Part D claims, 2023
71%
generic prescribing
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.

NICOLAS MADIGAN, MBCHB's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

136 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 certification likely (heuristic — not verified)

NICOLAS MADIGAN, MBCHB practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 NICOLAS MADIGAN, MBCHB?

Quality data not reported

NPI registry status

Active

Issued 06/16/2010

NPI 1528389244

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) Physician

Niche

552 US NPIs in this specialty

Medicare Part D claims

136 88% vs specialty avg

2023 prescription claims

Specialty avg: 1,113

Specialty distribution in Minnesota

How Sports Medicine (Neuromusculoskeletal Medicine) Physician compares to other specialties among Minnesota providers

Minnesota providers

Sports Medicine (Neuromusculoskeletal Medicine) Physician share within Minnesota

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

Specialty board-certification context

Estimated specialty board-certified rate — Sports Medicine (Neuromusculoskeletal Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Sports Medicine (Neuromusculoskeletal Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Sports Medicine (Neuromusculoskeletal Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Sports Medicine (Neuromusculoskeletal Medicine) 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).

NICOLAS MADIGAN, MBCHB is a Sports Medicine (Neuromusculoskeletal Medicine) Physician provider practicing in ROCHESTER, Minnesota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MBCHB. NPI: 1528389244. 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.

NICOLAS MADIGAN, MBCHB appears in the CMS NPPES registry as a Sports Medicine (Neuromusculoskeletal Medicine) Physician provider holding MBCHB credentials at 200 1ST ST SW, ROCHESTER, MN, 55905, with a listed phone of (507) 284-2511. NPI 1528389244 was issued on 06/16/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MADIGAN 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 136 prescription claims written by this provider, covering 24 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 29% brand-name and 71% 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.

Sports Medicine (Neuromusculoskeletal Medicine) Physician is a narrow specialty nationwide, with 552 enrolled providers across 51 states and an average of 1,113 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

200 1ST ST SW
ROCHESTER, MN 55905

Provider Details

NPI 1528389244
Specialty Sports Medicine (Neuromusculoskeletal Medicine) Physician
Credentials MBCHB
Gender Male
NPI Issued 06/16/2010

Hospital and facility affiliations

Facilities where NICOLAS MADIGAN, MBCHB 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.

MAYO CLINIC
ROCHESTER, MN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

NICOLAS MADIGAN, MBCHB — brand share 29.0%
Specialty average (est.)

29% brand-name claims vs 71% generic, on 136 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.

136
Total Claims
$1.2M
Total Drug Cost
24
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
228
Total Day Supply
6,016
Brand vs Generic
29% brand / 71% generic
Brand Drug Cost
$1.2M
Generic Drug Cost
$8K

Patient Demographics

Average Patient Age
74.8 years
Avg HCC Risk Score
1.41

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Pyridostigmine Bromide
26
Vyvgart
Efgartigimod Alfa-Fcab
26
Duloxetine Hcl
14
Riluzole
13
Firdapse
Amifampridine Phosphate
12
Azathioprine
11

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

Sports Medicine (Neuromusculoskeletal Medicine) Physician Overview

How NICOLAS MADIGAN, MBCHB fits within the Sports Medicine (Neuromusculoskeletal Medicine) Physician landscape nationally.

552
Sports Medicine (Neuromusculoskeletal Medicine) Physician Providers in US
51
States with Sports Medicine (Neuromusculoskeletal Medicine) Physician
1,113
Avg Claims per Provider

NICOLAS MADIGAN, MBCHB's 136 claims are below the specialty average of 1,113.

Nearby Sports Medicine (Neuromusculoskeletal Medicine) Physician Providers in Minnesota

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

Compare Sports Medicine (Neuromusculoskeletal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NICOLAS MADIGAN, MBCHB's specialty?
NICOLAS MADIGAN, MBCHB specializes in Sports Medicine (Neuromusculoskeletal Medicine) Physician and practices in ROCHESTER, Minnesota. Credentials: MBCHB.
How much does NICOLAS MADIGAN, MBCHB prescribe under Medicare Part D?
In 2023, NICOLAS MADIGAN, MBCHB wrote 136 Medicare Part D claims totaling $1.2M in drug costs for 24 beneficiaries.
Where is NICOLAS MADIGAN, MBCHB located?
NICOLAS MADIGAN, MBCHB is located at 200 1ST ST SW, ROCHESTER, MN, 55905. Phone: (507) 284-2511.
What is NICOLAS MADIGAN, MBCHB's NPI number?
NICOLAS MADIGAN, MBCHB's National Provider Identifier (NPI) is 1528389244, issued on 06/16/2010.
Does NICOLAS MADIGAN, MBCHB prescribe more brand-name or generic drugs?
NICOLAS MADIGAN, MBCHB's prescribing is 29% brand-name and 71% generic drugs by claim count, with $1.2M in brand drug costs.
How many Sports Medicine (Neuromusculoskeletal Medicine) Physician providers are there in the US?
There are 552 Sports Medicine (Neuromusculoskeletal Medicine) Physician providers across 51 states in the US. The average Sports Medicine (Neuromusculoskeletal Medicine) Physician provider writes 1,113 Medicare Part D claims per year.
What drugs does NICOLAS MADIGAN, MBCHB prescribe most often?
Based on 2023 Medicare Part D data, NICOLAS MADIGAN, MBCHB's most frequently prescribed drugs include Pyridostigmine Bromide, Vyvgart, Duloxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICOLAS MADIGAN, MBCHB accept Medicare?
NICOLAS MADIGAN, MBCHB appears in CMS Medicare data with 136 Part D claims and 24 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICOLAS MADIGAN, MBCHB's credentials?
NICOLAS MADIGAN, MBCHB's NPI is 1528389244 with credentials MBCHB. 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