2026 NPPES data Nephrology Physician NPI 1437174448 M.D.
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PRATHYUSHA MADDELA, M.D.

Nephrology Physician in ANNISTON, Alabama. 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
2K
Medicare Part D claims · 406 beneficiaries · Nephrology Physician avg: 1K
MIPS score
83.7325/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$975.79
40 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PRATHYUSHA MADDELA, M.D. reported a CMS MIPS final score of 83.7325/100 — above the 83.1 national average — and filed 2,347 Medicare Part D claims in 2023.

83.7325/100
MIPS score · +1 vs avg
2K
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.

PRATHYUSHA MADDELA, M.D.'s MIPS score vs every scored U.S. clinician

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

84 42nd percentile higher than 42% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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)

PRATHYUSHA MADDELA, M.D. 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 PRATHYUSHA MADDELA, M.D.?

Near national average

NPI registry status

Active

Issued 07/12/2006

NPI 1437174448

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

2,347 61% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

83.7325/100 0.6325000000000074% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Alabama

How Nephrology Physician compares to other specialties among Alabama providers

Alabama providers

Nephrology Physician share within Alabama

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

Medicare quality performance — MIPS

PRATHYUSHA MADDELA, M.D.'s 2023 MIPS final score plotted against the Nephrology Physician national average

Near national average
MIPS Final Score
83.7325/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 83.7325/100 vs national avg 83.1

0%100%National avg83%83.7%
MIPS final score (Nephrology Physician) — 83.7325/100 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).

PRATHYUSHA MADDELA, M.D. appears in the CMS NPPES registry as a Nephrology Physician provider holding M.D. credentials at 522 E 11TH ST STE 200, ANNISTON, AL, 36207, with a listed phone of (256) 237-5302. NPI 1437174448 was issued on 07/12/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MADDELA 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 2,347 prescription claims written by this provider, covering 406 Medicare beneficiaries and totaling roughly $480K 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 83.7325/100 for the 2023 performance year (Quality 68.2813, Cost 68.571), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

522 E 11TH ST STE 200
ANNISTON, AL 36207

Provider Details

NPI 1437174448
Specialty Nephrology Physician
Credentials M.D.
Gender Female
NPI Issued 07/12/2006

CMS Quality Score (MIPS)

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

83.7325
Final Score
Avg: 83.1
68.2813
Quality
68.571
Cost
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where PRATHYUSHA MADDELA, M.D. 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.

NEPHROLOGY AND HYPERTENSION CONSULTANTS, P.C.
ANNISTON, AL

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 PRATHYUSHA MADDELA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$976

Largest payer

CALLIDITAS THERAPEUTICS US 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.

Medicare Part D Prescribing Data

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

2,347
Total Claims
$480K
Total Drug Cost
406
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,620
Total Day Supply
135,740
Generic Drug Cost
$85K
Antibiotic Claims
67

Patient Demographics

Average Patient Age
69.3 years
Avg HCC Risk Score
4.65
Gender Split
49% female / 51% male
Age Distribution
<65: 113, 65-74: 145, 75-84: 110, 85+: 38

Top Prescribed Drugs (Medicare Part D)

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

What PRATHYUSHA MADDELA, M.D. 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
Amlodipine Besylate
232
Furosemide
208
Losartan Potassium
177
Carvedilol
153
Lisinopril
111
Calcitriol
96
Hydralazine Hcl
95
Sevelamer Carbonate
89
Calcium Acetate
71
Clonidine Hcl
57

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

Nephrology Physician Overview

How PRATHYUSHA MADDELA, M.D. fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

PRATHYUSHA MADDELA, M.D.'s 2,347 claims are above the specialty average of 1,454.

Nearby Nephrology Physician Providers in Alabama

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

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

Frequently Asked Questions

What is PRATHYUSHA MADDELA, M.D.'s specialty?
PRATHYUSHA MADDELA, M.D. specializes in Nephrology Physician and practices in ANNISTON, Alabama. Credentials: M.D..
How much does PRATHYUSHA MADDELA, M.D. prescribe under Medicare Part D?
In 2023, PRATHYUSHA MADDELA, M.D. wrote 2,347 Medicare Part D claims totaling $480K in drug costs for 406 beneficiaries.
What is PRATHYUSHA MADDELA, M.D.'s Medicare quality score?
PRATHYUSHA MADDELA, M.D. has a CMS MIPS Final Score of 83.7325/100 (Quality: 68.2813, Cost: 68.571). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PRATHYUSHA MADDELA, M.D. located?
PRATHYUSHA MADDELA, M.D. is located at 522 E 11TH ST STE 200, ANNISTON, AL, 36207. Phone: (256) 237-5302.
What is PRATHYUSHA MADDELA, M.D.'s NPI number?
PRATHYUSHA MADDELA, M.D.'s National Provider Identifier (NPI) is 1437174448, issued on 07/12/2006.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does PRATHYUSHA MADDELA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PRATHYUSHA MADDELA, M.D.'s most frequently prescribed drugs include Amlodipine Besylate, Furosemide, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PRATHYUSHA MADDELA, M.D. accept Medicare?
PRATHYUSHA MADDELA, M.D. appears in CMS Medicare data with 2,347 Part D claims and 406 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PRATHYUSHA MADDELA, M.D.'s credentials?
PRATHYUSHA MADDELA, M.D.'s NPI is 1437174448 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.
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