2026 NPPES data Hospice and Palliative Medicine (Family Medicine) Physician NPI 1528328317 MD
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STEFANI MADISON, MD

Hospice and Palliative Medicine (Family Medicine) Physician in DENVER, Colorado. 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
278
Medicare Part D claims · 72 beneficiaries · Hospice and Palliative Medicine (Family Medicine) Physician avg: 2K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
71.6668/100
▼ 11 pts below national avg 83.1 · [object Object]

What the federal data shows

STEFANI MADISON, MD reported a CMS MIPS final score of 71.6668/100 — below the 83.1 national average — and filed 278 Medicare Part D claims in 2023.

71.6668/100
MIPS score · -11 vs avg
278
Part D claims, 2023
92%
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.

STEFANI MADISON, MD's MIPS score vs every scored U.S. clinician

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

72 9th percentile higher than 9% 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)

STEFANI MADISON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 STEFANI MADISON, MD?

Below national average

NPI registry status

Active

Issued 05/25/2012

NPI 1528328317

Primary specialty

Hospice and Palliative Medicine (Family Medicine) Physician

Niche

784 US NPIs in this specialty

Medicare Part D claims

278 87% vs specialty avg

2023 prescription claims

Specialty avg: 2,070

MIPS final score

71.6668/100 11.4332% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Colorado

How Hospice and Palliative Medicine (Family Medicine) Physician compares to other specialties among Colorado providers

Colorado providers

Hospice and Palliative Medicine (Family Medicine) Physician share within Colorado

1. Hospice and Palliative Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospice and Palliative Medicine (Family Medicine) Physician share within Colorado

Medicare quality performance — MIPS

STEFANI MADISON, MD's 2023 MIPS final score plotted against the Hospice and Palliative Medicine (Family Medicine) Physician national average

Below national average
MIPS Final Score
71.6668/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospice and Palliative Medicine (Family Medicine) Physician) — 71.6668/100 vs national avg 83.1

0%100%National avg83%71.7%
MIPS final score (Hospice and Palliative Medicine (Family Medicine) Physician) — 71.6668/100 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).

STEFANI MADISON, MD is a Hospice and Palliative Medicine (Family Medicine) Physician provider practicing in DENVER, Colorado, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1528328317. 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.

STEFANI MADISON, MD appears in the CMS NPPES registry as a Hospice and Palliative Medicine (Family Medicine) Physician provider holding MD credentials at 777 BANNOCK ST, DENVER, CO, 80204, with a listed phone of (303) 602-6062. NPI 1528328317 was issued on 05/25/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MADISON 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 278 prescription claims written by this provider, covering 72 Medicare beneficiaries and totaling roughly $19K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 76.6%. 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 71.6668/100 for the 2023 performance year (Quality 53.4828, Cost 52.0733), compared with the national average of 83.1.

Hospice and Palliative Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 784 enrolled providers across 51 states and an average of 2,070 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

777 BANNOCK ST
DENVER, CO 80204

Provider Details

NPI 1528328317
Specialty Hospice and Palliative Medicine (Family Medicine) Physician
Credentials MD
Gender Female
NPI Issued 05/25/2012

CMS Quality Score (MIPS)

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

71.6668
Final Score
Avg: 83.1
53.4828
Quality
52.0733
Cost
100
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Generic-heavy

STEFANI MADISON, MD — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 278 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.

278
Total Claims
$19K
Total Drug Cost
72
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
280
Total Day Supply
7,058
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$9K
Generic Drug Cost
$10K
Opioid Claims
213 (76.6% rate)

Patient Demographics

Average Patient Age
62.7 years
Avg HCC Risk Score
3.90
Gender Split
58% female / 42% male
Age Distribution
<65: 33, 65-74: 23, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxycodone Hcl
86
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
31
Morphine Sulfate Er
Morphine Sulfate
29
Fentanyl
13
Gabapentin
13
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
12
Morphine Sulfate
11

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

Hospice and Palliative Medicine (Family Medicine) Physician Overview

How STEFANI MADISON, MD fits within the Hospice and Palliative Medicine (Family Medicine) Physician landscape nationally.

784
Hospice and Palliative Medicine (Family Medicine) Physician Providers in US
51
States with Hospice and Palliative Medicine (Family Medicine) Physician
2,070
Avg Claims per Provider

STEFANI MADISON, MD's 278 claims are below the specialty average of 2,070.

Nearby Hospice and Palliative Medicine (Family Medicine) Physician Providers in Colorado

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

Compare Hospice and Palliative Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is STEFANI MADISON, MD's specialty?
STEFANI MADISON, MD specializes in Hospice and Palliative Medicine (Family Medicine) Physician and practices in DENVER, Colorado. Credentials: MD.
How much does STEFANI MADISON, MD prescribe under Medicare Part D?
In 2023, STEFANI MADISON, MD wrote 278 Medicare Part D claims totaling $19K in drug costs for 72 beneficiaries.
What is STEFANI MADISON, MD's Medicare quality score?
STEFANI MADISON, MD has a CMS MIPS Final Score of 71.6668/100 (Quality: 53.4828, Cost: 52.0733). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is STEFANI MADISON, MD located?
STEFANI MADISON, MD is located at 777 BANNOCK ST, DENVER, CO, 80204. Phone: (303) 602-6062.
What is STEFANI MADISON, MD's NPI number?
STEFANI MADISON, MD's National Provider Identifier (NPI) is 1528328317, issued on 05/25/2012.
Does STEFANI MADISON, MD prescribe more brand-name or generic drugs?
STEFANI MADISON, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $9K in brand drug costs.
Does STEFANI MADISON, MD prescribe opioids?
Yes, STEFANI MADISON, MD had 213 opioid claims in 2023 with an opioid prescribing rate of 76.6%.
How many Hospice and Palliative Medicine (Family Medicine) Physician providers are there in the US?
There are 784 Hospice and Palliative Medicine (Family Medicine) Physician providers across 51 states in the US. The average Hospice and Palliative Medicine (Family Medicine) Physician provider writes 2,070 Medicare Part D claims per year.
What drugs does STEFANI MADISON, MD prescribe most often?
Based on 2023 Medicare Part D data, STEFANI MADISON, MD's most frequently prescribed drugs include Oxycodone Hcl, Hydrocodone-Acetaminophen, Morphine Sulfate Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does STEFANI MADISON, MD accept Medicare?
STEFANI MADISON, MD appears in CMS Medicare data with 278 Part D claims and 72 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify STEFANI MADISON, MD's credentials?
STEFANI MADISON, MD's NPI is 1528328317 with credentials MD. 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