NPI registry status
Active
2026 NPPES data Adult Medicine Physician NPI 1982646295 M.D.
Verify on CMS → Teresa Madrid, M.D.
Adult Medicine Physician in Newark, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,481 in Adult Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
7K
Medicare Part D claims · 365 beneficiaries · Adult Medicine Physician avg: 3K
Generic prescribing
84%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$18.17
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Teresa Madrid, M.D. filed 6,881 Medicare Part D claims in 2023 as a Adult Medicine Physician in Newark, New Jersey, prescribing 84% generic.
- 7K
- Part D claims, 2023
- 84%
- generic prescribing
- $18.17
- 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.
Teresa Madrid, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
6,881 Top 4% higher than 96% of 1,370,886 prescribers
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)
Teresa Madrid, 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 Teresa Madrid, M.D.?
Quality data not reportedPrimary specialty
Adult Medicine Physician
Medicare Part D claims
6,881 145% vs specialty avg
Specialty distribution in New Jersey
How Adult Medicine Physician compares to other specialties among New Jersey providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Adult Medicine Physician. Verify directly:
How MIPS and board certification work
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).
Teresa Madrid, M.D. appears in the CMS NPPES registry as a Adult Medicine Physician provider holding M.D. credentials at 111 CENTRAL AVE, Newark, NJ, 07102, with a listed phone of (973) 877-5543. NPI 1982646295 was issued on 06/12/2006.
Medicare Part D records for calendar year 2023 show 6,881 prescription claims written by this provider, covering 365 Medicare beneficiaries and totaling roughly $906K in drug spend, split 13% brand-name and 84% generic by claim count, with an opioid prescribing rate of 1.2%.
Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 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
Provider Details
| NPI | 1982646295 |
|---|---|
| Specialty | Adult Medicine Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 06/12/2006 |
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 Teresa Madrid, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$18
Largest payer
Lilly USA, LLC
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 · Typical
Teresa Madrid, M.D. - brand share 13.0%
Adult Medicine Physician average
13% brand-name claims vs 84% generic, on 6,881 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.
6,881
Total Claims
$906K
Total Drug Cost
365
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 13,549
- Total Day Supply
- 394,446
- Brand vs Generic
- 13% brand / 84% generic
- Brand Drug Cost
- $569K
- Generic Drug Cost
- $317K
- Opioid Claims
- 86 (1.2% rate)
- Antibiotic Claims
- 210
Patient Demographics
- Average Patient Age
- 71.3 years
- Avg HCC Risk Score
- 1.30
- Gender Split
- 67% female / 33% male
- Age Distribution
- <65: 56, 65-74: 172, 75-84: 106, 85+: 31
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Teresa Madrid, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Amlodipine Besylate
Amlodipine Besylate
390 claims
- Pantoprazole Sodium
Pantoprazole Sodium
271 claims
- Losartan Potassium
Losartan Potassium
231 claims
- Metformin Hcl
Metformin Hcl
227 claims
- Atorvastatin Calcium
Atorvastatin Calcium
215 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
188 claims
- Metoprolol Succinate
Metoprolol Succinate
169 claims
- Zolpidem Tartrate 152
Zolpidem Tartrate
152 claims
| Drug | Claims |
|---|---|
| Amlodipine Besylate | 390 |
| Pantoprazole Sodium | 271 |
| Losartan Potassium | 231 |
| Metformin Hcl | 227 |
| Atorvastatin Calcium | 215 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 188 |
| Metoprolol Succinate | 169 |
| Zolpidem Tartrate | 152 |
| Levothyroxine Sodium | 146 |
| Omeprazole | 143 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Adult Medicine Physician Overview
How Teresa Madrid, M.D. fits within the Adult Medicine Physician landscape nationally.
2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider
Teresa Madrid, M.D.'s 6,881 claims are above the specialty average of 2,807.
Nearby Adult Medicine Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Madrid.
Dr. Jodi Abramowitz
D.O.
Linwood, NJ
Dr. Joseph Aloise
D.O.
Haddon Heights, NJ
Pamela Anderson
Newark, NJ
Dr. Alexandru Bancila
MD
Highland Park, NJ
Dr. Ian Barnes
DO
Stratford, NJ
Compare Adult Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Adult Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
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Frequently Asked Questions
What is Teresa Madrid, M.D.'s specialty? ▼
Teresa Madrid, M.D. specializes in Adult Medicine Physician and practices in Newark, New Jersey. Credentials: M.D..
How much does Teresa Madrid, M.D. prescribe under Medicare Part D? ▼
In 2023, Teresa Madrid, M.D. wrote 6,881 Medicare Part D claims totaling $906K in drug costs for 365 beneficiaries.
Where is Teresa Madrid, M.D. located? ▼
Teresa Madrid, M.D. is located at 111 CENTRAL AVE, Newark, NJ, 07102. Phone: (973) 877-5543.
What is Teresa Madrid, M.D.'s NPI number? ▼
Teresa Madrid, M.D.'s National Provider Identifier (NPI) is 1982646295, issued on 06/12/2006.
Does Teresa Madrid, M.D. prescribe more brand-name or generic drugs? ▼
Teresa Madrid, M.D.'s prescribing is 13% brand-name and 84% generic drugs by claim count, with $569K in brand drug costs.
Does Teresa Madrid, M.D. prescribe opioids? ▼
Yes, Teresa Madrid, M.D. had 86 opioid claims in 2023 with an opioid prescribing rate of 1.2%.
How many Adult Medicine Physician providers are there in the US? ▼
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
What drugs does Teresa Madrid, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Teresa Madrid, M.D.'s most frequently prescribed drugs include Amlodipine Besylate, Pantoprazole Sodium, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Teresa Madrid, M.D. accept Medicare? ▼
Teresa Madrid, M.D. appears in CMS Medicare data with 6,881 Part D claims and 365 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Teresa Madrid, M.D.'s credentials? ▼
Teresa Madrid, M.D.'s NPI is 1982646295 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.