Maria Madrid, MD
NPI 1457312365 · Family Medicine Physician · Edinburg, TX
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maria Madrid, MD is a Family Medicine Physician provider in Edinburg, TX (NPI 1457312365).
Provider details
- NPI number
- 1457312365
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- L8422 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
151 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 68 | $122 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 36 | $87 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 21 | $124 |
| Administration of Influenza Virus VaccineG0008 | 13 | $29 |
| Prolonged Preventive Service(s) (beyond the Typical Service Time of the Primary Procedure), in the Office Or Other Outpatient Setting Requiring Direct Patient Contact Beyond the Usual Service; First 30 Minutes (list Separately in Addition to Code for PreveG0513 | 13 | $60 |
Typical Medicare-allowed amounts for these services range $29–$124 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 53 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 127 | 69 |
| Levothyroxine Sodium | 66 | 40 |
| Amlodipine Besylate | 65 | 42 |
| Azithromycin | 62 | 58 |
| Metformin Hcl | 61 | 33 |
| Lisinopril | 57 | 42 |
| Alendronate Sodium | 56 | 24 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$90 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 5407 S Mccoll Rd Ste BEdinburg, TX 78539-9163Phone: (956) 587-0088Fax: (956) 252-2654
Registry dates
- Enumerated
- 2006-03-30
- Last updated
- 2021-11-04
- Certified
- 2021-11-04
Frequently asked questions
- What is Maria Madrid's NPI number?
- Maria Madrid's National Provider Identifier (NPI) is 1457312365, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maria Madrid's specialty?
- Maria Madrid is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Maria Madrid located?
- Maria Madrid's practice location on file with NPPES is 4001 S Sugar Rd Ste B, Edinburg, TX 78539-4707.
- What is Maria Madrid's phone number?
- The practice phone number listed in the NPPES registry for Maria Madrid is (956) 997-6565.
- Does Maria Madrid accept Medicare?
- Maria Madrid is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Maria Madrid's NPI active?
- Yes — Maria Madrid's NPI (1457312365) is active in the NPPES registry as of the last update on 2021-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.