DR. PHILIP A MADDOX MD
NPI 1932168150
Orthopaedic Surgery - Hand Surgery in Huntsville, AL

Active since March 18, 2006PECOS EnrolledAccepts Medicare Assignment
75.98/100
CMS Quality Rating
927 FRANKLIN ST, HUNTSVILLE, AL 35801(256) 539-2728(256) 428-3423 Get Directions Write a Review

NPPES record last updated: May 18, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Philip A Maddox Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILIP A MADDOX MD (NPI 1932168150) is an individual hand surgery provider in Huntsville, Alabama, licensed in Alabama (10489) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1980).

NPPES Registry Identity

NPI1932168150
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. PHILIP A MADDOXCredential: MD
Location Address927 FRANKLIN STHuntsville, AL 35801
Mailing Address927 Franklin StHuntsville, AL 35801 · (256) 539-2728 · Fax (256) 428-3423
Fax(256) 428-3423
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1980
Enumeration DateMarch 18, 2006
Last NPPES UpdateMay 18, 2010
NPI 1932168150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in AL · 10489
Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 10489 (AL)
927 FRANKLIN ST, Huntsville, AL 35801

Other Identifiers 7

Medicare PIN000008836AL
Medicaid000008836AL
Other200038943AL · Railroad Medicare
Other4003597AL · Aetna
Other51008836AL · Bcbs
Other0910168AL · United Healthcare
Medicare UPINC75431

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Philip A Maddox Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507823267
PECOS Enrollment IDI20041214000652
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 30

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
229 services68 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
183 services40 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
176 services142 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
169 services169 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
156 services146 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
128 services128 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality59.6
Promoting Interoperability94
Improvement Activities40

Reported Quality Measures

Advance Care Plan
25%1,098 patients2/55-star benchmark: 100%
Breast Cancer Screening
0%1,003 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%936 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
0%1,822 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
0%676 patients1/55-star benchmark: 91%
Diabetes: Eye Exam
0%70 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
96%4,522 patients4/55-star benchmark: 100%
e-Prescribing
92%1,842 patients2/55-star benchmark: 100%
Falls: Plan of Care
96%53 patients
Falls: Screening for Future Fall Risk
0%983 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%3,233 patients2/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 5% · 176 patients
Patients screened: 94% · 918 patients
94%90 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 31% · 2,349 patients
98%121 patients
Provide Patients Electronic Access to Their Health Information
94%3,297 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 983 patients
Patients totalRate: 10% · 983 patients
10%983 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3906
DME-Orthotic Devices · category DF000N
1 supplier15 claims15 services$323.88 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913
DME-Orthotic Devices · category DF000N
1 supplier17 claims17 services$192.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
927 FRANKLIN ST
HUNTSVILLE, AL 35801
Physician Assistant
927 FRANKLIN ST
HUNTSVILLE, AL 35801
Orthopaedic Surgery
927 FRANKLIN ST
HUNTSVILLE, AL 35801
Physician Assistant
927 FRANKLIN ST
HUNTSVILLE, AL 35801
Orthopaedic Surgery (Hand Surgery)
927 FRANKLIN ST
HUNTSVILLE, AL 35801
Physical Medicine & Rehabilitation
927 FRANKLIN ST
HUNTSVILLE, AL 35801
Orthopaedic Surgery
927 FRANKLIN ST
HUNTSVILLE, AL 35801
Physician Assistant
927 FRANKLIN ST
HUNTSVILLE, AL 35801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Maddox's NPI number?

The NPI number for Philip Maddox is 1932168150. It was assigned to this individual provider in the NPPES registry on March 18, 2006.

Where is Philip Maddox located?

Philip Maddox practices at 927 Franklin St, Huntsville, AL 35801. The listed phone number is (256) 539-2728.

What is Philip Maddox's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Philip Maddox enrolled in Medicare?

Yes. Philip Maddox is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Philip Maddox accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 3 other insurers list Philip Maddox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Philip Maddox was last updated on May 18, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.