Nicholas Maddox, FNP-BC
NPI 1609584960ActiveIndividual· Nurse Practitioner, Family· Jefferson, NC
Nurse Practitioner, Family (FNP-BC) with Theoria Medical and 2 other groups, practicing in Jefferson, North Carolina. Their prescriptions cost Medicare Part D more than their services did: $219,690 for 2,601 claims, against $16,175 paid for services in 2024. Takeda Pharmaceuticals U.S.A., Inc. was the largest of 7 companies reporting payments in 2024, $166.39 in all, mostly food and beverage. Lists Ashe Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1609584960 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-BC |
| Sole proprietor | No |
| NPI issued | Nov 7, 2022 |
| Last updated in NPPES | Apr 12, 2025 |
| Certified by provider | Apr 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 5021560 | NC |
| Nurse Practitioner, Primary Care | 363LP2300X | 0024185720 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NC); Practitioner - Nurse Practitioner (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 173 |
|---|---|
| Services billed | 405 across 32 procedure codes |
| Paid by Medicare | $16,175 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,601 · 5,000 30-day fills |
|---|---|
| Patients | 417 |
| Total drug cost | $219,690 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Theoria MedicalEast Moline, IL · 284 clinicians
- Pai Participant 1 LLCChillicothe, OH · 191 clinicians
- Universal Health CorporationAmelia Court House, VA · 113 clinicians
Hospital affiliation
- Ashe Memorial HospitalJefferson, NC
Industry payments (Open Payments)
- 2024$166.39 · 9 payments from 7 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $53.11 | 3 |
| Astrazeneca Pharmaceuticals LP | $22.46 | 1 |
| Lilly USA, LLC | $21.27 | 1 |
| Otsuka America Pharmaceutical, Inc. | $20.19 | 1 |
| E.R. Squibb & Sons, L.L.C. | $18.58 | 1 |
What the 2024 payments were for
- Food and Beverage$166.39 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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