Madeleine M. Pfefferle

Overview

Maddi Pfefferle, a Raleigh native, is an experienced litigator who focuses her practice on healthcare litigation, including medical malpractice defense and products liability. She is known for her positive, energetic advocacy and is recognized for her skill in navigating high-exposure cases involving catastrophic outcomes, surgical complications, complex informed-consent issues, and birth injury/trauma. Maddi approaches each matter with recognition that it is a privilege to represent healthcare professionals and institutions in North Carolina’s legal system.

In her career, Maddi has tried multiple cases to verdict, successfully argued dispositive motions, and mediated many cases. She is admitted to and has experience practicing in both state and federal courts. In addition to her litigation practice, Maddi represents healthcare providers before their licensing boards, including the North Carolina Medical Board and North Carolina Board of Nursing, among others. 

Maddi is actively involved in several professional organizations. She is a graduate of the Chamber of Commerce’s “Leadership Raleigh” program, which prepares future leaders by providing an in-depth view of community issues and giving participants the opportunity to develop a project fulfilling community needs. She is also an active member of the North Carolina Association of Defense Attorneys (NCADA) and DRI. Maddi holds various leadership positions within these organizations. Maddi also contributes by speaking on emerging issues important to healthcare providers and those involved in the health system. Her written work has been featured in DRI For the Defense on trial advocacy, the intersection of known complications and informed consent in malpractice cases, and ethical conduct in navigating the physician-patient privilege in injury cases.

Maddi earned her B.A. in Government and Politics from the University of Maryland and her J.D. from the University of North Carolina School of Law. In law school, she served as Clerk of Court for Holderness Moot Court, was inducted into the National Order of the Barristers, and served as Notes & Comments Editor for the North Carolina Journal of International Law, receiving the Seymour W. Wurfel Award for exceptional leadership and service.

Outside the courtroom, Maddi is a proud dog mom to Marbury, her pandemic puppy who she named after the United States Supreme Court’s decision in Marbury v. Madison. She also enjoys ballroom dancing, travelling, and cheering for the Tar Heels.