PHILLIP MADONIA (M.D.) – Nephrology Physician, NPI 1245440585
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
194 NEPHROLOGY in AL
Provider Addresses for PHILLIP MADONIA (M.D.)
35 W LAKESHORE DR STE 200
BIRMINGHAM, AL 352097250
Phone: (205) 226-5900
Fax: (205) 226-5937
Type: Location
817, Princeton Avenue Southwest, Elyton, Birmingham, Jefferson County, Alabama, 35211, United States
POB I; SUITE 210
BIRMINGHAM, AL 352111333
Phone: (205) 788-7572
Fax: (205) 226-5938
Type: Mailing
1770 INDEPENDENCE CT
VESTAVIA HILLS, AL 352161259
Phone: (205) 226-5900
Fax: (205) 226-5937
Type: Mailing
644 2ND ST NE STE 201
ALABASTER, AL 350078823
Phone: (205) 226-5900
Fax: (205) 226-5937
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 115 Open Payments records for all available years, with a total value of $48,990.
Total Amount is formed as General ($48,990) + Research ($0) + Ownership ($0) = $48,990.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($16,847).
Total Amount
$48,990
General + Research + Ownership
Payments
115
Total payment records
General Amount
$48,990
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $16,847 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $16,362 |
| Bayer Healthcare Pharmaceuticals Inc. | $10,286 |
| Lilly USA, LLC | $3,885 |
| Mozarc Medical US LLC | $576 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-08-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150806010735 | I | Nephrology | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 601 | 198 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 210 | 143 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 106 | 19 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 69 | 68 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 55 | 55 | $0 |
Insurance plans in this area (ZIP 35209)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | AL | 90935 | Hemodialysis procedure with one physician evaluation | 299 | 154 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| N E P H R O L O G Y | AL | |
| Nurse Practitioner | AL | |
| - | AL | |
| N E P H R O L O G Y | AL | |
| - | AL | |
| N E P H R O L O G Y | AL | |
| Internal Medicine | AL | |
| Nurse Practitioner | AL | |
| Internal Medicine, Nephrology | AL |
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