MICHAEL WAYNE MADSEN (M.D.) – Orthopaedic Surgery Physician, NPI 1043430911
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
747 ORTHOPEDIC SURGERY in CO
Provider Addresses for MICHAEL WAYNE MADSEN (M.D.)
10103 RIDGEGATE PKWY STE 112
LONE TREE, CO 801245524
Phone: (303) 662-8250
Fax: (303) 662-8249
Type: Mailing
120 WILLIAM PENN PLZ
DURHAM, NC 277042150
Phone: (919) 220-5255
Fax: (919) 220-6379
Type: Mailing
100 KELLIE DR
SMITHFIELD, NC 275779444
Phone: (919) 934-1094
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $238.
Total Amount is formed as General ($238) + Research ($0) + Ownership ($0) = $238.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: SI-BONE, INC. ($156).
Total Amount
$238
General + Research + Ownership
Payments
5
Total payment records
General Amount
$238
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SI-BONE, INC. | $156 |
| COLOPLAST CORP | $37 |
| Globus Medical, Inc. | $25 |
| Medtronic, Inc. | $20 |
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: 2021-08-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070816000876 | I | Orthopedic Surgery | CO | TBD |
| I20210803003340 | I | Orthopedic Surgery | NC | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 356 | 281 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 225 | 186 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 206 | 152 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 99 | 93 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 81 | 49 | $0 |
Insurance plans in this area (ZIP 80124)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | CO | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 35 | 34 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NC | |
| Nurse Practitioner | NC | |
| Orthopedic Surgery | NC | |
| - | GA | |
| Physical Therapist In Private Practice | NC | |
| Physician Assistant | NC | |
| Occupational Therapist In Private Practice | NY | |
| - | NC | |
| Sports Medicine, Orthopedic Surgery | NC | |
| Physical Therapist In Private Practice | NC |
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