KENNETH MADSEN (MD) – Surgery Physician, NPI 1164412862
Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
103 VASCULAR SURGERY in CO
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Provider Addresses for KENNETH MADSEN (MD)
East Spaulding Avenue, Pueblo County, Colorado, 81007, United States
PUEBLO, CO 810082209
Phone: (719) 296-9000
Fax: (719) 296-9001
Type: Location
Loveland Post Office, 200, Loveland–Madeira Road, Loveland, Hamilton County, Ohio, 45140, United States
LOVELAND, CO 805370702
Phone: (970) 663-2742
Fax: (970) 667-0847
Type: Mailing
3810 NORTHDALE BLVD
STE 150
TAMPA, FL 336241871
Phone:
Type: Mailing
1075 N CURTIS RD STE 101
BOISE, ID 837061348
Phone: (208) 302-2800
Fax: (208) 302-2825
Type: Location
208 Cox Blvd Ste 201
Goldsboro, NC 275349414
Phone: (919) 587-3333
Fax: (919) 587-3334
Type: Location
208 COX BLVD STE 201
GOLDSBORO, NC 275349414
Phone: (919) 587-3333
Fax: (919) 587-3334
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $5,443.
Total Amount is formed as General ($5,443) + Research ($0) + Ownership ($0) = $5,443.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($1,994).
Total Amount
$5,443
General + Research + Ownership
Payments
50
Total payment records
General Amount
$5,443
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| W. L. Gore & Associates, Inc. | $1,994 |
| Silk Road Medical, Inc. | $1,622 |
| Medtronic, Inc. | $834 |
| Boston Scientific Corporation | $504 |
| Shockwave Medical, Inc | $167 |
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: 2023-11-20
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 |
|---|---|---|---|---|
| I20141222000409 | I | Vascular Surgery | CO | TBD |
| I20231120002255 | I | Vascular Surgery | ID | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,131 | 26 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 122 | 85 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 112 | 66 | $0 |
| 99153 | Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 101 | 19 | $0 |
| 36482 | Chemical destruction of first incompetent vein of arm or leg using imaging guidance | 65 | 22 | $0 |
Insurance plans in this area (ZIP 81008)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | ID | |
| - | ID | |
| - | UT | |
| Family Practice | ID | |
| - | ID | |
| - | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| Interventional Cardiology | AR | |
| - | GA | |
| - | ID |
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