DR. DINESH MADHOK (M.D.) – Gastroenterology Physician, NPI 1366434409
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,475 GASTROENTEROLOGY in FL
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Provider Addresses for DR. DINESH MADHOK (M.D.)
4800, Belfort Road, Jacksonville, Duval County, Florida, 32256, United States
JACKSONVILLE, FL 322566004
Phone: (904) 398-3262
Fax: (904) 265-4807
Type: Mailing
1883, Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States
STE 1100
ORANGE PARK, FL 320734479
Phone: (904) 264-9797
Fax: (904) 264-4644
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 253 Open Payments records for all available years, with a total value of $4,383.
Total Amount is formed as General ($4,383) + Research ($0) + Ownership ($0) = $4,383.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,264).
Total Amount
$4,383
General + Research + Ownership
Payments
253
Total payment records
General Amount
$4,383
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,264 |
| Janssen Biotech, Inc. | $565 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $416 |
| GENZYME CORPORATION | $250 |
| Celgene Corporation | $204 |
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: 2010-12-06
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 |
|---|---|---|---|---|
| I20101206001050 | I | Gastroenterology | FL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 637 | 464 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 163 | 149 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 139 | 139 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 138 | 138 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 112 | 112 | $0 |
Insurance plans in this area (ZIP 32256)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | FL | |
| P A T H O L O G Y | FL | |
| Gastroenterology, Internal Medicine | FL | |
| Gastroenterology, Internal Medicine | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Internal Medicine, Gastroenterology | FL | |
| Internal Medicine, Gastroenterology | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL |
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