OWEN MADDOX (MD) – Specialist, NPI 1306831128

OWEN MADDOX (MD) is a healthcare provider. based in Brookline, Massachusetts. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 207995 (MA). The NPI Number for OWEN MADDOX (MD) is 1306831128

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
OWEN MADDOX (MD)
NPI
1306831128
Phone
(800) 927-0002
Address
PO BOX 9135
Enumeration Date
19 September 2005
Last Update Date
6 January 2015

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
4137819000
Graduation Year
1986 (40 years ago)
PAC ID
5294707691
Group Practice PAC ID
9537118609
Professional Enrollment ID
I20040806000873
Address ID
MA011071139SP3640XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,897 DIAGNOSTIC RADIOLOGY in MA

Provider Addresses for OWEN MADDOX (MD)

  • Brookline Post Office, 1295, Beacon Street, Coolidge Corner, North Brookline, Brookline, Norfolk County, Massachusetts, 02446, United States

    ATT:SHARON SILVA

    BROOKLINE, MA 024469135

    Phone: (800) 927-0002

    Type: Mailing

  • 125 PARKER HILL AVE

    ROXBURY CROSSING, MA 021202847

    Phone: (617) 754-6687

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-08-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040806000873IDiagnostic RadiologyMATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9575Injection, gadoterate meglumine, 0.1 ml4,09327$0
73562X-ray of knee, 3 views666643$0
72148Mri scan of lower spinal canal without contrast638628$0
73502X-ray of hip, 2-3 views637605$0
73560X-ray of knee, 1-2 views598575$0
View full utilization report →

Insurance plans in this area (ZIP 02446)

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Provider's Procedures

OWEN MADDOX (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMA64493Injections of lower or sacral spine facet joint using imaging guidance271236
DIAGNOSTIC RADIOLOGYMA73630X-ray of foot, minimum of 3 views170100

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537118609View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyCT
Diagnostic RadiologyMA
-CT
Diagnostic RadiologyMA
Diagnostic RadiologyMA
Diagnostic RadiologyMA
Diagnostic RadiologyCT
-MA
-CT
Diagnostic RadiologyCT

Reviews

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Frequently asked questions

What is the registry number for OWEN MADDOX (MD)?
The registry entry for OWEN MADDOX (MD) shows NPI 1306831128.
Should I treat OWEN MADDOX (MD) as an active provider?
Patients and plans typically see OWEN MADDOX (MD) as active in the national extract.
What services align with OWEN MADDOX (MD)'s listing?
OWEN MADDOX (MD)'s public classification highlights Other Service Providers. Clinical services aligned with this taxonomy classification.
Which community is linked to OWEN MADDOX (MD)?
OWEN MADDOX (MD) shows a connection to Brookline, Massachusetts in registry-derived data.
Who maintains OWEN MADDOX (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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