MICHAEL EDWARD MADISON (MD) – Surgery Physician, NPI 1093866147
Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,600 GENERAL SURGERY in OH
Provider Addresses for MICHAEL EDWARD MADISON (MD)
2094 E STATE ST STE B
SALEM, OH 444604409
Phone: (330) 337-8709
Type: Mailing
2094 E STATE ST STE D
SALEM, OH 444604409
Phone: (330) 337-7316
Fax: (330) 337-1765
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 55 Open Payments records for all available years, with a total value of $929.
Total Amount is formed as General ($929) + Research ($0) + Ownership ($0) = $929.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($242).
Total Amount
$929
General + Research + Ownership
Payments
55
Total payment records
General Amount
$929
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $242 |
| Takeda Pharmaceuticals U.S.A., Inc. | $145 |
| Janssen Biotech, Inc. | $120 |
| Celltrion USA Inc. | $103 |
| NESTLE HEALTHCARE NUTRITION INC. | $80 |
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: 2012-01-26
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 |
|---|---|---|---|---|
| I20120126000857 | I | General Surgery | OH | 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 | 43 | 32 | $0 |
| 45384 | Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | 42 | 42 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 41 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 38 | 30 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 36 | 33 | $0 |
Insurance plans in this area (ZIP 44460)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| - | OH | |
| Gynecological Oncology | FL | |
| - | OH | |
| A N E S T H E S I O L O G Y | IL | |
| Family Practice | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Rheumatology, Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| - | OH |
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