IAN MADOM (MD) – Orthopaedic Surgery Physician, NPI 1194942078

IAN MADOM (MD) is a healthcare provider. based in Wakefield, Rhode Island. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 256162 (NY). The NPI Number for IAN MADOM (MD) is 1194942078

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
IAN MADOM (MD)
NPI
1194942078
Phone
(401) 789-1422
Address
1 HIGH ST
Enumeration Date
20 April 2007
Last Update Date
22 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4017777000
Graduation Year
2003 (23 years ago)
PAC ID
4082789128
Group Practice PAC ID
7012225907
Professional Enrollment ID
I20080825000126
Address ID
RI028793103WA1XXXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:19State licenses:3Digital endpointsOther names

182 ORTHOPEDIC SURGERY in RI

Provider Addresses for IAN MADOM (MD)

  • 1 HIGH ST

    WAKEFIELD, RI 028793103

    Phone: (401) 789-1422

    Fax: (401) 782-6810

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $10,814.

Total Amount is formed as General ($10,814) + Research ($0) + Ownership ($0) = $10,814.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Stryker Corporation ($7,117).

Total Amount

$10,814

General + Research + Ownership

Payments

42

Total payment records

General Amount

$10,814

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-08-25

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
I20080825000126IOrthopedic SurgeryRITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes13087$0
72100X-ray of lower and sacral spine, 2-3 views5529$0
72110X-ray of lower and sacral spine, minimum of 4 views3433$0
99214Established patient office or other outpatient visit, 30-39 minutes3332$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion2217$0
View full utilization report →

Insurance plans in this area (ZIP 02879)

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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: 7012225907View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeRI
Physician AssistantRI
Physician AssistantRI
Physician AssistantRI
-RI
Orthopedic Surgery, Sports MedicineRI
Orthopedic SurgeryMA
Occupational Therapist In Private PracticeRI
Nurse PractitionerRI
-RI

Reviews

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Frequently asked questions

How is IAN MADOM (MD) identified in CMS data?
CMS-hosted NPPES data lists IAN MADOM (MD) with NPI 1194942078.
Is IAN MADOM (MD) listed as active for patients and plans?
The listing shows IAN MADOM (MD) as active in the NPI system.
What is IAN MADOM (MD) best known for clinically?
Directory data describes IAN MADOM (MD) with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for IAN MADOM (MD)?
IAN MADOM (MD)'s geographic hint is Wakefield, Rhode Island in our summary view.
Is the information about IAN MADOM (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."