KEITH PETER MADSEN (M.D.) – Family Medicine Physician, NPI 1184884439

KEITH PETER MADSEN (M.D.) is a healthcare provider. based in Blacksburg, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 116020253 (VA). The NPI Number for KEITH PETER MADSEN (M.D.) is 1184884439

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
KEITH PETER MADSEN (M.D.)
NPI
1184884439
Phone
(540) 951-8380
Address
1420 N MAIN ST
Enumeration Date
11 June 2008
Last Update Date
11 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5403826000
Graduation Year
2008 (18 years ago)
PAC ID
8820302920
Group Practice PAC ID
7012820889
Professional Enrollment ID
I20150803002430
Address ID
VA240735780CH434XXRDXX500

Contacts

Secure Messaging
kmadsen14131@direct.carilionclinic.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

3,174 FAMILY PRACTICE in VA

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Provider Addresses for KEITH PETER MADSEN (M.D.)

  • 1420, North Main Street, Alleghany Heights, Blacksburg, Montgomery County, Virginia, 24060-3348, United States

    BLACKSBURG, VA 240602522

    Phone: (540) 951-8380

    Type: Mailing

  • 213 JEFFERSON ST STE 1006

    BLACKSBURG, VA 240607512

    Phone: (540) 224-5715

    Fax: (540) 224-5684

    Type: Mailing

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: 2015-08-03

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
I20150803002430IFamily PracticeVATBD

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
36415Insertion of needle into vein for collection of blood sample895512$0
99214Established patient office or other outpatient visit, 30-39 minutes713379$0
99213Established patient office or other outpatient visit, 20-29 minutes460302$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit327327$0
G0008Administration of influenza virus vaccine162161$0
View full utilization report →

Insurance plans in this area (ZIP 24060)

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Provider's Procedures

KEITH PETER MADSEN (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEVA90670Pneumococcal vaccine for injection into muscle9191

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: 7012820889View full group profile
NameSpecialtyState
Family PracticeVA
Nurse PractitionerVA
-VA
Physician AssistantVA
Family PracticeVA
Family PracticeVA
Physician AssistantVA
Nurse PractitionerVA
Physician AssistantVA
Physician AssistantVA

Reviews

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Frequently asked questions

What number should I use to identify KEITH PETER MADSEN (M.D.) for billing?
Administrative and clinical systems typically use NPI 1184884439 for KEITH PETER MADSEN (M.D.).
Is KEITH PETER MADSEN (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists KEITH PETER MADSEN (M.D.) as active.
What services align with KEITH PETER MADSEN (M.D.)'s listing?
KEITH PETER MADSEN (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KEITH PETER MADSEN (M.D.)?
KEITH PETER MADSEN (M.D.) is associated with Blacksburg, Virginia in the same public data insurers reference.
Why is information missing for KEITH PETER MADSEN (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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