Active NPI 1225187271 Individual Practitioner Male Practitioner

Dr. Brian Madow , MD

Ophthalmology • Buffalo, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Madow, MD is a certified Ophthalmology practicing in Buffalo, NY. With approximately 42 years of clinical experience since completing medical education in 1984, Dr. Madow delivers high-quality medical care to the local community at 1176 MAIN ST.

Dr. Madow is affiliated with University Ophthalmology Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include imaging of retina, established patient complete exam of visual system, injection of drug into eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1176 Main St

Buffalo, NY 142092102

Telephone 7168817900

Fax 7168814349

Associated Practice Facility / Clinic

🏢 The Spec Shop Facility NPI 1184806853

Medicare Profile & Education

Medical School

Other

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Buffalo, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +14.4 yrs vs City Avg

City Avg: 27.6 Yrs

State Avg: 32.5 Yrs

Regional Practice Density

22 Specialists

Practicing in Buffalo, NY (1980 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Madow (42 Years) 42 Yrs

Buffalo Specialty Average (27.6 Years) 27.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	942	387	$63.00	$39.00
92014 Established patient complete exam of visual system	627	349	$155.00	$121.97
67028 Injection of drug into eye	351	70	$336.98	$123.16
J9035 Injection, bevacizumab, 10 mg	214	45	$92.00	$71.59
92004 New patient complete exam of visual system	33	33	$178.00	$145.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	903	337	$60.54	$38.20
92014 Established patient complete exam of visual system	656	323	$151.58	$119.92
67028 Injection of drug into eye	309	74	$316.96	$118.17
J9035 Injection, bevacizumab, 10 mg	175	46	$92.00	$71.29
92004 New patient complete exam of visual system	30	30	$176.67	$143.82
76512 Ultrasound of eye disease, growth, or structure	18	13	$109.00	$48.53
92250 Photography of the retina	11	11	$66.82	$35.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	696	250	$52.81	$39.17
92014 Established patient complete exam of visual system	445	226	$165.04	$122.65
67028 Injection of drug into eye	300	65	$291.85	$121.66
J0178 Injection, aflibercept, 1 mg	146	24	$1250.00	$909.66
J9035 Injection, bevacizumab, 10 mg	137	40	$92.00	$68.37
76512 Ultrasound of eye disease, growth, or structure	25	13	$112.11	$48.78
92004 New patient complete exam of visual system	24	24	$188.49	$146.73
92235 Exam of retinal blood vessels using a special camera after injection of a dye	16	16	$118.38	$109.27
92250 Photography of the retina	14	13	$71.57	$35.00
92012 Established patient problem focused exam of visual system	11	11	$117.98	$86.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	498	397	$220.53	$123.84
92134 Imaging of retina	288	167	$52.43	$40.02
J0178 Injection, aflibercept, 1 mg	184	29	$1250.00	$917.31
67028 Injection of drug into eye	128	56	$325.04	$123.64
J9035 Injection, bevacizumab, 10 mg	55	28	$92.00	$70.48
92012 Established patient problem focused exam of visual system	54	52	$190.44	$88.17
67028 Injection of drug into eye	28	15	$906.07	$92.61
92004 New patient complete exam of visual system	17	17	$305.41	$147.97
76512 Ultrasound of eye disease, growth, or structure	13	12	$305.77	$52.11
92083 Exam of visual field with extended testing	11	11	$191.00	$61.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	545	346	$284.00	$124.54
92012 Established patient problem focused exam of visual system	165	141	$196.00	$87.61
92004 New patient complete exam of visual system	78	78	$348.00	$149.99
67028 Injection of drug into eye	76	28	$899.61	$105.22
92002 New patient problem focused exam of visual system	52	52	$185.00	$83.51
92083 Exam of visual field with extended testing	21	19	$202.00	$62.39
76512 Ultrasound of eye disease, growth, or structure	15	14	$382.33	$56.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	629	388	$278.94	$123.81
92012 Established patient problem focused exam of visual system	296	242	$191.86	$86.95
67028 Injection of drug into eye	107	32	$864.02	$101.16
92134 Imaging of retina	78	67	$173.85	$40.34
92004 New patient complete exam of visual system	69	69	$342.16	$149.59
92002 New patient problem focused exam of visual system	63	63	$181.78	$82.26
92083 Exam of visual field with extended testing	35	33	$198.00	$62.96
66821 Removal of recurring cataract in lens capsule using a laser	21	20	$1145.00	$316.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	694	435	$184.07	$85.38
92134 Imaging of retina	219	195	$166.21	$40.54
92014 Established patient complete exam of visual system	175	141	$267.28	$123.73
92083 Exam of visual field with extended testing	98	94	$190.10	$62.27
J0178 Injection, aflibercept, 1 mg	76	23	$1295.00	$956.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	56	$305.00	$145.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	45	$226.00	$104.49
67028 Injection of drug into eye	45	38	$782.31	$114.27
92002 New patient problem focused exam of visual system	41	41	$174.10	$81.69
67028 Injection of drug into eye	38	17	$860.00	$100.48
92004 New patient complete exam of visual system	22	22	$326.82	$144.55
66821 Removal of recurring cataract in lens capsule using a laser	20	20	$1129.55	$311.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	781	255	$157.00	$39.50
J0178 Injection, aflibercept, 1 mg	522	34	$1295.00	$962.89
J2778 Injection, ranibizumab, 0.1 mg	478	18	$600.00	$349.37
67028 Injection of drug into eye	348	67	$753.84	$112.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	202	112	$226.00	$104.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	199	142	$305.00	$141.09
92012 Established patient problem focused exam of visual system	140	68	$178.00	$83.11
92014 Established patient complete exam of visual system	107	90	$260.00	$121.11
99213 Established patient office or other outpatient visit, typically 15 minutes	92	66	$138.96	$71.10
J7999 Compounded drug, not otherwise classified	43	19	$90.00	$46.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	30	$91.20	$40.70
92250 Photography of the retina	38	33	$234.00	$62.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$351.00	$159.27
92275 Recording of retinal electrical responses to external stimuli	24	23	$474.00	$143.77
92235 Exam of retinal blood vessels using a special camera after injection of a dye	13	12	$418.00	$83.14

Medical Specialties & State Licenses

CMS Verified: 2022-03-22

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NY 247586

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License FL ME101419

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

06463721 (NY)

Medicaid State Provider ID

000388000 (FL)

Commercial Insurance / Payer ID Blue Cross Blue Shield

53733 (FL)

Hospital & Practice Group Affiliations

University Ophthalmology Services Inc

1176 Main St, Buffalo, NY 142092102

Phone: 7168817900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners

Dr. Baltaj Sandhur , MD

Student in an Organized Health Care Education/Training Program

NPI 1023958931

Doctor of Medicine (M.D.)

Dr. Sangita Patel , MD

Ophthalmology

NPI 1093792483

Doctor of Medicine (M.D.)

Dr. Natasha Gautam , MD

Ophthalmology - Glaucoma Specialist

NPI 1275117459

Doctor of Medicine (M.D.)

Adam Moosa

Student in an Organized Health Care Education/Training Program

NPI 1396685327

Dr. Andrew Reynolds , MD

Ophthalmology

NPI 1508156746

Doctor of Medicine (M.D.)

Dr. Shelby Rockwell , OD

Optometrist

NPI 1548746720

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location March 22, 2022

Registered at 1176 MAIN ST, BUFFALO, NY 142092102 (Tel: 7168817900)

📍

Updated Business Mailing Address March 22, 2022

Registered at 1176 MAIN ST, BUFFALO, NY 142092102 (Tel: 7168817900)

✅

NPI Profile Active January 12, 2018

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address January 12, 2018

Registered at PO BOX 44008, JACKSONVILLE, FL 322314008 (Tel: 9042449390)

📍

Updated Practice Location January 12, 2018

Registered at 12901 BRUCE B DOWNS BLVD, MDC 21, TAMPA, FL 336124742 (Tel: 8139741530)

👤

Provider Name / Credentials Updated January 12, 2018

Recorded as BRIAN MADOW, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2018

Ophthalmology (License #ME101419 in FL)

✅

NPI Profile Active September 17, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 17, 2014

Registered at 12901 BRUCE B DOWNS BLVD, MDC 21, TAMPA, FL 336124742 (Tel: 8139741530)

📍

Updated Business Mailing Address September 17, 2014

Registered at PO BOX 917770, BASCOM PALMER EYE INSTITUTE, ORLANDO, FL 328917770

👤

Provider Name / Credentials Updated September 17, 2014

Recorded as BRIAN MADOW, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2014

Ophthalmology (License #ME101419 in FL)

🟢

Initial NPI Registration & Enumeration January 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225187271

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 09, 2007

Last Update: March 22, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1176 Main St

Buffalo, NY 142092102

Phone: 7168817900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.