Active NPI 1093866147 Individual Practitioner Male Practitioner

Dr. Michael Edward Madison , MD

Surgery • Salem, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Madison, MD is a certified Surgery practicing in Salem, OH. With approximately 32 years of clinical experience since graduating from Northeastern Ohio University College Of Medicine in 1994, Dr. Madison delivers high-quality medical care to the local community at 2094 E STATE ST STE B.

Dr. Madison maintains professional affiliations with Sch Professional Corporation, Partners Physician Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, established patient outpatient office visit, removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2094 E State St Ste B

Salem, OH 444604409

Telephone 3303378709

Medicare Profile & Education

Medical School

Northeastern Ohio University College Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Salem, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +7.3 yrs vs City Avg

City Avg: 24.7 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

7 Specialists

Practicing in Salem, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Madison (32 Years) 32 Yrs

Salem Specialty Average (24.7 Years) 24.7 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
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	65	62	$388.02	$88.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	46	$194.11	$115.24
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	45	45	$567.20	$163.65
99213 Established patient office or other outpatient visit, typically 15 minutes	43	38	$136.56	$85.48
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	27	27	$340.41	$172.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$160.14	$105.33
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$595.82	$211.84
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$509.00	$173.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	32	$187.07	$121.64
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	42	42	$551.33	$172.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$156.44	$107.28
99213 Established patient office or other outpatient visit, typically 15 minutes	38	30	$132.63	$85.90
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	33	$376.00	$80.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$241.83	$159.32
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$326.08	$175.79
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$578.50	$242.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	60	44	$115.33	$87.69
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	38	38	$806.84	$179.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$151.56	$105.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	22	$150.17	$123.91
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	26	$374.89	$87.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$222.45	$162.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	40	$125.00	$125.00
99213 Established patient office or other outpatient visit, typically 15 minutes	46	41	$101.09	$89.00
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	31	$437.14	$99.79
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	28	28	$975.00	$168.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$150.00	$109.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$200.00	$164.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	48	$100.00	$72.65
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	32	$445.71	$105.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$125.00	$105.87
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	24	24	$975.00	$177.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$150.00	$104.46
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$650.00	$187.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	122	81	$100.00	$69.11
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	54	51	$466.67	$104.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	30	$125.00	$101.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$150.00	$101.57
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	38	38	$984.21	$181.43
45378 Diagnostic exam of large bowel using a flexible endoscope	26	26	$650.00	$177.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$200.00	$154.94
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$1300.00	$250.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	74	$100.00	$65.13
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	51	47	$480.39	$94.45
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	37	37	$1078.38	$182.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	31	$125.00	$97.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$150.00	$98.12
45378 Diagnostic exam of large bowel using a flexible endoscope	31	30	$650.00	$174.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$200.00	$150.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	177	114	$100.00	$65.32
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	82	75	$453.66	$98.19
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	55	55	$1069.09	$190.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	39	$125.52	$94.99
45378 Diagnostic exam of large bowel using a flexible endoscope	45	45	$650.00	$175.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$150.00	$97.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$200.00	$146.33
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$1300.00	$241.30

Medical Specialties & State Licenses

CMS Verified: 2021-04-13

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35-06-9908-M

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Family Medicine - Addiction Medicine

NUCC Taxonomy Code: 207QA0401X

State License OH 35-06-9908-M

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2116338 (OH)

Hospital & Practice Group Affiliations

Sch Professional Corporation

1995 E State St, Salem, OH 444602423

Phone: 3303327672

Partners Physician Group

4127 Medina Rd, Akron, OH 443332490

Phone: 3303446294

Sch Professional Corporation

1995 E State St, Salem, OH 444602423

Phone: 3303327415

Sch Professional Corporation

2020 E State St, Salem, OH 444602460

Phone: 3303327126

Sch Professional Corporation

750 E Park Ave, Columbiana, OH 444081448

Phone: 3304823762

Sch Professional Corporation

400 Town Ctr Ave, Columbiana, OH 444088305

Sch Professional Corporation

750 E Park Ave, Columbiana, OH 444081448

Phone: 3308920442

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. William Kolozsi , MD

Internal Medicine - Gastroenterology

NPI 1144203456

Doctor of Medicine (M.D.)

Lorraine Cresanto , CRNP

Nurse Practitioner

NPI 1487770962

Certified Registered Nurse Practitioner

Dr. Meredythe Mcnally , MD

Internal Medicine - Gastroenterology

NPI 1508830647

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location February 03, 2023

Registered at 2094 E STATE ST STE B, SALEM, OH 444604409 (Tel: 3303378709)

📍

Updated Business Mailing Address February 03, 2023

Registered at 2094 E STATE ST STE B, SALEM, OH 444604409 (Tel: 3303378709)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2023

Family Medicine (License #35-06-9908-M in OH)

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 2094 E STATE ST STE D, SALEM, OH 444604409 (Tel: 3303377316)

📍

Updated Business Mailing Address July 09, 2007

Registered at 2094 E STATE ST STE D, SALEM, OH 444604409 (Tel: 3303377316)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as MICHAEL MADISON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Surgery (License #35-06-9908-M in OH)

🟢

Initial NPI Registration & Enumeration January 16, 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: 1093866147

Entity Type:

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

Enumeration Date: January 16, 2007

Last Update: February 03, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2094 E State St Ste B

Salem, OH 444604409

Phone: 3303378709

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.