Active NPI 1598816639 Individual Practitioner Male Practitioner

Dr. John Robert Madison , MD

Surgery • Salem, OH

Professional Overview & Biography Verified Profile Summary

Dr. John Madison, MD is a registered healthcare professional specializing in Surgery in Salem, OH. Practice services are available at 2094 E STATE ST STE D under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of tissue from wound, 20.0 sq cm or less, removal of skin and tissue, 20.0 sq cm or less. 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 D

Salem, OH 444604409

Telephone 3303377316

Fax 3303371765

Associated Practice Facility / Clinic

🏢 John R Madison Md, Inc Facility NPI 1427171073

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Salem, OH

Active Practitioner

Practitioner Clinical Experience

Active

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

33.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	27	14	$100.00	$66.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	114	38	$100.00	$50.98
97597 Removal of tissue from wound, 20.0 sq cm or less	44	19	$175.00	$37.19
11042 Removal of skin and tissue, 20.0 sq cm or less	43	13	$300.00	$61.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$200.00	$129.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$150.00	$135.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	137	50	$100.00	$48.31
11042 Removal of skin and tissue, 20.0 sq cm or less	91	27	$300.00	$58.33
97597 Removal of tissue from wound, 20.0 sq cm or less	64	30	$175.00	$22.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	60	53	$150.00	$129.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$200.00	$122.16
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$100.00	$69.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	17	$125.00	$74.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$150.00	$101.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	125	39	$100.00	$47.32
11042 Removal of skin and tissue, 20.0 sq cm or less	122	27	$298.77	$57.22
97597 Removal of tissue from wound, 20.0 sq cm or less	86	33	$175.00	$22.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	53	$150.00	$126.50
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	43	13	$600.00	$139.22
99213 Established patient office or other outpatient visit, typically 15 minutes	30	22	$100.00	$66.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$200.00	$119.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$125.00	$72.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$150.00	$97.93
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$2900.00	$642.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	208	36	$300.00	$56.07
97597 Removal of tissue from wound, 20.0 sq cm or less	165	37	$175.00	$21.45
99213 Established patient office or other outpatient visit, typically 15 minutes	161	63	$100.00	$46.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	112	96	$150.00	$125.15
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	58	22	$600.00	$144.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$150.00	$97.19
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	41	12	$150.00	$24.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$200.00	$118.49
99213 Established patient office or other outpatient visit, typically 15 minutes	35	33	$100.00	$65.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$125.00	$71.65
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	19	19	$2900.00	$665.35
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	11	11	$600.00	$113.08

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35-0243-06

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0078866 (OH)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Lee Fredrickson , MD

Internal Medicine

NPI 1427476753

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

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 JOHN MADISON, MD

🎓

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

Surgery (License #35-0243-06 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: 1598816639

Entity Type:

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

Enumeration Date: January 16, 2007

Last Update: July 09, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2094 E State St Ste D

Salem, OH 444604409

Phone: 3303377316

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.