Active NPI 1811097009 Individual Practitioner Female Practitioner

Dr. Marian Madden , MD

Internal Medicine • Williamstown, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marian Madden, MD is a certified Internal Medicine practicing in Williamstown, MA. With approximately 39 years of clinical experience since graduating from University Of Pittsburgh School Of Medicine in 1987, Dr. Madden delivers high-quality medical care to the local community at 197 ADAMS RD.

Dr. Madden is affiliated with Fairview Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, advance care planning, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

197 Adams Rd

Williamstown, MA 01267

Telephone 4134588182

Fax 4134583140

Associated Practice Facility / Clinic

🏢 Williamstown Medical Associates Pc Facility NPI 1154319200

Medicare Profile & Education

Medical School

University Of Pittsburgh School Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Williamstown, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +18.0 yrs vs City Avg

City Avg: 21.0 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

8 Specialists

Practicing in Williamstown, MA (7127 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Madden (39 Years) 39 Yrs

Williamstown Specialty Average (21.0 Years) 21.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)

Reporting Year:

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	477	296	$128.00	$82.56
99213 Established patient office or other outpatient visit, typically 15 minutes	167	149	$83.26	$53.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	162	162	$340.00	$123.30
99497 Advance care planning, first 30 minutes	157	157	$170.00	$83.01
G0442 Annual alcohol misuse screening, 5 to 15 minutes	156	156	$38.00	$10.05
G0444 Annual depression screening, 5 to 15 minutes	144	144	$38.00	$10.05
93793 Anticoagulant management of patient taking warfarin	80	18	$38.00	$12.75
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	62	62	$53.00	$24.95
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	47	39	$180.00	$56.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	42	$185.00	$116.59
77080 Dxa bone density measurement of hip, pelvis, spine	34	34	$85.00	$10.41
99496 Transitional care management services for problem of high complexity	23	22	$466.00	$171.28
99495 Transitional care management services for problem of at least moderate complexity	22	20	$330.00	$115.80
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	21	17	$139.00	$43.78
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$505.00	$181.57
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	15	15	$32.00	$8.92
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	14	14	$29.00	$13.02
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$135.00	$133.23
G0405 Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination	11	11	$30.00	$8.93

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	542	334	$128.25	$81.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	278	278	$340.00	$122.09
99213 Established patient office or other outpatient visit, typically 15 minutes	238	213	$83.37	$52.87
G0444 Annual depression screening, 5 to 15 minutes	127	127	$38.00	$9.86
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	62	44	$180.00	$56.34
G0442 Annual alcohol misuse screening, 5 to 15 minutes	48	48	$38.00	$9.86
99495 Transitional care management services for problem of at least moderate complexity	42	36	$330.00	$114.48
99497 Advance care planning, first 30 minutes	41	41	$170.00	$81.85
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	41	41	$53.00	$24.47
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	40	21	$139.00	$43.89
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	27	27	$505.00	$179.26
99496 Transitional care management services for problem of high complexity	24	22	$466.00	$166.10
77080 Dxa bone density measurement of hip, pelvis, spine	23	23	$85.00	$10.58
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$133.77	$130.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	19	$189.76	$111.06
G0405 Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination	20	20	$30.00	$8.84
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	19	17	$32.00	$8.80
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	11	11	$29.00	$12.77

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	712	419	$177.23	$102.04
36415 Insertion of needle into vein for collection of blood sample	456	284	$12.00	$2.94
85610 Blood test, clotting time	272	43	$19.00	$5.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	264	264	$340.00	$119.76
99213 Established patient office or other outpatient visit, typically 15 minutes	247	203	$111.86	$67.23
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	82	66	$180.00	$55.74
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	71	40	$53.00	$21.19
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	42	21	$139.00	$43.16
77080 Dxa bone density measurement of hip, pelvis, spine	34	34	$118.82	$34.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	27	$236.85	$130.79
93000 Routine ekg using at least 12 leads including interpretation and report	26	25	$98.00	$17.65
99496 Transitional care management services for problem of high complexity	21	18	$608.86	$206.68
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$180.81	$158.04
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$505.00	$176.33
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$34.00	$17.48
G0008 Administration of influenza virus vaccine	15	15	$43.00	$27.06
69209 Removal of impacted ear wax by washing	14	14	$41.00	$18.33
G0009 Administration of pneumococcal vaccine	13	13	$43.00	$28.04

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 79551

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Fairview Hospital

197 Adams Rd, Williamstown, MA 012672930

Phone: 4134583140

Practice Associates & Co-Workers

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

12 Associated Practitioners

Eileen Gabriel , RN, GNP-C

Nurse Practitioner - Gerontology

NPI 1114904026

Registered Nurse, GNPC

Dr. Sarah Turner , DO

Internal Medicine

NPI 1164838710

Doctor of Osteopathic Medicine (D.O.)

Sarah Kangas

Nurse Practitioner - Family

NPI 1225401656

Dr. Daniel Sullivan , MD

Internal Medicine

NPI 1366429375

Doctor of Medicine (M.D.)

Jacob Shelsy , PA-C

Physician Assistant

NPI 1417346974

Physician Assistant (Certified)

Dr. Erwin Stuebner , MD

Internal Medicine

NPI 1568449601

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location May 15, 2018

Registered at 197 ADAMS RD, WILLIAMSTOWN, MA 01267 (Tel: 4134588182)

✅

NPI Profile Active February 04, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 04, 2016

Registered at 197 ADAMS RD, WILLIAMSTOWN, MA 012672930 (Tel: 4134588182)

📍

Updated Business Mailing Address February 04, 2016

Registered at 197 ADAMS RD, WILLIAMSTOWN, MA 012672930 (Tel: 4134588182)

👤

Provider Name / Credentials Updated February 04, 2016

Recorded as MARIAN MADDEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2016

Internal Medicine (License #79551 in MA)

🟢

Initial NPI Registration & Enumeration September 25, 2006

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: 1811097009

Entity Type:

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

Enumeration Date: September 25, 2006

Last Update: May 15, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

197 Adams Rd

Williamstown, MA 012672930

Phone: 4134588182

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.