Active NPI 1174843783 Individual Practitioner Male Practitioner

Dr. Adam Madsen , DO

Orthopaedic Surgery • Vernal, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Adam Madsen, DO is a certified Orthopaedic Surgery practicing in Vernal, UT. With approximately 16 years of clinical experience since completing medical education in 2010, Dr. Madsen delivers high-quality medical care to the local community at 175 N 100 W.

Dr. Madsen accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

175 N 100 W
Suite 204

Vernal, UT 840782033

Telephone 4357892060

Fax 4357892071

Associated Practice Facility / Clinic

🏢 Richards General Surgery Pc Facility NPI 1164530903

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Vernal, UT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs +0.5 yrs vs City Avg

City Avg: 15.5 Yrs

State Avg: 21.4 Yrs

Regional Practice Density

2 Specialists

Practicing in Vernal, UT (277 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Madsen (16 Years) 16 Yrs

Vernal Specialty Average (15.5 Years) 15.5 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
J1010 Injection, methylprednisolone acetate, 1 mg	8,961	73	$0.51	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	209	135	$225.00	$124.99
20610 Aspiration and/or injection of fluid from large joint	178	82	$174.00	$55.67
99213 Established patient office or other outpatient visit, typically 15 minutes	95	67	$160.00	$88.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$210.00	$108.47
J1040 Injection, methylprednisolone acetate, 80 mg	51	36	$42.00	$9.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$274.00	$163.10
Q4051 Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)	16	14	$16.00	$2.68
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	15	14	$70.00	$51.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	11	$254.00	$175.71

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	250	149	$225.00	$121.19
20610 Aspiration and/or injection of fluid from large joint	217	110	$174.00	$55.23
J1040 Injection, methylprednisolone acetate, 80 mg	205	109	$42.00	$11.74
99213 Established patient office or other outpatient visit, typically 15 minutes	174	121	$160.00	$85.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$201.18	$106.03
Q4051 Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)	31	26	$16.00	$2.86
20605 Aspiration and/or injection of medium joint or joint capsule	26	13	$200.00	$49.49
J1030 Injection, methylprednisolone acetate, 40 mg	25	16	$21.00	$7.80
27447 Replacement of knee joint, both sides of knee	25	25	$4624.00	$1224.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$274.00	$158.73
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	18	18	$70.00	$49.44
76000 Imaging guidance for procedure, 60 minutes or less	14	14	$54.00	$14.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	12	$254.00	$158.40
20985 Computer-assisted surgery for muscle and bone procedure	13	13	$240.00	$137.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	239	112	$174.00	$54.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	133	$206.25	$123.63
J1040 Injection, methylprednisolone acetate, 80 mg	216	109	$41.81	$10.70
99213 Established patient office or other outpatient visit, typically 15 minutes	152	105	$147.47	$87.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$192.00	$107.03
Q4051 Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)	31	26	$16.00	$2.78
J1030 Injection, methylprednisolone acetate, 40 mg	28	19	$21.00	$6.27
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	22	21	$70.00	$50.89
20605 Aspiration and/or injection of medium joint or joint capsule	22	13	$200.00	$48.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$274.00	$161.46
27447 Replacement of knee joint, both sides of knee	18	17	$4624.00	$1242.20
76000 Imaging guidance for procedure, 60 minutes or less	13	12	$54.00	$14.91

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	246	157	$175.00	$124.63
20610 Aspiration and/or injection of fluid from large joint	211	117	$174.00	$54.54
J1040 Injection, methylprednisolone acetate, 80 mg	197	115	$42.00	$10.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	117	117	$192.00	$108.01
99213 Established patient office or other outpatient visit, typically 15 minutes	107	77	$145.00	$88.05
76000 Imaging guidance for procedure, 60 minutes or less	17	16	$54.00	$15.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$387.00	$194.58
J1030 Injection, methylprednisolone acetate, 40 mg	17	15	$21.00	$5.39
Q4051 Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)	17	15	$16.00	$2.74
64721 Release and/or relocation of hand nerve	13	11	$1857.00	$380.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$274.00	$163.20
27447 Replacement of knee joint, both sides of knee	12	12	$4624.00	$1257.89
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	11	11	$70.00	$50.95

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	260	170	$175.00	$105.52
20610 Aspiration and/or injection of fluid from large joint	201	110	$174.00	$54.95
J1040 Injection, methylprednisolone acetate, 80 mg	190	107	$42.00	$11.56
99213 Established patient office or other outpatient visit, typically 15 minutes	143	101	$145.00	$72.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$192.00	$104.93
64721 Release and/or relocation of hand nerve	22	17	$1857.00	$387.76
Q4051 Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)	22	20	$16.00	$2.89
76000 Imaging guidance for procedure, 60 minutes or less	18	12	$54.00	$15.45
27447 Replacement of knee joint, both sides of knee	17	15	$4624.00	$1361.70
J1030 Injection, methylprednisolone acetate, 40 mg	16	12	$21.00	$6.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	257	134	$174.00	$54.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	157	$170.72	$104.52
J1040 Injection, methylprednisolone acetate, 80 mg	229	129	$42.00	$12.14
99213 Established patient office or other outpatient visit, typically 15 minutes	179	119	$139.92	$71.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	151	151	$192.00	$104.95
27447 Replacement of knee joint, both sides of knee	23	19	$4624.00	$1372.03
Q4051 Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)	23	19	$16.00	$2.74
J1030 Injection, methylprednisolone acetate, 40 mg	16	11	$21.00	$6.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	15	$387.00	$199.73
76000 Imaging guidance for procedure, 60 minutes or less	13	13	$54.00	$15.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	230	117	$174.00	$51.93
J1040 Injection, methylprednisolone acetate, 80 mg	219	114	$42.00	$12.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	125	$159.00	$102.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	177	177	$192.00	$104.20
99213 Established patient office or other outpatient visit, typically 15 minutes	126	91	$110.00	$70.77
J1030 Injection, methylprednisolone acetate, 40 mg	20	14	$21.00	$6.71
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	20	17	$70.00	$52.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$274.00	$155.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$387.00	$200.91
76000 Imaging guidance for procedure, 60 minutes or less	14	12	$54.00	$8.82
27447 Replacement of knee joint, both sides of knee	13	11	$4624.00	$1370.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	163	163	$192.00	$102.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	90	$159.00	$102.32
20610 Aspiration and/or injection of fluid from large joint	131	68	$174.00	$52.99
J1040 Injection, methylprednisolone acetate, 80 mg	126	67	$42.00	$11.26
99213 Established patient office or other outpatient visit, typically 15 minutes	48	38	$110.00	$68.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$274.00	$160.08
J1030 Injection, methylprednisolone acetate, 40 mg	15	11	$21.00	$5.54
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	12	12	$70.00	$51.86

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License UT 9608322-1204

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Daniel Kwak , MD

Pediatrics

NPI 1023185444

Doctor of Medicine (M.D.)

Dr. Alma Parker , MD

Family Medicine

NPI 1164474037

Doctor of Medicine (M.D.)

Dr. John Griffith , MD

Obstetrics & Gynecology - Obstetrics

NPI 1235191933

Doctor of Medicine (M.D.)

Michael Cutler , PA

Physician Assistant

NPI 1326037110

Physician Assistant

Dr. David Richards , MD

Surgery

NPI 1396853206

Doctor of Medicine (M.D.)

Dr. Matthew Bowen , DO

Family Medicine

NPI 1407143324

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active March 31, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 31, 2017

Registered at 175 N 100 W, SUITE 204, VERNAL, UT 840782033 (Tel: 4357892060)

📍

Updated Business Mailing Address March 31, 2017

Registered at 175 N 100 W, SUITE 204, VERNAL, UT 840782033

👤

Provider Name / Credentials Updated March 31, 2017

Recorded as ADAM MADSEN, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2017

Orthopaedic Surgery (License #9608322-1204 in UT)

✅

NPI Profile Active June 24, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 24, 2015

Registered at 1130 W MICHIGAN ST, FESLER HALL RM 318, INDIANAPOLIS, IN 462025209 (Tel: 3172748282)

📍

Updated Business Mailing Address June 24, 2015

Registered at 14075 AVALON EAST DR, FISHERS, IN 460376212

👤

Provider Name / Credentials Updated June 24, 2015

Recorded as ADAM MADSEN, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2015

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration June 04, 2010

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: 1174843783

Entity Type:

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

Enumeration Date: June 04, 2010

Last Update: March 31, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

175 N 100 W, Suite 204

Vernal, UT 840782033

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.