CASEY J MADURA M.D.
NPI 1013172949
Neurological Surgery in Grand Rapids, MI

Active since July 21, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
35 MICHIGAN ST NE, SUITE 3003, GRAND RAPIDS, MI 49503(616) 267-2570(616) 267-2571 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2022, Feb 25, 2021, Jul 13, 2016 and 1 more (4 updates tracked since 2015).

About Casey J Madura M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASEY J MADURA M.D. (NPI 1013172949) is an individual neurological surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301109805) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kalamazoo, and is a graduate of University Of Michigan Medical School (2008).

NPPES Registry Identity

NPI1013172949
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameCASEY J MADURACredential: M.D.
Location Address35 MICHIGAN ST NE, SUITE 3003Grand Rapids, MI 49503-2514
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Fax(616) 267-2571
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2008
Enumeration DateJuly 21, 2008
Last NPPES UpdateJuly 6, 20224 updates tracked since enumeration
NPPES CertifiedJuly 6, 2022
NPI 1013172949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in MI · 4301109805
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
35 MICHIGAN ST NE, Grand Rapids, MI 49503

Secondary Practice Location 1

Location 1601 John St Ste M-124Kalamazoo, MI 49007-5377 · Phone (269) 341-7500

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Casey J Madura M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709009079
PECOS Enrollment IDI20160823001755
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
35 MICHIGAN ST NE, SUITE 5101
GRAND RAPIDS, MI 49503
Physician Assistant
35 MICHIGAN ST NE, SUITE 4150
GRAND RAPIDS, MI 49503
Pharmacist
35 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Pathology (Anatomic Pathology & Clinical Pathology)
35 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Pediatrics (Pediatric Gastroenterology)
35 MICHIGAN ST NE, SUITE 4150
GRAND RAPIDS, MI 49503
Pediatrics (Pediatric Rheumatology)
35 MICHIGAN ST NE, SUITE 4150
GRAND RAPIDS, MI 49503
Nurse Practitioner (Pediatrics)
35 MICHIGAN ST NE, SUITE 4150
GRAND RAPIDS, MI 49503
Pediatrics (Pediatric Endocrinology)
35 MICHIGAN ST NE, SUITE 1800
GRAND RAPIDS, MI 49503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casey Madura's NPI number?

The NPI number for Casey Madura is 1013172949. It was assigned to this individual provider in the NPPES registry on July 21, 2008.

Where is Casey Madura located?

Casey Madura practices at 35 Michigan St NE Suite 3003, Grand Rapids, MI 49503. The listed phone number is (616) 267-2570.

What is Casey Madura's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Casey Madura enrolled in Medicare?

Yes. Casey Madura is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Casey Madura accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Casey Madura as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Casey Madura was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.