MELCHOR MADARANG MD
NPI 1013975366
Internal Medicine - Infectious Disease in Oxford, FL

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
11515 RIVERSTONE CIR APT 10105, OXFORD, FL 34484(352) 565-7675(352) 706-2445 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2026, Nov 16, 2022, Jan 19, 2016 (3 updates tracked since 2016).

About Melchor Madarang Md NPPES

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

MELCHOR MADARANG MD (NPI 1013975366) is an individual infectious disease provider in Oxford, Florida, licensed in Florida (ME122301) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Uf Health Leesburg Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1013975366
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameMELCHOR MADARANGCredential: MD
Location Address11515 RIVERSTONE CIR APT 10105Oxford, FL 34484-2361
Mailing Address410 W Gulf Atlantic HwyWildwood, FL 34785-7301 · (352) 565-7675 · Fax (352) 706-2445
Fax(352) 706-2445
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMay 3, 2006
Last NPPES UpdateMay 12, 20263 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
NPI 1013975366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses Licensed in FL · ME122301 Licensed in NJ · 25MA07398100 Licensed in MD · D0059223
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedFamily MedicineTaxonomy 207Q00000X · License D0059223 (MD)
11515 RIVERSTONE CIR APT 10105, Oxford, FL 34484

Other Identifiers 4

Medicaid0105392NJ
Medicaid014115300FL
Medicaid400080300MD
OtherIB137ZFL · Medicare Ptan

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

Melchor Madarang Md 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 ID6709865694
PECOS Enrollment IDI20150210000893
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.

Areas of Expertise CMS Part B claims 32

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,196 services425 patients
Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) J0153
An adenosine injection is a quick-acting medication used to manage irregular heart rhythms. It works by slowing down the electrical activity in your heart, allowing it to return to its regular rhythm. This procedure is safe and typically performed under medical supervision.
579 services14 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
222 services222 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
202 services202 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
177 services177 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
154 services126 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uf Health Leesburg Hospital

Acute Care Hospitals · Leesburg, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100084
Location600 E Dixie AveLeesburg, FL 34748 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34484 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers29 claims100 services$5.89 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers12 claims34 services$25.51 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers14 claims71 services$17.07 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers23 claims23 services$49.31 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
10 suppliers23 claims23 services$15.77 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers20 claims20 services$10.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Melchor Madarang's NPI number?

The NPI number for Melchor Madarang is 1013975366. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Melchor Madarang located?

Melchor Madarang practices at 11515 Riverstone Cir Apt 10105, Oxford, FL 34484. The listed phone number is (352) 565-7675.

What is Melchor Madarang's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Melchor Madarang enrolled in Medicare?

Yes. Melchor Madarang 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 Melchor Madarang accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Melchor Madarang 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.

Is Melchor Madarang affiliated with any hospitals?

According to CMS data, Melchor Madarang is affiliated with Uf Health Leesburg Hospital.

When was this NPI record last updated?

The NPPES record for Melchor Madarang was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.