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MADISON SAMPLE JR. MD
NPI 1023122215
Anesthesiology in Chicago, IL

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
56.42/100
CMS Quality Rating
7435 W TALCOTT AVE, CHICAGO, IL 60631(773) 792-5162(773) 594-8589 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Madison Sample Jr. Md NPPES

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

MADISON SAMPLE JR. MD (NPI 1023122215) is an individual anesthesiology provider in Chicago, Illinois, licensed in Illinois (036093157) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare, and is a graduate of Washington University School Of Medicine (1992).

NPPES Registry Identity

NPI1023122215
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameMADISON SAMPLE JR.Credential: MD
Location Address7435 W TALCOTT AVEChicago, IL 60631-3707
Mailing Address444 N Northwest Hwy, Suite # 302Park Ridge, IL 60068-3263 · (847) 696-9015 · Fax (847) 696-9017
Phone(773) 792-5162
Fax(773) 594-8589
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1992
Enumeration DateAugust 18, 2006
Last NPPES UpdateOctober 31, 2023
NPPES CertifiedOctober 31, 2023
✔ NPI 1023122215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in IL · 036093157✔ Licensed in IN · 01076521A
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
7435 W TALCOTT AVE, Chicago, IL 60631
Open in Google Maps ↗

Other Identifiers 3

Medicaid0360093157 2IL
Other364054341IL · Commercial Ins.group#
Other0001620300IL · Bluecross Blueshild Of Il

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Madison Sample Jr. 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 ID9931195682
PECOS Enrollment IDI20230105000129
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 2

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.

Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
18 services18 patients
Anesthesia for total hip replacement 01214
Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Memorial Healthcare

Acute Care Hospitals · Owosso, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230121
Location826 West King StreetOwosso, MI 48867 · Shiawassee County
Emergency services Birthing friendly

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.

56.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.82
Promoting Interoperability0
Improvement Activities40
Cost60.06

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.

MRS. MARISSA LYNN VARNER R.D, M.S.
Dietitian, Registered
7435 W TALCOTT AVE, HEALTH MANAGEMENT OFFICE
CHICAGO, IL 60631
Cook County (773) 594-7448
MICHAEL ANTHONY HOKS JR.
Emergency Medicine
7435 W TALCOTT AVE, RESURRECTION EM RESIDENCY
CHICAGO, IL 60631
Cook County (773) 792-7321
AKASH PATEL
Emergency Medicine
7435 W TALCOTT AVE
CHICAGO, IL 60631
Cook County (773) 792-7921
ALINA HUYNH NGUYEN DO
Emergency Medicine
7435 W TALCOTT AVE
CHICAGO, IL 60631
Cook County (773) 792-7921
DR. MOHAN PHATAK M.D.
Radiology (Pediatric Radiology)
7435 W TALCOTT AVE
CHICAGO, IL 60631
Cook County (773) 792-5138
DR. AUDREY KAY CAMERON AU.D.
Audiologist
7435 W TALCOTT AVE
CHICAGO, IL 60631
Cook County (773) 792-5258
MINA KEROLOS MD, PHARM.D.
Internal Medicine
7435 W TALCOTT AVE
CHICAGO, IL 60631
Cook County (773) 990-7741
JULIE JITENDRAKUMAR PATEL
Emergency Medicine
7435 W TALCOTT AVE
CHICAGO, IL 60631
Cook County (773) 990-7921

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 Madison Sample's NPI number?

The NPI number for Madison Sample is 1023122215. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Madison Sample located?

Madison Sample practices at 7435 W Talcott Ave, Chicago, IL 60631. The listed phone number is (773) 792-5162.

What is Madison Sample's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Madison Sample enrolled in Medicare?

Yes. Madison Sample 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 Madison Sample accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Madison Sample 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 Madison Sample affiliated with any hospitals?

According to CMS data, Madison Sample is affiliated with Memorial Healthcare.

When was this NPI record last updated?

The NPPES record for Madison Sample was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.