DR. ANDRES GUSTAVO MADRIGAL M.D.
NPI 1023436532
Pathology - Anatomic Pathology & Clinical Pathology in Toledo, OH

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
3000 ARLINGTON AVE, TOLEDO, OH 43614(419) 383-3482(419) 383-6183 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 8, 2026, Dec 22, 2025, Oct 8, 2025 and 2 more (5 updates tracked since 2018).

About Dr. Andres Gustavo Madrigal M.d. NPPES

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

DR. ANDRES GUSTAVO MADRIGAL M.D. (NPI 1023436532) is an individual anatomic pathology & clinical pathology provider in Toledo, Ohio, licensed in Ohio (35141347) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with University Of Toledo Medical Center, and is a graduate of Boston University School Of Medicine (2014).

NPPES Registry Identity

NPI1023436532
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. ANDRES GUSTAVO MADRIGALCredential: M.D.
Location Address3000 ARLINGTON AVEToledo, OH 43614-2595
Mailing Address3000 Arlington Ave, Mail Stop 1068Toledo, OH 43614-2595 · (419) 383-4511
Fax(419) 383-6183
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2014
Enumeration DateApril 1, 2014
Last NPPES UpdateJanuary 8, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
NPI 1023436532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in OH · 35141347
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

3000 ARLINGTON AVE, Toledo, OH 43614

Other Identifiers 1

Medicaid0440484OH

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

Dr. Andres Gustavo Madrigal 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 ID6709160153
PECOS Enrollment IDI20210701002223
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 22

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.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
397 services49 patients
Molecular pathology procedure; physician interpretation and report G0452
A molecular pathology procedure involves analyzing your body's cells at a molecular level to identify any abnormalities. This can help detect diseases early. A physician will interpret the results and provide a detailed report, explaining the findings clearly.
324 services267 patients
Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure 88374
This procedure involves analyzing tissue at a genetic level using a microscope and advanced computer technology. The initial process involves the collection and preparation of tissue samples. Each multiplex procedure refers to the simultaneous testing of multiple genetic markers to identify abnormalities.
197 services108 patients
Flow cytometry technique for dna or cell analysis, 16 or more markers 88189
Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.
157 services137 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
140 services64 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
119 services52 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Toledo Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360048
Location3000 Arlington AvenueToledo, OH 43699 · Lucas County
Emergency services

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43614 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
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.

Surgery
3000 ARLINGTON AVE
TOLEDO, OH 43614
Nurse Anesthetist, Certified Registered
3000 ARLINGTON AVE, ANESTHESIA
TOLEDO, OH 43614
Nurse Anesthetist, Certified Registered
3000 ARLINGTON AVE, ANTESTHSIA
TOLEDO, OH 43614
Anesthesiologist Assistant
3000 ARLINGTON AVE, ANESTHESIA
TOLEDO, OH 43614
Dentist (Prosthodontics)
3000 ARLINGTON AVE, MAIL STOP 1092
TOLEDO, OH 43614
Surgery
3000 ARLINGTON AVE
TOLEDO, OH 43614
Pharmacist (Pharmacotherapy)
3000 ARLINGTON AVE, MAIL STOP 1060
TOLEDO, OH 43614
Social Worker (Clinical)
3000 ARLINGTON AVE, MAIL STOP 1161
TOLEDO, OH 43614

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 Andres Madrigal's NPI number?

The NPI number for Andres Madrigal is 1023436532. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Andres Madrigal located?

Andres Madrigal practices at 3000 Arlington Ave, Toledo, OH 43614. The listed phone number is (419) 383-3482.

What is Andres Madrigal's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Andres Madrigal enrolled in Medicare?

Yes. Andres Madrigal 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 Andres Madrigal accept?

Health plans from CareSource list Andres Madrigal 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 Andres Madrigal affiliated with any hospitals?

According to CMS data, Andres Madrigal is affiliated with University Of Toledo Medical Center and Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Andres Madrigal was last updated on January 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.