SUDHAKAR G. MADANAGOPAL MD
NPI 1033163308
Orthopaedic Surgery - Orthopaedic Trauma in Huntsville, AL

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
72.47/100
CMS Quality Rating
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801(256) 539-2728(256) 539-2666 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sudhakar G. Madanagopal Md NPPES

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

SUDHAKAR G. MADANAGOPAL MD (NPI 1033163308) is an individual orthopaedic trauma provider in Huntsville, Alabama, licensed in Alabama (24904) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Lincoln Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1033163308
Entity TypeIndividualMale
Primary Taxonomy207XX0801X
Provider Legal NameSUDHAKAR G. MADANAGOPALCredential: MD
Location Address927 FRANKLIN ST SEHuntsville, AL 35801-4306
Mailing Address927 Franklin St SeHuntsville, AL 35801-4306 · (256) 539-2728 · Fax (256) 539-2666
Fax(256) 539-2666
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMay 20, 2006
Last NPPES UpdateMay 8, 2024
NPPES CertifiedMay 8, 2024
NPI 1033163308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
License Licensed in AL · 24904
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 24904 (AL)
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License 24904 (AL)
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 24904 (AL)
927 FRANKLIN ST SE, Huntsville, AL 35801

Other Identifiers 2

Medicaid173820AL
Other511-61554AL · Bcbs

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

Sudhakar G. Madanagopal 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 ID5698732311
PECOS Enrollment IDI20041214001112
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 33

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 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.
275 services230 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
247 services223 patients
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.
237 services197 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
209 services145 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
201 services197 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
160 services118 patients

Hospital Affiliations CMS Care Compare

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

Lincoln Medical Center

Acute Care Hospitals · Fayetteville, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440102
Location106 Medical Center BlvdFayetteville, TN 37334 · Lincoln 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.

72.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality57.11
Promoting Interoperability97
Improvement Activities40
Cost53.61

Reported Quality Measures

Advance Care Plan
10%1,340 patients1/55-star benchmark: 100%
Breast Cancer Screening
0%940 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%763 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
3%35 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
0%1,560 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
0%859 patients1/55-star benchmark: 91%
Diabetes: Eye Exam
0%86 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
3%5,805 patients1/55-star benchmark: 100%
e-Prescribing
98%4,569 patients4/55-star benchmark: 100%
Falls: Plan of Care
94%36 patients
Falls: Screening for Future Fall Risk
0%1,150 patients5/55-star benchmark: 100%
Functional Status Assessment for Total Hip Replacement
0%81 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
11%2,972 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 3% · 224 patients
Patients screened: 80% · 1,543 patients
100%40 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 18% · 2,428 patients
100%55 patients
Provide Patients Electronic Access to Their Health Information
96%3,047 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 1,150 patients
Patients totalRate: 6% · 1,150 patients
6%1,150 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers11 claims11 services$58.25 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
2 suppliers17 claims17 services$8.81 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$55.81 avg. paid by Medicare
Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier12 claims12 services$64.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Occupational Therapist (Physical Rehabilitation)
927 FRANKLIN ST SE, 2ND FLOOR
HUNTSVILLE, AL 35801
Orthopaedic Surgery (Sports Medicine)
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Occupational Therapist
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Orthopaedic Surgery (Hand Surgery)
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Physician Assistant (Surgical)
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Audiologist
927 FRANKLIN ST SE, SUITE 100
HUNTSVILLE, AL 35801
Nurse Practitioner (Family)
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Emergency Medicine
927 FRANKLIN ST SE
HUNTSVILLE, AL 35801

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 Sudhakar Madanagopal's NPI number?

The NPI number for Sudhakar Madanagopal is 1033163308. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Sudhakar Madanagopal located?

Sudhakar Madanagopal practices at 927 Franklin St SE, Huntsville, AL 35801. The listed phone number is (256) 539-2728.

What is Sudhakar Madanagopal's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is Sudhakar Madanagopal enrolled in Medicare?

Yes. Sudhakar Madanagopal 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 Sudhakar Madanagopal accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 3 other insurers list Sudhakar Madanagopal 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 Sudhakar Madanagopal affiliated with any hospitals?

According to CMS data, Sudhakar Madanagopal is affiliated with Lincoln Medical Center.

When was this NPI record last updated?

The NPPES record for Sudhakar Madanagopal was last updated on May 8, 2024. 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.