DR. NORMAN MADSEN BMBS
NPI 1053923441
Internal Medicine - Rheumatology in Rochester, NY

Active since August 18, 2020PECOS EnrolledAccepts Medicare Assignment
76.84/100
CMS Quality Rating
125 LATTIMORE RD, SUITE G-110, ROCHESTER, NY 14620(585) 486-0901(585) 340-5399 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Norman Madsen Bmbs NPPES

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

DR. NORMAN MADSEN BMBS (NPI 1053923441) is an individual rheumatology provider in Rochester, New York, licensed in New York (305959) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Geneva General Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1053923441
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. NORMAN MADSENCredential: BMBS
Location Address125 LATTIMORE RD, SUITE G-110Rochester, NY 14620
Mailing Address601 Elmwood Avenue, Box 695Rochester, NY 14642 · (582) 273-3395 · Fax (585) 442-3214
Fax(585) 340-5399
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 18, 2020
Last NPPES UpdateAugust 20, 2020
NPPES CertifiedAugust 20, 2020
✔ NPI 1053923441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NY · 305959
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
125 LATTIMORE RD, Rochester, NY 14620

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Norman Madsen Bmbs 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 ID7911319637
PECOS Enrollment IDI20201221002813
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Norman Madsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allergy & Immunology
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 40 clinicians in this Medicare group
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
137 services85 patients
Complete ultrasound scan of joint 76881
A complete ultrasound scan of a joint is a non-invasive procedure using sound waves to create images of your joint. It helps identify problems like inflammation, injury, or disease. It's painless, safe, and doesn't involve radiation.
51 services28 patients

Hospital Affiliations CMS Care Compare 5

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

Geneva General Hospital

Acute Care Hospitals · Geneva, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330058
Location196 -198 North StreetGeneva, NY 14456 · Ontario County
Emergency services

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330074
Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County
Emergency services Birthing friendly

St James Mercy Hospital

Acute Care Hospitals · Hornell, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330151
Location7329 Seneca Road NorthHornell, NY 14843 · Steuben County
Emergency services

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14620 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

76.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.2
Promoting Interoperability100
Improvement Activities40
Cost42.68

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.

Nurse Practitioner (Women's Health)
125 LATTIMORE RD, SUITE 150
ROCHESTER, NY 14620
Physical Therapist
125 LATTIMORE RD, STE 178
ROCHESTER, NY 14620
Obstetrics & Gynecology (Gynecologic Oncology)
125 LATTIMORE RD, SUITE 258
ROCHESTER, NY 14620
Advanced Practice Midwife
125 LATTIMORE RD, STE 200
ROCHESTER, NY 14620
Obstetrics & Gynecology
125 LATTIMORE RD, SUITE 150
ROCHESTER, NY 14620
Nurse Practitioner (Pediatrics)
125 LATTIMORE RD
ROCHESTER, NY 14620
Social Worker (Clinical)
125 LATTIMORE RD, SUITE 290
ROCHESTER, NY 14620
Colon & Rectal Surgery
125 LATTIMORE RD, SUITE 270
ROCHESTER, NY 14620

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 Norman Madsen's NPI number?

The NPI number for Norman Madsen is 1053923441. It was assigned to this individual provider in the NPPES registry on August 18, 2020.

Where is Norman Madsen located?

Norman Madsen practices at 125 Lattimore Rd Suite G-110, Rochester, NY 14620. The listed phone number is (585) 486-0901.

What is Norman Madsen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Norman Madsen enrolled in Medicare?

Yes. Norman Madsen 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.

Which organizations bill Medicare for Norman Madsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Norman Madsen reassigns Medicare benefits to 2 organizations: Allergy - Immunology - Rheumatology Clinical Group (Rochester, NY) and University Of Rochester (Rochester, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Norman Madsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Norman Madsen affiliated with any hospitals?

According to CMS data, Norman Madsen is affiliated with Geneva General Hospital, F F Thompson Hospital, St James Mercy Hospital, Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Norman Madsen was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.