DAVID A LADDEN MD
NPI 1093764284
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Madisonville, KY

Q: What is David Ladden's NPI number?

The NPI number for David Ladden is 1093764284. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Q: What is David Ladden's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for David Ladden was last updated on August 23, 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.

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment

800 HOSPITAL DR, MADISONVILLE, KY 42431(270) 326-3800(270) 326-3805 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2023, Jul 13, 2022, Jan 27, 2022 (3 updates tracked since 2022).

On this page

About David A Ladden Md NPPES

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

DAVID A LADDEN MD (NPI 1093764284) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Madisonville, Kentucky, licensed in Texas (G8228) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Valley Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093764284

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameDAVID A LADDENCredential: MD

Location Address800 HOSPITAL DRMadisonville, KY 42431-1658

Mailing AddressPo Box 150520Lufkin, TX 75915-0520 · (936) 631-6777 · Fax (936) 631-6778

Phone(270) 326-3800

Fax(270) 326-3805

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 1984

Enumeration DateMay 8, 2006

Last NPPES UpdateAugust 23, 20233 updates tracked since enumeration

NPPES CertifiedAugust 23, 2023

✔ NPI 1093764284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Licenses✔ Licensed in TX · G8228✔ Licensed in KY · 56743

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 15882 (MS), G8228 (TX)

800 HOSPITAL DR, Madisonville, KY 42431

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11105 W Frank Ave, SUITE 210Lufkin, TX 75904-3303 · Phone (936) 631-6777 · Fax (936) 631-6778

Location 23514 21st StLubbock, TX 79410-1210 · Phone (806) 725-1801 · Fax (806) 723-7347

Other Identifiers 2

Medicaid09406262MS

Medicaid7100822120KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, WellPoint.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

David A Ladden 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 ID2264411214

PECOS Enrollment IDI20111020000789

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 4

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.

45 services24 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

41 services20 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.

14 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Valley Regional Medical Center

Acute Care Hospitals · Brownsville, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450662

Location100 A Alton GloorBrownsville, TX 78526 · Cameron County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 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

$162.27 typical visit price

range $52.76 – $162.27

Typical copayment $40.56 (range $13.19 – $40.56)

Most-billed visit code 99205

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MOHAN K. RAO MD

Surgery