DR. MADHU SIDDAVEERE GOWDA M.D.
NPI 1104856921
Internal Medicine - Pulmonary Disease in Seymour, CT

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
17 WESTERMAN AVE, SEYMOUR, CT 06483(203) 888-9340(203) 888-9649 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Madhu Siddaveere Gowda M.d. NPPES

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

DR. MADHU SIDDAVEERE GOWDA M.D. (NPI 1104856921) is an individual pulmonary disease provider in Seymour, Connecticut, licensed in Connecticut (034989) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1104856921
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MADHU SIDDAVEERE GOWDACredential: M.D.
Location Address17 WESTERMAN AVESeymour, CT 06483-3320
Mailing Address63 Farm Hill RdOrange, CT 06477-2335 · (203) 888-9340 · Fax (203) 888-9649
Fax(203) 888-9649
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1104856921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CT · 034989
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
17 WESTERMAN AVE, Seymour, CT 06483

Other Identifiers 2

Medicaid01349895CT
Medicare UPING21196

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. Madhu Siddaveere Gowda 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 ID9537351812
PECOS Enrollment IDI20101005000490
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 14

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.
677 services318 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
273 services103 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
201 services132 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
148 services59 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
102 services102 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
65 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06483 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.68
Promoting Interoperability97
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
65%429 patients3/55-star benchmark: 93%
Cervical Cancer Screening
55%272 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
11%252 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
58%965 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
86%831 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
22%259 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
43%259 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%3,940 patients4/55-star benchmark: 100%
e-Prescribing
100%9,610 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
72%1,052 patients3/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
10%31 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
50%1,712 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
34%1,301 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 90% · 1,142 patients
Patients screened: 98% · 1,142 patients
21%124 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%1,848 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88%866 patients4/55-star benchmark: 91%
Support Electronic Referral Loops By Receiving and Reconciling Health Information
80%4,271 patients4/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 5% · 1,042 patients
Patients totalRate: 9% · 1,042 patients
8%1,042 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 24

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers15 claims26 services$4.10 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers20 claims20 services$31.44 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers13 claims13 services$68.57 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers13 claims39 services$26.97 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers16 claims82 services$14.98 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers24 claims24 services$45.21 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
17 WESTERMAN AVE
SEYMOUR, CT 06483
Family Medicine (Adult Medicine)
17 WESTERMAN AVE
SEYMOUR, CT 06483
Naturopath
17 WESTERMAN AVE
SEYMOUR, CT 06483

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 Madhu Gowda's NPI number?

The NPI number for Madhu Gowda is 1104856921. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Madhu Gowda located?

Madhu Gowda practices at 17 Westerman Ave, Seymour, CT 06483. The listed phone number is (203) 888-9340.

What is Madhu Gowda's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Madhu Gowda enrolled in Medicare?

Yes. Madhu Gowda 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.

When was this NPI record last updated?

The NPPES record for Madhu Gowda was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.