PATRICK J MADDEN III M.D.
NPI 1134187073
Psychiatry & Neurology - Neurology in Sarasota, FL

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
42.68/100
CMS Quality Rating
1921 WALDEMERE ST, SUITE 810, SARASOTA, FL 34239(617) 797-0110(941) 894-1176 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patrick J Madden Iii M.d. NPPES

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

PATRICK J MADDEN III M.D. (NPI 1134187073) is an individual neurology provider in Sarasota, Florida, licensed in Florida (ME113116) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital - Venice, and is a graduate of Albany Medical College Of Union University (1988).

NPPES Registry Identity

NPI1134187073
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NamePATRICK J MADDEN IIICredential: M.D.
Location Address1921 WALDEMERE ST, SUITE 810Sarasota, FL 34239-2943
Mailing Address19454 Rizzuto StVenice, FL 34293-4552 · (617) 797-0110 · Fax (941) 894-1176
Fax(941) 894-1176
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1988
Enumeration DateMay 2, 2006
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
NPI 1134187073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in FL · ME113116
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1921 WALDEMERE ST, Sarasota, FL 34239

Other Identifiers 2

Other14M8VFL · Bcbs
OtherME113116FL · Medical License

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

Patrick J Madden Iii 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 ID9234171133
PECOS Enrollment IDI20120831000310
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 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.
523 services282 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
375 services176 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
166 services149 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
116 services116 patients
Nerve conduction, 5-6 studies 95909
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.
86 services85 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
79 services77 patients

Hospital Affiliations CMS Care Compare

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

Sarasota Memorial Hospital - Venice

Acute Care Hospitals · North Venice, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100359
Location2600 Laurel Rd ENorth Venice, FL 34275 · Sarasota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34239 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

42.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability97
Improvement Activities0
Cost61.45

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,375 patients5/55-star benchmark: 100%
Parkinson's Disease: Cognitive Impairment or Dysfunction Assessment
Percentage of all patients with a diagnosis of Parkinson's Disease [PD] who were assessed* for cognitive impairment or dysfunction in the past 12 months
100%32 patients5/55-star benchmark: 100%
Parkinson's Disease: Psychiatric Symptoms Assessment for Patients with Parkinson's Disease
Percentage of all patients with a diagnosis of Parkinson's Disease [PD] who were assessed* for psychiatric symptoms** in the past 12 months
100%32 patients5/55-star benchmark: 100%
Parkinson's Disease: Rehabilitative Therapy Options
Percentage of all patients with a diagnosis of Parkinson's Disease (or caregiver(s), as appropriate) who had rehabilitative therapy options (e.g., physical, occupational, or speech therapy) discussed in the past 12 months
100%32 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
5%440 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 486 patients
Patients tobacco: 99% · 483 patients
19%36 patients1/55-star benchmark: 98%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
26%440 patients2/55-star benchmark: 100%
Quality of Life Assessment For Patients With Primary Headache Disorders
Percentage of patients with a diagnosis of primary headache disorder whose health related quality of life (HRQoL) was assessed with a tool(s) during at least two visits during the 12 month measurement period AND whose health related quality of life score…
100%159 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
1%117 patients1/55-star benchmark: 77%
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.

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 (Surgical Critical Care)
1921 WALDEMERE ST
SARASOTA, FL 34239
Nurse Practitioner (Family)
1921 WALDEMERE ST, STE 705
SARASOTA, FL 34239
Internal Medicine
1921 WALDEMERE ST, SUITE 605
SARASOTA, FL 34239
Dietitian, Registered
1921 WALDEMERE ST, SUITE 306
SARASOTA, FL 34239
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1921 WALDEMERE ST, SUITE 107
SARASOTA, FL 34239
Internal Medicine (Nephrology)
1921 WALDEMERE ST, SUITE 413
SARASOTA, FL 34239
Internal Medicine
1921 WALDEMERE ST, SUITE 405
SARASOTA, FL 34239
Internal Medicine (Nephrology)
1921 WALDEMERE ST, SUITE 306
SARASOTA, FL 34239

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 Patrick Madden's NPI number?

The NPI number for Patrick Madden is 1134187073. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Patrick Madden located?

Patrick Madden practices at 1921 Waldemere St Suite 810, Sarasota, FL 34239. The listed phone number is (617) 797-0110.

What is Patrick Madden's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Patrick Madden enrolled in Medicare?

Yes. Patrick Madden 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.

Is Patrick Madden affiliated with any hospitals?

According to CMS data, Patrick Madden is affiliated with Sarasota Memorial Hospital - Venice.

When was this NPI record last updated?

The NPPES record for Patrick Madden was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.