1. Home
  2. Directory
  3. New Jersey
  4. Hampton
  5. Family Medicine
  6. NPI Profile

PAUL P MADURA JR. MD
NPI 1144255506
Family Medicine in Hampton, NJ

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
450 CHARLESTOWN RD, HAMPTON, NJ 08827(908) 537-1042(908) 537-1043 Get Directions Write a Review

NPPES record last updated: July 11, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul P Madura Jr. Md NPPES

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

PAUL P MADURA JR. MD (NPI 1144255506) is an individual family medicine provider in Hampton, New Jersey, licensed in New Jersey (25MA03922600) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hunterdon Medical Center, and is a graduate of Saint Louis University School Of Medicine (1980).

NPPES Registry Identity

NPI1144255506
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL P MADURA JR.Credential: MD
Location Address450 CHARLESTOWN RDHampton, NJ 08827-2535
Mailing Address450 Charlestown RdHampton, NJ 08827-2535 · (908) 537-1042 · Fax (908) 537-1043
Phone(908) 537-1042
Fax(908) 537-1043
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 1980
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 11, 2009
✔ NPI 1144255506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA03922600
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 25MA03922600 (NJ)
450 CHARLESTOWN RD, Hampton, NJ 08827
Open in Google Maps ↗

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

Paul P Madura Jr. 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 ID1759321003
PECOS Enrollment IDI20050519000410
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 11

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.
535 services236 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
314 services202 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.
120 services120 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.
79 services56 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
68 services67 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
60 services41 patients

Hospital Affiliations CMS Care Compare 2

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

Hunterdon Medical Center

Acute Care Hospitals · Flemington, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310005
Location2100 Wescott DriveFlemington, NJ 08822 · Hunterdon County
Birthing friendly

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08827 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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
13 suppliers45 claims88 services$5.38 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers14 claims14 services$1.05 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier11 claims11 services$6.44 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers38 claims39 services$58.68 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims20 services$30.88 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.

HAMPTON FAMILY PRACTICE, LLC
Clinic/Center (Primary Care)
450 CHARLESTOWN RD
HAMPTON, NJ 08827
Hunterdon County (908) 537-1042
NICOLE MICHELE SMITH APN, FNP-C
Nurse Practitioner (Family)
450 CHARLESTOWN RD
HAMPTON, NJ 08827
Hunterdon County (908) 537-1042
DIANE I SCHWARTZ PA
Physician Assistant (Medical)
450 CHARLESTOWN RD
HAMPTON, NJ 08827
Hunterdon County (908) 537-2152

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 Paul Madura's NPI number?

The NPI number for Paul Madura is 1144255506. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Paul Madura located?

Paul Madura practices at 450 Charlestown Rd, Hampton, NJ 08827. The listed phone number is (908) 537-1042.

What is Paul Madura's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paul Madura enrolled in Medicare?

Yes. Paul Madura 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 Paul Madura affiliated with any hospitals?

According to CMS data, Paul Madura is affiliated with Hunterdon Medical Center and St Luke's Warren Hospital.

When was this NPI record last updated?

The NPPES record for Paul Madura was last updated on July 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.