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DR. MATTHEW JAMES MADSEN D.M.D, M.D.
NPI 1164624433
Dentist - Oral and Maxillofacial Surgery in Escondido, CA

Active since May 31, 2007Opted out of Medicare · through Nov 21, 2026
839 E GRAND AVE, ESCONDIDO, CA 92025(859) 806-3925 Get Directions Write a Review

NPPES record last updated: August 28, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Matthew James Madsen D.m.d, M.d. NPPES

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

DR. MATTHEW JAMES MADSEN D.M.D, M.D. (NPI 1164624433) is an individual oral and maxillofacial surgery provider in Escondido, California, licensed in Kentucky (8480) and active in the NPI registry since May 2007. He has opted out of Medicare through November 21, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164624433
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MATTHEW JAMES MADSENCredential: D.M.D, M.D.
Location Address839 E GRAND AVEEscondido, CA 92025-3401
Mailing Address839 E Grand AveEscondido, CA 92025-3401 · (859) 806-3925
Phone(859) 806-3925
Sole ProprietorYes
Enumeration DateMay 31, 2007
Last NPPES UpdateAugust 28, 2013
✔ NPI 1164624433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in KY · 8480✔ Licensed in CA · 62546✔ Licensed in CA · A125274
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
839 E GRAND AVE, Escondido, CA 92025
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Matthew James Madsen D.m.d, M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 21, 2016 through November 21, 2026.

Opt-Out Effective DateNovember 21, 2016
Opt-Out In Effect ThroughNovember 21, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92025 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 4

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

JASON MARK THOMPSON D.D.S.
Dentist (Oral and Maxillofacial Surgery)
839 E GRAND AVE
ESCONDIDO, CA 92025
San Diego County (760) 705-1180
GERALD P. UNHOLD D.M.D., M.D.
Dentist (Oral and Maxillofacial Surgery)
839 E GRAND AVE
ESCONDIDO, CA 92025
San Diego County (760) 432-8888
DR. CURTIS L ANDRUS DMD, MD
Dentist
839 E GRAND AVE
ESCONDIDO, CA 92025
San Diego County (760) 432-8888
MADSEN ANDRUS THOMPSON AND SOELBERG PARTNERSHIP
Dentist (Oral and Maxillofacial Surgery)
839 E GRAND AVE
ESCONDIDO, CA 92025
San Diego County (760) 432-8888

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 Matthew Madsen's NPI number?

The NPI number for Matthew Madsen is 1164624433. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Matthew Madsen located?

Matthew Madsen practices at 839 E Grand Ave, Escondido, CA 92025. The listed phone number is (859) 806-3925.

What is Matthew Madsen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Matthew Madsen enrolled in Medicare?

No. Matthew Madsen has opted out of Medicare through November 21, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Matthew Madsen accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Matthew Madsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Madsen was last updated on August 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.