MICHAEL CHARLES MADIGAN M.D.
NPI 1164669362
Surgery - Vascular Surgery in Pittsburgh, PA

Q: What is Michael Madigan's NPI number?

The NPI number for Michael Madigan is 1164669362. It was assigned to this individual provider in the NPPES registry on January 10, 2009.

Q: What is Michael Madigan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Michael Madigan was last updated on November 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 January 10, 2009PECOS EnrolledAccepts Medicare Assignment

73.64/100

CMS Quality Rating

200 LOTHROP ST, PITTSBURGH, PA 15213(412) 802-3333 Get Directions Write a Review

NPPES record last updated: November 4, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Michael Charles Madigan M.d. NPPES

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

MICHAEL CHARLES MADIGAN M.D. (NPI 1164669362) is an individual vascular surgery provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD439476) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of Vanderbilt University School Of Medicine (2007).

NPPES Registry Identity

NPI1164669362

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameMICHAEL CHARLES MADIGANCredential: M.D.

Location Address200 LOTHROP STPittsburgh, PA 15213-2536

Mailing Address200 Lothrop St # A1011Pittsburgh, PA 15213-2536 · (412) 802-3333

Phone(412) 802-3333

Sole ProprietorYes

Medical School CMSVanderbilt University School Of MedicineGraduated 2007

Enumeration DateJanuary 10, 2009

Last NPPES UpdateNovember 4, 2016

✔ NPI 1164669362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in PA · MD439476

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

200 LOTHROP ST, Pittsburgh, PA 15213

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Charles Madigan 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 ID4688964802

PECOS Enrollment IDI20160531002447

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.

Medicare Billing Reassignments

Medicare enrollment records show Michael Madigan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Pittsburgh Physicians

Same address

Neonatal-Perinatal Medicine

200 LOTHROP ST
Pittsburgh, PA 15213

Reassigned Medicare billing, Pennsylvania enrollment
7,114 clinicians in this Medicare group

NPI 1518925726 (412) 647-0943

Upmc Altoona Regional Health Services, Inc

82 mi

Internal Medicine

1414 9TH AVE, STATION MEDICAL CENTER
Altoona, PA 16602

Reassigned Medicare billing, Pennsylvania enrollment
338 clinicians in this Medicare group

NPI 1639158488 (814) 946-1655

Upmc Altoona

83 mi

General Acute Care Hospital

620 HOWARD AVE.
Altoona, PA 16601

Reassigned Medicare billing, Pennsylvania enrollment
291 clinicians in this Medicare group

NPI 1497831655 (814) 889-2223

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 22

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.

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

118 services113 patients

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.

87 services74 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

69 services64 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

47 services43 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.

42 services42 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

36 services32 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

33 services32 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

32 services31 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.

31 services29 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

30 services27 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

25 services21 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

20 services19 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

20 services19 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.

20 services20 patients

Ultrasound study of arm and leg arteries 93922

17 services15 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

17 services17 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

16 services16 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

14 services14 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

13 services11 patients

Ultrasound of both sides of head and neck blood flow 93880

13 services13 patients

Ultrasound of one leg arteries or artery grafts 93926

12 services11 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390016

Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County

Emergency services

Upmc Northwest

Acute Care Hospitals · Seneca, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390091

Location100 Fairfield DriveSeneca, PA 16346 · Venango County

Emergency services Birthing friendly

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390107

Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County

Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390114

Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County

Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390164

Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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.

73.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.81

Promoting Interoperability

100

Improvement Activities

Cost

42.34

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.

CHELSIE DAHL

Nurse Anesthetist, Certified Registered

200 LOTHROP ST
PITTSBURGH, PA 15213

Allegheny County (412) 647-5909

OTHMAN MOHAMED-ASEM ABDUL-MALAK

Surgery (Vascular Surgery)

200 LOTHROP ST, F600 PRESBYTERIAN HOSPITAL
PITTSBURGH, PA 15213

Allegheny County (412) 647-2345

KAITLEN MORGAN

Nurse Practitioner (Critical Care Medicine)

200 LOTHROP ST, 613 SCAIFE HALL
PITTSBURGH, PA 15213

Allegheny County (412) 647-2345

UTPAL JHA M.D.

Internal Medicine (Critical Care Medicine)

200 LOTHROP ST
PITTSBURGH, PA 15213

Allegheny County (412) 530-6274

RACHEL IVY FRICK

Occupational Therapist

200 LOTHROP ST
PITTSBURGH, PA 15213

Allegheny County (412) 647-6017

ARTUR ZGUROV MD

Neurological Surgery

200 LOTHROP ST
PITTSBURGH, PA 15213

Allegheny County (412) 647-2345

KAREN KAIJIE XU MD

Student in an Organized Health Care Education/Training Program

200 LOTHROP ST
PITTSBURGH, PA 15213

Allegheny County (412) 647-2345

SAM ALLEN MICHELHAUGH MD

Student in an Organized Health Care Education/Training Program

200 LOTHROP ST
PITTSBURGH, PA 15213

Allegheny County (412) 770-4949

DANIELLE KATUS

Nurse Practitioner (Acute Care)

200 LOTHROP ST
PITTSBURGH, PA 15213

Allegheny County (412) 647-2345

HUNTER STECKO MD

Student in an Organized Health Care Education/Training Program

200 LOTHROP ST
PITTSBURGH, PA 15213

Allegheny County (412) 647-5815

SANDEEP JAIN

Internal Medicine (Clinical Cardiac Electrophysiology)

200 LOTHROP ST, S552 SCAIFE HALL
PITTSBURGH, PA 15213

Allegheny County (412) 647-6272

STEVEN REIS

Specialist

200 LOTHROP ST, PUH G304
PITTSBURGH, PA 15213

Allegheny County (412) 647-0148

ARYAN AIYER

Internal Medicine (Cardiovascular Disease)

200 LOTHROP ST, PUH G304
PITTSBURGH, PA 15213

Allegheny County (412) 647-0148

UPMC DIVISION OF GERIATRICS

Clinic/Center (Medical Specialty)

200 LOTHROP ST, BENEDUM GERIATRIC CENTER
PITTSBURGH, PA 15213

Allegheny County (412) 692-4200

ANNA ZEMKE

Student in an Organized Health Care Education/Training Program

200 LOTHROP ST, UPMC MONTEFIORE, SUITE N713
PITTSBURGH, PA 15213

Allegheny County (412) 692-4700

DR. JENNIFER PIELSTICK MONTGOMERY MD, PHD

Radiology (Diagnostic Radiology)

200 LOTHROP ST, SUITE 3950
PITTSBURGH, PA 15213

Allegheny County (412) 647-9729

HOPE MAROMONTE

Physician Assistant

200 LOTHROP ST, PUH B400
PITTSBURGH, PA 15213

Allegheny County (412) 647-3685

DAVID MODRANSKI

Nurse Anesthetist, Certified Registered

200 LOTHROP ST, SUITE 200 C WING
PITTSBURGH, PA 15213

Allegheny County (412) 647-2345

KEVIN BLASE SULIA DPT

Physical Therapist

200 LOTHROP ST
PITTSBURGH, PA 15213

Allegheny County (412) 692-4305

JENNIFER RODRIGUEZ SHAH

Internal Medicine

200 LOTHROP ST, UPMC MONTEFIORE SUITE N715
PITTSBURGH, PA 15213

Allegheny County (412) 692-4700

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 Michael Madigan's NPI number?

The NPI number for Michael Madigan is 1164669362. It was assigned to this individual provider in the NPPES registry on January 10, 2009.

Where is Michael Madigan located?

Michael Madigan practices at 200 Lothrop St, Pittsburgh, PA 15213. The listed phone number is (412) 802-3333.

What is Michael Madigan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Michael Madigan enrolled in Medicare?

Yes. Michael Madigan 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.

Which organizations bill Medicare for Michael Madigan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Madigan reassigns Medicare benefits to 3 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA), Upmc Altoona Regional Health Services, Inc (Altoona, PA) and Upmc Altoona (Altoona, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Madigan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Madigan affiliated with any hospitals?

According to CMS data, Michael Madigan is affiliated with Upmc Jameson, Upmc Northwest, Upmc Passavant, Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Michael Madigan was last updated on November 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.