DR. JAMES S MADIGAN D.D.S.
NPI 1174529952
Dentist - General Practice in Orrville, OH

Q: What is James Madigan's NPI number?

The NPI number for James Madigan is 1174529952. It was assigned to this individual provider in the NPPES registry on June 25, 2005.

Q: What is James Madigan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is James Madigan enrolled in Medicare?

No. James Madigan has opted out of Medicare through June 18, 2027. 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.

Q: When was this NPI record last updated?

The NPPES record for James Madigan was last updated on July 9, 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.

Active since June 25, 2005Opted out of Medicare · through Jun 18, 2027

310 MAPLE ST, ORRVILLE, OH 44667(330) 682-0911(330) 682-1811 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. James S Madigan D.d.s. NPPES

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

DR. JAMES S MADIGAN D.D.S. (NPI 1174529952) is an individual general practice provider in Orrville, Ohio, licensed in Ohio (12911) and active in the NPI registry since June 2005. He has opted out of Medicare through June 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174529952

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JAMES S MADIGANCredential: D.D.S.

Location Address310 MAPLE STOrrville, OH 44667-1456

Mailing Address310 Maple StOrrville, OH 44667-1456 · (330) 682-0911 · Fax (330) 682-1811

Phone(330) 682-0911

Fax(330) 682-1811

Sole ProprietorYes

Enumeration DateJune 25, 2005

Last NPPES UpdateJuly 9, 2007

✔ NPI 1174529952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OH · 12911

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

310 MAPLE ST, Orrville, OH 44667

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Other Identifiers 1

Medicaid0015638OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. James S Madigan D.d.s. 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 June 18, 2015 through June 18, 2027.

Opt-Out Effective DateJune 18, 2015

Opt-Out In Effect ThroughJune 18, 2027Opt-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 44667 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 2

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

SARRA HENNA QADRI

Dentist (General Practice)

310 MAPLE ST
ORRVILLE, OH 44667

Wayne County (330) 682-0911

VILLAGE DENTAL ORRVILLE BETTY J QADRI DDS LLC

Dentist

310 MAPLE ST
ORRVILLE, OH 44667

Wayne County (330) 682-0911

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 James Madigan's NPI number?

The NPI number for James Madigan is 1174529952. It was assigned to this individual provider in the NPPES registry on June 25, 2005.

Where is James Madigan located?

James Madigan practices at 310 Maple St, Orrville, OH 44667. The listed phone number is (330) 682-0911.

What is James Madigan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is James Madigan enrolled in Medicare?

No. James Madigan has opted out of Medicare through June 18, 2027. 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 James Madigan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and MedMutual list James Madigan 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 James Madigan was last updated on July 9, 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.