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KARLA JEANNE MADALIN MD
NPI 1194786822
Psychiatry & Neurology - Neurology in Ravenna, OH

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
90.9/100
CMS Quality Rating
6847 N CHESTNUT ST STE 325, RAVENNA, OH 44266(330) 297-2401(330) 297-4485 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2021, Mar 16, 2016 (2 updates tracked since 2016).

About Karla Jeanne Madalin Md NPPES

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

KARLA JEANNE MADALIN MD (NPI 1194786822) is an individual neurology provider in Ravenna, Ohio, licensed in Ohio (35049637) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with University Hospitals Portage Medical Center, and is a graduate of Baylor College Of Medicine (1981).

NPPES Registry Identity

NPI1194786822
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameKARLA JEANNE MADALINCredential: MD
Location Address6847 N CHESTNUT ST STE 325Ravenna, OH 44266-3929
Mailing Address6847 N Chestnut St Ste 325Ravenna, OH 44266-3929 · (330) 297-2401 · Fax (330) 297-4485
Phone(330) 297-2401
Fax(330) 297-4485
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1981
Enumeration DateMarch 31, 2006
Last NPPES UpdateJanuary 6, 20212 updates tracked since enumeration
NPPES CertifiedDecember 31, 2020
✔ NPI 1194786822 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 OH · 35049637
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.
6847 N CHESTNUT ST STE 325, Ravenna, OH 44266
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Karla Jeanne Madalin 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 ID3476459561
PECOS Enrollment IDI20031210000021
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 2

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.

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.
14 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360078
Location6847 N ChestnutRavenna, OH 44266 · Portage County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44266 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.8
Promoting Interoperability100
Improvement Activities40

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.

MARVIN SIY SIH MD
Psychiatry & Neurology (Neurology)
6847 N CHESTNUT ST STE 325
RAVENNA, OH 44266
Portage County (330) 297-2401
ALICIA KAYE NATION CNP
Nurse Practitioner (Family)
6847 N CHESTNUT ST STE 325
RAVENNA, OH 44266
Portage County (330) 297-2401

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 Karla Madalin's NPI number?

The NPI number for Karla Madalin is 1194786822. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Karla Madalin located?

Karla Madalin practices at 6847 N Chestnut St Ste 325, Ravenna, OH 44266. The listed phone number is (330) 297-2401.

What is Karla Madalin's specialty?

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

Is Karla Madalin enrolled in Medicare?

Yes. Karla Madalin 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.

What insurance does Karla Madalin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Karla Madalin 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.

Is Karla Madalin affiliated with any hospitals?

According to CMS data, Karla Madalin is affiliated with University Hospitals Portage Medical Center.

When was this NPI record last updated?

The NPPES record for Karla Madalin was last updated on January 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.