BRIAN MADOW MD
NPI 1225187271
Ophthalmology in Buffalo, NY

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment
85.78/100
CMS Quality Rating
1176 MAIN ST, BUFFALO, NY 14209(716) 881-7900(716) 881-4349 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian Madow Md NPPES

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

BRIAN MADOW MD (NPI 1225187271) is an individual ophthalmology provider in Buffalo, New York, licensed in New York (247586) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1225187271
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameBRIAN MADOWCredential: MD
Location Address1176 MAIN STBuffalo, NY 14209-2102
Mailing Address1176 Main StBuffalo, NY 14209-2102 · (716) 881-7900 · Fax (716) 881-4349
Fax(716) 881-4349
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJanuary 9, 2007
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
NPI 1225187271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in NY · 247586 Licensed in FL · ME101419
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1176 MAIN ST, Buffalo, NY 14209

Other Names 1

Former Name (1)Bojidar Madjarov M.d.

Other Identifiers 3

Medicaid06463721NY
Other53733FL · Blue Cross Blue Shield
Medicaid000388000FL

Accepted 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

Brian Madow 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 ID9931276664
PECOS Enrollment IDI20210316002718
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 5

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
942 services387 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
627 services349 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
351 services70 patients
Injection, bevacizumab, 10 mg J9035
Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
214 services45 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14209 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

85.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.77
Promoting Interoperability98
Improvement Activities40
Cost42.82

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.

Student in an Organized Health Care Education/Training Program
1176 MAIN ST
BUFFALO, NY 14209
Ophthalmology (Cornea and External Diseases Specialist)
1176 MAIN ST
BUFFALO, NY 14209
Ophthalmology
1176 MAIN ST
BUFFALO, NY 14209
Technician/Technologist (Ophthalmic)
1176 MAIN ST
BUFFALO, NY 14209
Eyewear Supplier
1176 MAIN ST
BUFFALO, NY 14209
Student in an Organized Health Care Education/Training Program
1176 MAIN ST
BUFFALO, NY 14209
Ophthalmology (Glaucoma Specialist)
1176 MAIN ST
BUFFALO, NY 14209
Optometrist (Corneal and Contact Management)
1176 MAIN ST
BUFFALO, NY 14209

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 Brian Madow's NPI number?

The NPI number for Brian Madow is 1225187271. It was assigned to this individual provider in the NPPES registry on January 9, 2007. The provider is also known as Bojidar Madjarov M.D..

Where is Brian Madow located?

Brian Madow practices at 1176 Main St, Buffalo, NY 14209. The listed phone number is (716) 881-7900.

What is Brian Madow's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Brian Madow enrolled in Medicare?

Yes. Brian Madow 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 Brian Madow accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Brian Madow 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 Brian Madow was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.