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NICOLAS LETH MADSEN MD
NPI 1245348374
Pediatrics - Pediatric Cardiology in Cincinnati, OH

Active since August 28, 2006PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
3333 BURNET AVE, ML 2003, CINCINNATI, OH 45229(513) 636-4432(513) 636-3952 Get Directions Write a Review

NPPES record last updated: October 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicolas Leth Madsen Md NPPES

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

NICOLAS LETH MADSEN MD (NPI 1245348374) is an individual pediatric cardiology provider in Cincinnati, Ohio, licensed in Ohio (35.099439) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2005).

NPPES Registry Identity

NPI1245348374
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameNICOLAS LETH MADSENCredential: MD
Location Address3333 BURNET AVE, ML 2003Cincinnati, OH 45229-3026
Mailing Address3333 Burnet Ave, Ml 5021Cincinnati, OH 45229-3026 · (513) 636-4432 · Fax (513) 636-3952
Phone(513) 636-4432
Fax(513) 636-3952
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2005
Enumeration DateAugust 28, 2006
Last NPPES UpdateOctober 8, 2012
✔ NPI 1245348374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in OH · 35.099439
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
3333 BURNET AVE, Cincinnati, OH 45229
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Nicolas Leth Madsen 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 ID1759533888
PECOS Enrollment IDI20220210000527
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 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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

PREEYACHA PACHARN M.D.
Radiology (Pediatric Radiology)
3333 BURNET AVE, ML 5031
CINCINNATI, OH 45229
Hamilton County (513) 636-4251
BRIAN KEITH TURPIN D.O.
Pediatrics (Pediatric Hematology-Oncology)
3333 BURNET AVE
CINCINNATI, OH 45229
Hamilton County (513) 636-3381
ETHAN J MUSGRAVE M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3333 BURNET AVE, ML 3014
CINCINNATI, OH 45229
Hamilton County (513) 636-4788
KATHRYN WEAVER M.D.
Medical Genetics (Clinical Genetics (M.D.))
3333 BURNET AVE, ML 4006
CINCINNATI, OH 45229
Hamilton County (513) 636-4760
ROBIN T COTTON, MD, INC
Otolaryngology (Pediatric Otolaryngology)
3333 BURNET AVE, MLC 2018
CINCINNATI, OH 45229
Hamilton County (513) 636-7138
ELIZABETH ANN MOORE CNP
Nurse Practitioner (Acute Care)
3333 BURNET AVE, ML 2003
CINCINNATI, OH 45229
Hamilton County (513) 636-4432
CONSTANCE MARIE MARTIN CNP
Nurse Practitioner (Primary Care)
3333 BURNET AVE, ML 2018
CINCINNATI, OH 45229
Hamilton County (513) 636-4355
EMILY RENAE LY LSW
Case Manager/Care Coordinator
3333 BURNET AVE
CINCINNATI, OH 45229
Hamilton County (513) 803-6316

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 Nicolas Madsen's NPI number?

The NPI number for Nicolas Madsen is 1245348374. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Nicolas Madsen located?

Nicolas Madsen practices at 3333 Burnet Ave Ml 2003, Cincinnati, OH 45229. The listed phone number is (513) 636-4432.

What is Nicolas Madsen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Nicolas Madsen enrolled in Medicare?

Yes. Nicolas Madsen 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 Nicolas Madsen accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Nicolas 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 Nicolas Madsen was last updated on October 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.