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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOEL ADAM MADSON MD
NPI 1245929843
Family Medicine in Aitkin, MN

Active since May 01, 2023PECOS EnrolledAccepts Medicare Assignment
200 BUNKER HILL DR, AITKIN, MN 56431(218) 927-2157(218) 927-5319 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 27, 2026, May 1, 2023 (2 updates tracked since 2023).

About Dr. Joel Adam Madson Md NPPES

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

DR. JOEL ADAM MADSON MD (NPI 1245929843) is an individual family medicine provider in Aitkin, Minnesota, licensed in Minnesota (78538) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Riverwood Healthcare Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1245929843
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOEL ADAM MADSONCredential: MD
Location Address200 BUNKER HILL DRAitkin, MN 56431-1865
Mailing Address31906 230th StAitkin, MN 56431-2039 · (320) 630-8011
Phone(218) 927-2157
Fax(218) 927-5319
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 1, 2023
Last NPPES UpdateAugust 27, 20262 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1245929843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 78538
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 BUNKER HILL DR, Aitkin, MN 56431
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.Insurance ›

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

Dr. Joel Adam Madson 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 ID2466812516
PECOS Enrollment IDI20250320000474
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

6

Medicare enrollment records show Joel Madson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aitkin Community Hospital, Inc.
Same address
Critical Access
200 BUNKER HILL DR
Aitkin, MN 56431
  • Reassigned Medicare billing, Minnesota enrollment
  • 164 clinicians in this Medicare group
NPI 1942277835 (218) 927-2121
Centracare Clinic
29 mi
Multi-Specialty
7418 FORTHUN RD
Baxter, MN 56425
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,051 clinicians in this Medicare group
NPI 1679025746 (320) 251-2700
Centracare Health System - Long Prairie
67 mi
Critical Access
50 CENTRACARE DR
Long Prairie, MN 56347
  • Reassigned Medicare billing, Minnesota enrollment
  • 156 clinicians in this Medicare group
NPI 1164471678 (320) 732-2141
Centracare Health System - Melrose
80 mi
Critical Access
525 W. MAIN STREET
Melrose, MN 56352
  • Reassigned Medicare billing, Minnesota enrollment
  • 180 clinicians in this Medicare group
NPI 1720045073 (320) 256-4231
Centracare Health System - Sauk Centre
81 mi
Rural Health
425 ELM ST N
Sauk Centre, MN 56378
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1740553932 (Minnesota)
  • 173 clinicians in this Medicare group
NPI 1578813762 (320) 352-2221
Centracare Health-Paynesville LLC
84 mi
Rural Health
130 1ST ST NE
Richmond, MN 56368
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1205269941 (Minnesota)
  • 124 clinicians in this Medicare group
NPI 1144653734 (320) 597-2122

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

Hospital Affiliations CMS Care Compare

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

Riverwood Healthcare Center

Critical Access Hospitals · Aitkin, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241305
Location200 Bunker Hill DriveAitkin, MN 56431 · Aitkin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56431 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

ERIK BOSTROM M.D.
Family Medicine
200 BUNKER HILL DR
AITKIN, MN 56431
Aitkin County (218) 927-2157
MRS. BRITTANY M HOWE APRN, CNP
Nurse Practitioner (Family)
200 BUNKER HILL DR
AITKIN, MN 56431
Aitkin County (218) 927-2121
SYED W ASKARI M.D.
Emergency Medicine (Emergency Medical Services)
200 BUNKER HILL DR
AITKIN, MN 56431
Aitkin County (218) 927-2121
DR. SWEETY PRETHISH MD
Internal Medicine
200 BUNKER HILL DR
AITKIN, MN 56431
Aitkin County (218) 927-2157
JOSELITO T BURGOS JR. MD
Internal Medicine
200 BUNKER HILL DR
AITKIN, MN 56431
Aitkin County (218) 927-2157
MELISSA JEAN HERBRANSON M.D.
Family Medicine
200 BUNKER HILL DR
AITKIN, MN 56431
Aitkin County (218) 927-5587
ERIN L MASON PA
Physician Assistant
200 BUNKER HILL DR
AITKIN, MN 56431
Aitkin County (218) 927-2121
JAMES L. HARRIS M.D.
Emergency Medicine (Emergency Medical Services)
200 BUNKER HILL DR
AITKIN, MN 56431
Aitkin County (218) 927-5596

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 Joel Madson's NPI number?

The NPI number for Joel Madson is 1245929843. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Where is Joel Madson located?

Joel Madson practices at 200 Bunker Hill Dr, Aitkin, MN 56431. The listed phone number is (218) 927-2157.

What is Joel Madson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joel Madson enrolled in Medicare?

Yes. Joel Madson 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 Joel Madson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joel Madson reassigns Medicare benefits to 6 organizations: Aitkin Community Hospital, Inc. (Aitkin, MN), Centracare Clinic (Baxter, MN), Centracare Health System - Long Prairie (Long Prairie, MN), Centracare Health System - Melrose (Melrose, MN), Centracare Health System - Sauk Centre (Sauk Centre, MN) and 1 more organization, listed in the Medicare section above. 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 Joel Madson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joel Madson accept?

Health plans from HealthPartners and Sanford Health Plan list Joel Madson 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 Joel Madson affiliated with any hospitals?

According to CMS data, Joel Madson is affiliated with Riverwood Healthcare Center.

When was this NPI record last updated?

The NPPES record for Joel Madson was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.