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MADISON LORRAINE CONCES M.D.
NPI 1255865317
Internal Medicine - Hematology & Oncology in Cleveland, OH

Active since April 16, 2017PECOS EnrolledAccepts Medicare Assignment
11100 EUCLID AVE, CLEVELAND, OH 44106(216) 844-6031(216) 844-5234 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 28, 2023, Apr 16, 2017 (2 updates tracked since 2017).

About Madison Lorraine Conces M.d. NPPES

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

MADISON LORRAINE CONCES M.D. (NPI 1255865317) is an individual hematology & oncology provider in Cleveland, Ohio, licensed in Ohio (35.137632) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Lake Health, and is a graduate of Indiana University School Of Medicine (2017).

NPPES Registry Identity

NPI1255865317
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameMADISON LORRAINE CONCESCredential: M.D.
Location Address11100 EUCLID AVECleveland, OH 44106-1716
Mailing Address11100 Euclid AveCleveland, OH 44106-1716
Phone(216) 844-6031
Fax(216) 844-5234
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 2017
Enumeration DateApril 16, 2017
Last NPPES UpdateAugust 28, 20232 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
✔ NPI 1255865317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in OH · 35.137632
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
11100 EUCLID AVE, Cleveland, OH 44106
Open in Google Maps ↗

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

Madison Lorraine Conces M.d. 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 ID9436427473
PECOS Enrollment IDI20230712002608
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 6

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
83 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
36 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Lake Health

Acute Care Hospitals · Concord, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360098
Location7590 Auburn RoadConcord, OH 44077 · Lake County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Uhhs Memorial Hospital Of Geneva

Critical Access Hospitals · Geneva, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361307
Location870 West Main StreetGeneva, OH 44041 · Ashtabula County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
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.

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.

DR. YU HYON KIM MD
Ophthalmology
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-3601
JENNIFER LYNN PARRY RN, CPNP
Nurse Practitioner (Pediatrics)
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 983-5691
RAINBOW BABIES & CHILDREN'S HOSPITAL
General Acute Care Hospital (Children)
11100 EUCLID AVE, RBC 637
CLEVELAND, OH 44106
Cuyahoga County (216) 983-5261
DR. KA CHUN ALAN CHAN M.D
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Cuyahoga County (216) 844-1000
DR. CHOR CHEUNG TAM M.D.
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Cuyahoga County (216) 333-8948
DOMINIC CERCONE
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-1000
DR. CHRISTOPHER FELCHLIA MD
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-2273
GABRIELLA MARGUERITE RUSTIA MD
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-8570

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 Madison Conces's NPI number?

The NPI number for Madison Conces is 1255865317. It was assigned to this individual provider in the NPPES registry on April 16, 2017.

Where is Madison Conces located?

Madison Conces practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (216) 844-6031.

What is Madison Conces's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Madison Conces enrolled in Medicare?

Yes. Madison Conces 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 Madison Conces accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 2 other insurers list Madison Conces 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 Madison Conces affiliated with any hospitals?

According to CMS data, Madison Conces is affiliated with Lake Health, Uh Cleveland Medical Center and Uhhs Memorial Hospital Of Geneva.

When was this NPI record last updated?

The NPPES record for Madison Conces was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.