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DR. REGINALD LEVON MADDEN DNP
NPI 1265464903
Nurse Practitioner - Adult Health in Raleigh, NC

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
2800 BLUE RIDGE RD STE 550, RALEIGH, NC 27607(919) 787-5380(919) 787-3415 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 21, 2022, Mar 26, 2021, Feb 5, 2016 (3 updates tracked since 2016).

About Dr. Reginald Levon Madden Dnp NPPES

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

DR. REGINALD LEVON MADDEN DNP (NPI 1265464903) is an individual adult health provider in Raleigh, North Carolina, licensed in North Carolina (5001551) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1265464903
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameDR. REGINALD LEVON MADDENCredential: DNP
Location Address2800 BLUE RIDGE RD STE 550Raleigh, NC 27607-6476
Mailing Address2800 Blue Ridge Rd Ste 550Raleigh, NC 27607-6476 · (919) 787-5380 · Fax (919) 787-3415
Phone(919) 787-5380
Fax(919) 787-3415
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2005
Enumeration DateJuly 6, 2006
Last NPPES UpdateSeptember 21, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
✔ NPI 1265464903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NC · 5001551
Also ListedRegistered NurseTaxonomy 163W00000X · License 159088 (NC)
2800 BLUE RIDGE RD STE 550, Raleigh, NC 27607
Open in Google Maps ↗

Secondary Practice Location 1

Location 1632 Broadway PhNew York, NY 10012-2614 · Phone (800) 731-4254

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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. Reginald Levon Madden Dnp 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 ID1355346602
PECOS Enrollment IDI20060920000509
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

3

Medicare enrollment records show Reginald Madden reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Carolina Mg, LLC
Same address
Hospitalist
4420 LAKE BOONE TRL
Raleigh, NC 27607
  • Reassigned Medicare billing, North Carolina enrollment
  • 701 clinicians in this Medicare group
NPI 1215741640 (919) 784-3100
Med-X Consulting, PC
8.7 mi
Internal Medicine
10901 ASHLAND MILL CT
Raleigh, NC 27617
  • Reassigned Medicare billing, North Carolina enrollment
  • 20 clinicians in this Medicare group
NPI 1174017511 (336) 306-9755
Nhcs Physicians Inc
49 mi
Physician Assistant
2460 CURTIS ELLIS DRIVE
Rocky Mount, NC 27804
  • Reassigned Medicare billing, North Carolina enrollment
  • 205 clinicians in this Medicare group
NPI 1003028630 (252) 443-8540

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

Areas of Expertise CMS Part B claims 3

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.

Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
40 services39 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.
37 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340147
Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Reginald Madden's NPI number?

The NPI number for Reginald Madden is 1265464903. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Reginald Madden located?

Reginald Madden practices at 2800 Blue Ridge Rd Ste 550, Raleigh, NC 27607. The listed phone number is (919) 787-5380.

What is Reginald Madden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Reginald Madden enrolled in Medicare?

Yes. Reginald Madden 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 Reginald Madden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Reginald Madden reassigns Medicare benefits to 3 organizations: North Carolina Mg, LLC (Raleigh, NC), Med-X Consulting, PC (Raleigh, NC) and Nhcs Physicians Inc (Rocky Mount, NC). 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 Reginald Madden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Reginald Madden accept?

Health plans from UnitedHealthcare list Reginald Madden 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 Reginald Madden affiliated with any hospitals?

According to CMS data, Reginald Madden is affiliated with Rex Hospital and Unc Health Nash.

When was this NPI record last updated?

The NPPES record for Reginald Madden was last updated on September 21, 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.