DR. MADHU V MIDATHADA MD
NPI 1265511034
Internal Medicine - Hematology & Oncology in Lincoln, NE

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
70.45/100
CMS Quality Rating
4004 PIONEER WOODS DR, LINCOLN, NE 68506(402) 484-4900(402) 484-6456 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 1, 2023, Feb 25, 2021 (2 updates tracked since 2021).

About Dr. Madhu V Midathada Md NPPES

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

DR. MADHU V MIDATHADA MD (NPI 1265511034) is an individual hematology & oncology provider in Lincoln, Nebraska, licensed in Nebraska (23290) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Bryan Medical Center, and maintains a secondary practice location in Lincoln.

NPPES Registry Identity

NPI1265511034
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. MADHU V MIDATHADACredential: MD
Location Address4004 PIONEER WOODS DRLincoln, NE 68506-7548
Mailing Address4004 Pioneer Woods DrLincoln, NE 68506-7548 · (402) 484-4900 · Fax (402) 484-6456
Fax(402) 484-6456
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateNovember 3, 2006
Last NPPES UpdateMay 1, 20232 updates tracked since enumeration
NPPES CertifiedMay 1, 2023
NPI 1265511034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NE · 23290
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.

Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 23290 (NE)
4004 PIONEER WOODS DR, Lincoln, NE 68506

Secondary Practice Location 1

Location 14001 Pioneer Woods DrLincoln, NE 68506-7547 · Phone (402) 484-4900 · Fax (402) 484-6456

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

Dr. Madhu V Midathada 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 ID7214971530
PECOS Enrollment IDI20050616000782
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 80

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.

Injection, ferric carboxymaltose, 1 mg J1439
Ferric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
80,080 services67 patients
Injection, daratumumab, 10 mg and hyaluronidase-fihj J9144
Daratumumab and hyaluronidase-fihj is an injection administered to treat certain types of blood cancer. The medication works by targeting and killing specific cancer cells. It's often given under the skin to reduce side effects and improve patient comfort.
18,900 services25 patients
Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
16,600 services27 patients
Injection, aprepitant, 1 mg J0185
Aprepitant injection is a medication used to prevent nausea and vomiting caused by chemotherapy. It works by blocking certain substances in the brain that trigger these symptoms. The dosage is based on your medical condition and response to treatment.
15,470 services43 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
12,480 services67 patients
Injection, fosaprepitant, 1 mg J1453
Fosaprepitant is an anti-nausea medication given via injection. It's often used to prevent nausea and vomiting caused by chemotherapy. This injection blocks signals to the brain that trigger these symptoms, helping you feel better.
11,100 services28 patients

Hospital Affiliations CMS Care Compare 5

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

Bryan Medical Center

Acute Care Hospitals · Lincoln, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280003
Location1600 South 48th StLincoln, NE 68506 · Lancaster County
Emergency services Birthing friendly

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Chi Health St. Elizabeth

Acute Care Hospitals · Lincoln, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280020
Location555 South 70th StLincoln, NE 68510 · Lancaster County
Emergency services Birthing friendly

Butler County Health

Critical Access Hospitals · David City, NE
OwnershipGovernment - Local
CMS Certification Number281332
Location372 South 9th StreetDavid City, NE 68632 · Butler County
Emergency services

Memorial Health Care Systems

Critical Access Hospitals · Seward, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281339
Location300 North Columbia AveSeward, NE 68434 · Seward County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68506 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
$160.21 typical visit price
range $52.69 – $160.21
Typical copayment $40.05 (range $13.17 – $40.05)
Most-billed visit code 99205
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

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.

70.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.42
Promoting Interoperability0
Improvement Activities40

Reported Quality Measures

Advance Care Plan
81%873 patients4/55-star benchmark: 100%
Appropriate Treatment for Patients with Stage I (T1c) - III HER2 Positive Breast Cancer
67%24 patients
Closing the Referral Loop: Receipt of Specialist Report
72%25 patients4/55-star benchmark: 87%
Controlling High Blood Pressure
54%198 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%3,708 patients4/55-star benchmark: 100%
Oncology: Advance Care Planning in Metastatic Cancer Patients
60%179 patients3/55-star benchmark: 85%
Oncology: Medical and Radiation - Pain Intensity Quantified
96%1,399 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Plan of Care for Pain
90%447 patients4/55-star benchmark: 100%
Oncology: Patient-Reported Pain Improvement
47%172 patients
Oncology: Supportive Care Drug Utilization in Last 14 Days of Life
Lower rates are better for this measure.
8%36 patients
Percentage of Patients Who Died from Cancer Receiving Systemic Cancer-Directed Therapy in the Last 14 Days of Life (lower score better)
Lower rates are better for this measure.
6%36 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
33%1,489 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
97%1,582 patients5/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 74% · 765 patients
Patients screened: 79% · 765 patients
7%42 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
94%656 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
2%854 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims1,176 services$0.72 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier21 claims21 services$18.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine (Hospice and Palliative Medicine)
4004 PIONEER WOODS DR
LINCOLN, NE 68506
Registered Nurse (Oncology)
4004 PIONEER WOODS DR
LINCOLN, NE 68506
Physician Assistant
4004 PIONEER WOODS DR
LINCOLN, NE 68506
Physician Assistant
4004 PIONEER WOODS DR
LINCOLN, NE 68506
Internal Medicine (Hematology & Oncology)
4004 PIONEER WOODS DR
LINCOLN, NE 68506
Registered Nurse (Oncology)
4004 PIONEER WOODS DR
LINCOLN, NE 68506
Registered Nurse (Oncology)
4004 PIONEER WOODS DR
LINCOLN, NE 68506
Physician Assistant (Medical)
4004 PIONEER WOODS DR
LINCOLN, NE 68506

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 Madhu Midathada's NPI number?

The NPI number for Madhu Midathada is 1265511034. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Madhu Midathada located?

Madhu Midathada practices at 4004 Pioneer Woods Dr, Lincoln, NE 68506. The listed phone number is (402) 484-4900.

What is Madhu Midathada's specialty?

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

Is Madhu Midathada enrolled in Medicare?

Yes. Madhu Midathada 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 Madhu Midathada accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Madhu Midathada 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 Madhu Midathada affiliated with any hospitals?

According to CMS data, Madhu Midathada is affiliated with Bryan Medical Center, The Nebraska Medical Center, Chi Health St. Elizabeth, Butler County Health and Memorial Health Care Systems.

When was this NPI record last updated?

The NPPES record for Madhu Midathada was last updated on May 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.