KIMBERLY ANN MADSEN MD
NPI 1265556120
Ophthalmology in Federal Way, WA
About Kimberly Ann Madsen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY ANN MADSEN MD (NPI 1265556120) is an individual ophthalmology provider in Federal Way, Washington, licensed in Hawaii (MD16399) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kailua Kona, and is a graduate of Ohio State University College Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
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
Kimberly Ann 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.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Madsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Renton, WA 98057
- Reassigned Medicare billing, Washington enrollment
- 2,678 clinicians in this Medicare group
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 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kimberly Madsen's NPI number?
The NPI number for Kimberly Madsen is 1265556120. It was assigned to this individual provider in the NPPES registry on March 18, 2007.
Where is Kimberly Madsen located?
Kimberly Madsen practices at 301 S 320th St, Federal Way, WA 98003. The listed phone number is (253) 874-7958.
What is Kimberly Madsen's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Kimberly Madsen enrolled in Medicare?
Yes. Kimberly 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.
Which organization bills Medicare for Kimberly Madsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Madsen reassigns Medicare benefits to Kaiser Foundation Health Plan Of Washington (Renton, WA). The 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 Kimberly Madsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberly Madsen was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kimberly Ann Madsen, MD · NPI 1265556120
Ophthalmology physician in Federal Way, Washington. Individual provider, active in the CMS NPPES registry since March 18, 2007.
## Identity
- **NPI:** 1265556120 (Entity type: Individual)
- **Enumerated:** March 18, 2007
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** MD16399 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 S 320TH ST, Federal Way, WA 98003-5200
- **Phone:** (253) 874-7958
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of Washington (NPI 1124264577, Renton, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University College Of Medicine, class of 2005
## Record status
- **NPPES last updated:** April 27, 2021
- **Other identifiers:** Other P01078149 (HI); Medicaid 690900 (HI)
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Source: [NPI Profile](https://npiprofile.com/npi/1265556120) · Data from the CMS NPPES public registry.