MADISON CROCKER PIOTROWSKI MD
NPI 1265921936
Psychiatry & Neurology - Psychiatry in Chapel Hill, NC

Active since May 08, 2018PECOS EnrolledAccepts Medicare Assignment
401 PROVIDENCE RD STE 100, CHAPEL HILL, NC 27514(855) 501-1004 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2026, Nov 18, 2022, May 8, 2018 (3 updates tracked since 2018).

About Madison Crocker Piotrowski Md NPPES

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

MADISON CROCKER PIOTROWSKI MD (NPI 1265921936) is an individual psychiatry provider in Chapel Hill, North Carolina, licensed in North Carolina (2019-02560) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (2018).

NPPES Registry Identity

NPI1265921936
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMADISON CROCKER PIOTROWSKICredential: MD
Location Address401 PROVIDENCE RD STE 100Chapel Hill, NC 27514-2203
Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954 · (855) 501-1004
Sole ProprietorYes
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2018
Enumeration DateMay 8, 2018
Last NPPES UpdateMay 19, 20263 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1265921936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NC · 2019-02560
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
401 PROVIDENCE RD STE 100, Chapel Hill, NC 27514

Other Names 1

Former Name (1)Madison Ashley Crocker

Accepted 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

Madison Crocker Piotrowski 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 ID9234484015
PECOS Enrollment IDI20251029001013
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 Reassignment

Medicare enrollment records show Madison Piotrowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
4220 APEX HWY STE 200
Durham, NC 27713
  • Reassigned Medicare billing, North Carolina enrollment
  • 116 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27514 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
401 PROVIDENCE RD STE 100
CHAPEL HILL, NC 27514
Marriage & Family Therapist
401 PROVIDENCE RD STE 100
CHAPEL HILL, NC 27514
Psychiatry & Neurology (Psychiatry)
401 PROVIDENCE RD STE 100
CHAPEL HILL, NC 27514
Social Worker (Clinical)
401 PROVIDENCE RD STE 100
CHAPEL HILL, NC 27514
Physician Assistant
401 PROVIDENCE RD STE 100
CHAPEL HILL, NC 27514
Psychiatry & Neurology (Psychiatry)
401 PROVIDENCE RD STE 100
CHAPEL HILL, NC 27514
Physician Assistant
401 PROVIDENCE RD STE 100
CHAPEL HILL, NC 27514
Nurse Practitioner (Family)
401 PROVIDENCE RD STE 100
CHAPEL HILL, NC 27514

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 Piotrowski's NPI number?

The NPI number for Madison Piotrowski is 1265921936. It was assigned to this individual provider in the NPPES registry on May 8, 2018. The provider is also known as Madison Ashley Crocker.

Where is Madison Piotrowski located?

Madison Piotrowski practices at 401 Providence Rd Ste 100, Chapel Hill, NC 27514. The listed phone number is (855) 501-1004.

What is Madison Piotrowski's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Madison Piotrowski enrolled in Medicare?

Yes. Madison Piotrowski 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 Madison Piotrowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Piotrowski reassigns Medicare benefits to Mindpath Care Centers, North Carolina, PLLC (Durham, NC). 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 Madison Piotrowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madison Piotrowski accept?

Health plans from Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Madison Piotrowski 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.

When was this NPI record last updated?

The NPPES record for Madison Piotrowski was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.