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MADISON KOMMOR MD
NPI 1306370804
Emergency Medicine in Columbus, OH

Active since April 12, 2017PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
376 W 10TH AVE, COLUMBUS, OH 43210(614) 293-3570 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 12, 2024, Apr 12, 2017 (2 updates tracked since 2017).

About Madison Kommor Md NPPES

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

MADISON KOMMOR MD (NPI 1306370804) is an individual emergency medicine provider in Columbus, Ohio, licensed in Illinois (036176093) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306370804
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMADISON KOMMORCredential: MD
Location Address376 W 10TH AVEColumbus, OH 43210
Mailing Address500 S Preston St Rm 305Louisville, KY 40202-1702 · (502) 852-8696
Phone(614) 293-3570
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 12, 2017
Last NPPES UpdateAugust 25, 20252 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
✔ NPI 1306370804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 036176093✔ Licensed in NC · 2022-01031
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
376 W 10TH AVE, Columbus, OH 43210
Open in Google Maps ↗

Secondary Practice Locations 2

Location 14201 W Medical Center DrMcHenry, IL 60050-8409 · Phone (815) 759-3100 · Fax (815) 363-9094
Location 2500 S Preston St Rm 305Louisville, KY 40202-1702 · Phone (502) 852-8696

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan of North Carolina, Inc.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 Kommor 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 ID8426431164
PECOS Enrollment IDI20250904000740
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

2

Medicare enrollment records show Madison Kommor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwestern Medical Faculty Foundation
308 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866
Wake Forest Emergency Providers
312 mi
Multi-Specialty
557 BROOKDALE DR
Statesville, NC 28677
  • Reassigned Medicare billing, North Carolina enrollment
  • 580 clinicians in this Medicare group
NPI 1396216735 (336) 716-2255

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
221 services218 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
152 services152 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
107 services106 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
54 services52 patients

Hospital Affiliations CMS Care Compare 3

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

KUSHAL NANDAM M.D.
Emergency Medicine
376 W 10TH AVE, 760 PRIOR HALL
COLUMBUS, OH 43210
Franklin County (614) 293-3551
ANDREW DAVID YOCUM M.D.
Emergency Medicine
376 W 10TH AVE, 750 PRIOR HALL
COLUMBUS, OH 43210
Franklin County (614) 293-3551
JENNA LYNN GUNN MD
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-6194
KEVIN RIVERA
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8306
SPENCER TALENTINO
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-6194
LEON LIN MD
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-3570
LOGAN ROEBKE
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-6194
JOSHUA S EVERHART MD
Orthopaedic Surgery
376 W 10TH AVE, OHIO STATE UNIVERSITY MEDICAL CENTER
COLUMBUS, OH 43210
Franklin County (614) 293-6194

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 Kommor's NPI number?

The NPI number for Madison Kommor is 1306370804. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Madison Kommor located?

Madison Kommor practices at 376 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-3570.

What is Madison Kommor's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Madison Kommor enrolled in Medicare?

Yes. Madison Kommor 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 Madison Kommor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Kommor reassigns Medicare benefits to 2 organizations: Northwestern Medical Faculty Foundation (Carol Stream, IL) and Wake Forest Emergency Providers (Statesville, 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 Madison Kommor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madison Kommor accept?

Health plans from Oscar Health Plan of North Carolina, Inc list Madison Kommor 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 Kommor affiliated with any hospitals?

According to CMS data, Madison Kommor is affiliated with Northwestern Medicine Mchenry, Northwestern Lake Forest Hospital and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Madison Kommor was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.