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DR. MADELEINE MAE MCMALL DO
NPI 1306373428
Family Medicine in Farmington Hills, MI

Active since May 19, 2017PECOS EnrolledAccepts Medicare Assignment
86.85/100
CMS Quality Rating
30852 W 10 MILE RD, FARMINGTON HILLS, MI 48336(248) 844-6010(248) 844-6019 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Sep 17, 2020, Sep 10, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Madeleine Mae Mcmall Do NPPES

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

DR. MADELEINE MAE MCMALL DO (NPI 1306373428) is an individual family medicine provider in Farmington Hills, Michigan, licensed in Michigan (5101025484) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and maintains a secondary practice location in Southfield.

NPPES Registry Identity

NPI1306373428
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MADELEINE MAE MCMALLCredential: DO
Location Address30852 W 10 MILE RDFarmington Hills, MI 48336-2636
Mailing Address30852 W 10 Mile RdFarmington Hills, MI 48336-2636 · (248) 844-6010 · Fax (248) 844-6019
Phone(248) 844-6010
Fax(248) 844-6019
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2017
Enumeration DateMay 19, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2020
✔ NPI 1306373428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MI · 5101025484✔ Licensed in MA · 5101025484
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
30852 W 10 MILE RD, Farmington Hills, MI 48336
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Other Names 1

Former Name (1)Madeleine Mae Pilchak

Secondary Practice Location 1

Location 116001 W 9 Mile RdSouthfield, MI 48075-4818 · Phone (248) 849-3000 · Fax (248) 849-5324

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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. Madeleine Mae Mcmall Do 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 ID4880012574
PECOS Enrollment IDI20200911001972
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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
95 services48 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
50 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
41 services41 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48336 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

86.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.71
Promoting Interoperability100
Improvement Activities40
Cost65.3

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%119 patients
Breast Cancer Screening
74%234 patients4/55-star benchmark: 93%
Cervical Cancer Screening
73%125 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
33%616 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
67%163 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
86%237 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
46%117 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
18%49 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%330 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
74%174 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
96%1,104 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
90%929 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 89% · 986 patients
Patients screened: 92% · 986 patients
58%43 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
74%88 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 94 patients
Patients totalRate: 8% · 186 patients
8%186 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.

Other Providers at the Same Location NPPES 3

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

ULTIMATE WELLNESS CENTER INC
Family Medicine
30852 W 10 MILE RD
FARMINGTON HILLS, MI 48336
Oakland County (248) 477-0112
DR. BRANDON TALAT KARMO D.O.
Family Medicine
30852 W 10 MILE RD
FARMINGTON HILLS, MI 48336
Oakland County (248) 844-6010
DR. LOURDES WHITE ARRIOLA
Internal Medicine
30852 W 10 MILE RD
FARMINGTON HILLS, MI 48336
Oakland County (248) 477-0112

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 Madeleine Mcmall's NPI number?

The NPI number for Madeleine Mcmall is 1306373428. It was assigned to this individual provider in the NPPES registry on May 19, 2017. The provider is also known as Madeleine Mae Pilchak.

Where is Madeleine Mcmall located?

Madeleine Mcmall practices at 30852 W 10 Mile Rd, Farmington Hills, MI 48336. The listed phone number is (248) 844-6010.

What is Madeleine Mcmall's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Madeleine Mcmall enrolled in Medicare?

Yes. Madeleine Mcmall 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 Madeleine Mcmall accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Madeleine Mcmall 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 Madeleine Mcmall affiliated with any hospitals?

According to CMS data, Madeleine Mcmall is affiliated with Ascension Providence Hospital, Southfield And Novi, Henry Ford Health Hospital and Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Madeleine Mcmall was last updated on July 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.