ALISON C. MADDEN MD
NPI 1306829221
Obstetrics & Gynecology in Nashua, NH

Active since November 23, 2005PECOS EnrolledAccepts Medicare Assignment
90.85/100
CMS Quality Rating
168 KINSLEY ST STE 20, NASHUA, NH 03060(603) 883-3365(603) 883-5758 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 25, 2020, Jun 12, 2019 (2 updates tracked since 2019).

About Alison C. Madden Md NPPES

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

ALISON C. MADDEN MD (NPI 1306829221) is an individual obstetrics & gynecology provider in Nashua, New Hampshire, licensed in New Hampshire (19656) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1306829221
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameALISON C. MADDENCredential: MD
Location Address168 KINSLEY ST STE 20Nashua, NH 03060-3634
Mailing AddressC/o St Mary's Health System - Provider Enrollment, Po Box 7291Lewiston, ME 04243-7291 · (207) 777-8695 · Fax (207) 777-8800
Fax(603) 883-5758
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 23, 2005
Last NPPES UpdateAugust 25, 20202 updates tracked since enumeration
NPPES CertifiedAugust 24, 2020
✔ NPI 1306829221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NH · 19656✔ Licensed in MA · 237821
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
168 KINSLEY ST STE 20, Nashua, NH 03060

Other Identifiers 3

Medicaid3117732NH
Medicaid590598HI
Medicaid2161818MA

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

Alison C. Madden 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 ID5092765719
PECOS Enrollment IDI20251009000620
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 Alison Madden reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
172 KINSLEY STREET
Nashua, NH 03060
  • Reassigned Medicare billing, New Hampshire enrollment
  • 386 clinicians in this Medicare group
Obstetrics & Gynecology
100 NICOLLS RD, SUNY @ STONY BROOK HSC, L9, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 125 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.

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03060 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

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.

90.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.14
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Advanced Practice Midwife
168 KINSLEY ST STE 20
NASHUA, NH 03060
Obstetrics & Gynecology
168 KINSLEY ST STE 20
NASHUA, NH 03060
Advanced Practice Midwife
168 KINSLEY ST STE 20
NASHUA, NH 03060
Advanced Practice Midwife
168 KINSLEY ST STE 20
NASHUA, NH 03060
Obstetrics & Gynecology
168 KINSLEY ST STE 20
NASHUA, NH 03060
Advanced Practice Midwife
168 KINSLEY ST STE 20
NASHUA, NH 03060
Advanced Practice Midwife
168 KINSLEY ST STE 20
NASHUA, NH 03060
Obstetrics & Gynecology
168 KINSLEY ST STE 20
NASHUA, NH 03060

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 Alison Madden's NPI number?

The NPI number for Alison Madden is 1306829221. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Alison Madden located?

Alison Madden practices at 168 Kinsley St Ste 20, Nashua, NH 03060. The listed phone number is (603) 883-3365.

What is Alison Madden's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Alison Madden enrolled in Medicare?

Yes. Alison Madden 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 Alison Madden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alison Madden reassigns Medicare benefits to 2 organizations: St Joseph Hospital Of Nashua Nh (Nashua, NH) and University Associates In Obstetrics & Gynecology, University Faculty P (Stony Brook, NY). 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 Alison Madden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alison Madden accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Alison Madden 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 Alison Madden affiliated with any hospitals?

According to CMS data, Alison Madden is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Alison Madden was last updated on August 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.