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DR. ERICA MADDEN O.D.
NPI 1346477106
Optometrist in Montgomery, AL

Active since June 18, 2009PECOS EnrolledAccepts Medicare Assignment
2550 EASTERN BLVD, MONTGOMERY, AL 36117(334) 274-2020(334) 396-9924 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Erica Madden O.d. NPPES

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

DR. ERICA MADDEN O.D. (NPI 1346477106) is an individual optometrist in Montgomery, Alabama, licensed in Alabama (S-C13-TA-827) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, maintains 10 additional practice locations, and is a graduate of University Alabama Birmingham - School Of Optometry (2009).

NPPES Registry Identity

NPI1346477106
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ERICA MADDENCredential: O.D.
Location Address2550 EASTERN BLVDMontgomery, AL 36117-1500
Mailing AddressPo Box 207243Dallas, TX 75320-7243 · (636) 200-4393 · Fax (636) 527-0766
Phone(334) 274-2020
Fax(334) 396-9924
Sole ProprietorNo
Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2009
Enumeration DateJune 18, 2009
Last NPPES UpdateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
✔ NPI 1346477106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AL · S-C13-TA-827
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2550 EASTERN BLVD, Montgomery, AL 36117
Open in Google Maps ↗

Secondary Practice Locations 10

Location 13165 Green Valley RdVestavia, AL 35243-5262 · Phone (205) 967-2103
Location 21100 Lay Dam RdClanton, AL 35045-2308 · Phone (205) 755-1351
Location 3230 Doug Baker Blvd Ste 100Hoover, AL 35242-2684 · Phone (205) 981-0103
Location 4911 Hargrove Rd ETuscaloosa, AL 35405-1602 · Phone (205) 507-7810
Location 5801 Applejack BlvdNorthport, AL 35473-3401 · Phone (205) 333-0016
Location 6225 State Farm Pkwy Ste 109Birmingham, AL 35209-7346 · Phone (205) 942-0377
Location 71809 Data DrHoover, AL 35244-1238 · Phone (205) 982-5000
Location 82603 Moody Pkwy Ste 102Moody, AL 35004-3063 · Phone (205) 640-2020
Location 91825 Tin Valley Cir Ste ABirmingham, AL 35235-3248 · Phone (205) 661-2020
Location 104500 Valleydale Rd Ste 700Birmingham, AL 35242-4634 · Phone (205) 995-0700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Dr. Erica Madden O.d. 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 ID7315121159
PECOS Enrollment IDI20110404000090
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 Erica Madden reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eyecare Associates, Inc.
14 mi
Optometrist
1735 E MAIN ST
Prattville, AL 36066
  • Reassigned Medicare billing, Alabama enrollment
  • 89 clinicians in this Medicare group
NPI 1902902463 (334) 358-2188
Five Star Diagnostics LLC
69 mi
Endocrinology, Diabetes & Metabolism
1028 GRANDE VIEW PASS
Maylene, AL 35114
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1558894576 (205) 478-1200

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 9

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,602 services12 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.
97 services58 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.
65 services64 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
37 services34 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
33 services31 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
26 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36117 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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 3

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

ERNEST E. SISNEROS JR. O.D.
Optometrist
2550 EASTERN BLVD
MONTGOMERY, AL 36117
Montgomery County (334) 274-2020
MYEYEDR OPTOMETRY OF ALABAMA LLC
Optometrist
2550 EASTERN BLVD
MONTGOMERY, AL 36117
Montgomery County (334) 274-2020
SCHAEFFER EYE CENTER INC
Eyewear Supplier
2550 EASTERN BLVD
MONTGOMERY, AL 36117
Montgomery County (334) 274-2020

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 Erica Madden's NPI number?

The NPI number for Erica Madden is 1346477106. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Erica Madden located?

Erica Madden practices at 2550 Eastern Blvd, Montgomery, AL 36117. The listed phone number is (334) 274-2020.

What is Erica Madden's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Erica Madden enrolled in Medicare?

Yes. Erica 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 Erica Madden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erica Madden reassigns Medicare benefits to 2 organizations: Eyecare Associates, Inc. (Prattville, AL) and Five Star Diagnostics LLC (Maylene, AL). 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 Erica Madden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erica Madden accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 15 other insurers list Erica 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.

When was this NPI record last updated?

The NPPES record for Erica Madden was last updated on October 21, 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.