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MICHAEL MADDOX MD
NPI 1356503833
Urology in Kenner, LA

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment
200 W ESPLANADE AVE, SUITE 210, KENNER, LA 70065(504) 464-8588(504) 464-8586 Get Directions Write a Review

NPPES record last updated: November 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Maddox Md NPPES

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

MICHAEL MADDOX MD (NPI 1356503833) is an individual urology provider in Kenner, Louisiana, licensed in Louisiana (MD.205949) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2008).

NPPES Registry Identity

NPI1356503833
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMICHAEL MADDOXCredential: MD
Location Address200 W ESPLANADE AVE, SUITE 210Kenner, LA 70065-2489
Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2483 · (504) 842-4000
Phone(504) 464-8588
Fax(504) 464-8586
Sole ProprietorYes
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2008
Enumeration DateJune 26, 2008
Last NPPES UpdateNovember 17, 2015
✔ NPI 1356503833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in LA · MD.205949
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
200 W ESPLANADE AVE, Kenner, LA 70065
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Other Identifiers 3

Medicare PIN302267YH3ULA
Medicaid02158023MS
Medicaid2339109LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan, HMO Louisiana.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

Michael Maddox 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 ID3870736077
PECOS Enrollment IDI20130906000225
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 8

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.
177 services142 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
34 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
Ultrasound scan of pelvic region through rectum 76872
An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.
17 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Slidell Memorial Hospital

Acute Care Hospitals · Slidell, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190040
Location1001 Gause BlvdSlidell, LA 70458 · St. Tammany County
Emergency services Birthing friendly

St Charles Parish Hospital

Acute Care Hospitals · Luling, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190079
Location1057 Paul Maillard RoadLuling, LA 70070 · St. Charles County
Emergency services

Ochsner Medical Center-Kenner

Acute Care Hospitals · Kenner, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190274
Location180 West Esplanade AvenueKenner, LA 70065 · Jefferson County
Emergency services Birthing friendly

Ochsner St Anne General Hospital

Critical Access Hospitals · Raceland, LA
OwnershipVoluntary non-profit - Other
CMS Certification Number191324
Location4608 Highway 1Raceland, LA 70394 · Lafourche County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70065 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
1 supplier19 claims3,560 services$6.68 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$62.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MR. SEAN PATRICK BRADY DO
Anesthesiology
200 W ESPLANADE AVE
KENNER, LA 70065
Jefferson Parish (504) 842-3754
KYLER FISK PA-C
Hospitalist
200 W ESPLANADE AVE
KENNER, LA 70065
Jefferson Parish (504) 464-8506
MICHAEL W HARTMAN M.D.
Orthopaedic Surgery (Sports Medicine)
200 W ESPLANADE AVE, SUITE 500
KENNER, LA 70065
Jefferson Parish (504) 412-1700
CLAUDIA PAGUADA GUEPET FNP-C
Nurse Practitioner (Family)
200 W ESPLANADE AVE
KENNER, LA 70065
Jefferson Parish (504) 464-8588
CHRISTI ROBINSON BSN, RN, CMSRN
Registered Nurse (Diabetes Educator)
200 W ESPLANADE AVE
KENNER, LA 70065
Jefferson Parish (504) 464-8178
DR. JULIE CHE WANG M.D.
Urology
200 W ESPLANADE AVE
KENNER, LA 70065
Jefferson Parish (504) 464-8588
EMMA CAMILLE SISK MD/MPH
Obstetrics & Gynecology
200 W ESPLANADE AVE
KENNER, LA 70065
Jefferson Parish (504) 464-8500
DR. KELLY LANIER PAULK M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
200 W ESPLANADE AVE
KENNER, LA 70065
Jefferson Parish (504) 443-9500

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 Michael Maddox's NPI number?

The NPI number for Michael Maddox is 1356503833. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Michael Maddox located?

Michael Maddox practices at 200 W Esplanade Ave Suite 210, Kenner, LA 70065. The listed phone number is (504) 464-8588.

What is Michael Maddox's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Michael Maddox enrolled in Medicare?

Yes. Michael Maddox 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 Michael Maddox accept?

Health plans from Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan and HMO Louisiana list Michael Maddox 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 Michael Maddox affiliated with any hospitals?

According to CMS data, Michael Maddox is affiliated with Ochsner Medical Center Acute, Slidell Memorial Hospital, St Charles Parish Hospital, Ochsner Medical Center-Kenner and Ochsner St Anne General Hospital.

When was this NPI record last updated?

The NPPES record for Michael Maddox was last updated on November 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.