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MICHAEL P MADAN MD
NPI 1386633477
Family Medicine in Concord, NH

Active since October 20, 2005PECOS EnrolledAccepts Medicare Assignment
250 PLEASANT STREET, CAPITAL REGION FAMILY, CONCORD, NH 03301(603) 228-7200(603) 228-7307 Get Directions Write a Review

NPPES record last updated: July 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael P Madan Md NPPES

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

MICHAEL P MADAN MD (NPI 1386633477) is an individual family medicine provider in Concord, New Hampshire, licensed in New Hampshire (13596) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1386633477
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL P MADANCredential: MD
Location Address250 PLEASANT STREET, CAPITAL REGION FAMILYConcord, NH 03301
Mailing Address250 Pleasant Street, Capital Region FamilyConcord, NH 03301 · (603) 228-7200 · Fax (603) 228-7307
Phone(603) 228-7200
Fax(603) 228-7307
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 20, 2005
Last NPPES UpdateJuly 15, 2013
✔ NPI 1386633477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NH · 13596
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.
250 PLEASANT STREET, Concord, NH 03301
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Other Identifiers 12

Medicare UPING35240
Medicaid1018111VT
OtherG35240NH · Harvare Pilgrim
Other4906674NH · Cigna
Medicaid3073313NH
Other01YP12076NH01NH · Anthem
Medicare PIN000219601NH
Other22-2594672NH · United Healthcare
Medicaid30206977NH
Other4158828NH · Mrp
Other22-2594672NH · Martin Point
Medicare PIN000219603

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Harvard Pilgrim Health Care.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 P Madan 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 ID8123061702
PECOS Enrollment IDI20070912000259
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
175 services103 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
89 services83 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
46 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services20 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
22 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

New London Hospital

Critical Access Hospitals · New London, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301304
Location273 County RoadNew London, NH 03257 · Merrimack County
Emergency services

Alice Peck Day Memorial Hospital

Critical Access Hospitals · Lebanon, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301305
Location10 Alice Peck Day DriveLebanon, NH 03766 · Grafton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03301 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%119 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
4 suppliers27 claims27 services$5.14 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 supplier15 claims17 services$119.57 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$38.19 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 16

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

FREDERICK M BRICCETTI MD
Internal Medicine (Hematology & Oncology)
250 PLEASANT STREET, NEW HAMPSHIRE ONCOLOGY HEMATOLOGY PA
CONCORD, NH 03301
Merrimack County (603) 224-2556
DR. DAVID C. CONWAY M.D.
Obstetrics & Gynecology
250 PLEASANT STREET, YEAPLE BUILDING
CONCORD, NH 03301
Merrimack County (603) 228-7200
MRS. SHANNON ELIZABETH ROSENBERG PTA
Physical Therapy Assistant
250 PLEASANT STREET
CONCORD, NH 03301
Merrimack County (603) 228-4610
DR. FRED P. DUTTON MD
Emergency Medicine
250 PLEASANT STREET, EMERGENCY DEPARTMENT
CONCORD, NH 03301
Merrimack County (603) 225-2711
MR. JACK T. COOK PA-C
Physician Assistant (Medical)
250 PLEASANT STREET, YEAPLE BUILDING
CONCORD, NH 03301
Merrimack County (603) 228-7200
DR. URSULA S. KNEISSL M.D.
Pediatrics
250 PLEASANT STREET, YEAPLE BUILDING
CONCORD, NH 03301
Merrimack County (603) 228-7200
BRYCE D LAMBERT MD
Emergency Medicine
250 PLEASANT STREET, EMERGENCY DEPARTMENT
CONCORD, NH 03301
Merrimack County (603) 225-2711
DR. ROBERT M. JOHNSON MD
Internal Medicine
250 PLEASANT STREET
CONCORD, NH 03301
Merrimack County (603) 228-7555

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 Madan's NPI number?

The NPI number for Michael Madan is 1386633477. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Michael Madan located?

Michael Madan practices at 250 Pleasant Street Capital Region Family, Concord, NH 03301. The listed phone number is (603) 228-7200.

What is Michael Madan's specialty?

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

Is Michael Madan enrolled in Medicare?

Yes. Michael Madan 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 Madan accept?

Health plans from Ambetter from NH Healthy Families and Harvard Pilgrim Health Care list Michael Madan 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 Madan affiliated with any hospitals?

According to CMS data, Michael Madan is affiliated with Mary Hitchcock Memorial Hospital, New London Hospital and Alice Peck Day Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Madan was last updated on July 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.