DR. BRENT A. MADISON M.D.
NPI 1386696821
Emergency Medicine in Carrollton, KY

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
58.71/100
CMS Quality Rating
309 11TH ST, CARROLLTON, KY 41008(502) 732-4321 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brent A. Madison M.d. NPPES

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

DR. BRENT A. MADISON M.D. (NPI 1386696821) is an individual emergency medicine provider in Carrollton, Kentucky, licensed in Kentucky (33995) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Monroe County Medical Center, and is a graduate of University Of Louisville School Of Medicine (1997).

NPPES Registry Identity

NPI1386696821
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. BRENT A. MADISONCredential: M.D.
Location Address309 11TH STCarrollton, KY 41008-1435
Mailing Address2323 Lime Kiln LnLouisville, KY 40222-3416 · (502) 339-8000
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1997
Enumeration DateMay 16, 2006
Last NPPES UpdateJuly 10, 2007
NPI 1386696821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in KY · 33995
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

309 11TH ST, Carrollton, KY 41008

Other Identifiers 2

Medicare UPING87357KY
Medicaid64059348KY

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. Brent A. Madison M.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 ID3577455310
PECOS Enrollment IDI20040326000925
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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
102 services92 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
73 services73 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
62 services59 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
18 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Monroe County Medical Center

Acute Care Hospitals · Tompkinsville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180105
Location529 Capp Harlan RoadTompkinsville, KY 42167 · Monroe County
Emergency services

Casey County Hospital

Critical Access Hospitals · Liberty, KY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number181309
Location187 Wolford AvenueLiberty, KY 42539 · Casey County
Emergency services

Wayne County Hospital

Critical Access Hospitals · Monticello, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181321
Location166 Hospital StreetMonticello, KY 42633 · Wayne County
Emergency services

Jane Todd Crawford Hospital

Critical Access Hospitals · Greensburg, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181325
Location290 Industrial Park RoadGreensburg, KY 42743 · Green County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41008 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

58.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.44
Improvement Activities40

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.

Dietitian, Registered
309 11TH ST
CARROLLTON, KY 41008
Nurse Practitioner (Primary Care)
309 11TH ST
CARROLLTON, KY 41008
Emergency Medicine
309 11TH ST
CARROLLTON, KY 41008
Nurse Practitioner (Family)
309 11TH ST
CARROLLTON, KY 41008
Pharmacist
309 11TH ST
CARROLLTON, KY 41008
Durable Medical Equipment & Medical Supplies
309 11TH ST
CARROLLTON, KY 41008
Emergency Medicine
309 11TH ST
CARROLLTON, KY 41008
General Acute Care Hospital (Critical Access)
309 11TH ST
CARROLLTON, KY 41008

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 Brent Madison's NPI number?

The NPI number for Brent Madison is 1386696821. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Brent Madison located?

Brent Madison practices at 309 11th St, Carrollton, KY 41008. The listed phone number is (502) 732-4321.

What is Brent Madison's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Brent Madison enrolled in Medicare?

Yes. Brent Madison 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.

Is Brent Madison affiliated with any hospitals?

According to CMS data, Brent Madison is affiliated with Monroe County Medical Center, Casey County Hospital, Wayne County Hospital and Jane Todd Crawford Hospital.

When was this NPI record last updated?

The NPPES record for Brent Madison was last updated on July 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.