DR. MADHU MENON MD
NPI 1396706131
Family Medicine in Newport, PA

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
300 BRETZ CT STE 100, NEWPORT, PA 17074(717) 567-3174(717) 703-0018 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 27, 2021, Jun 25, 2020, Sep 10, 2018 and 2 more (5 updates tracked since 2016).

About Dr. Madhu Menon Md NPPES

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

DR. MADHU MENON MD (NPI 1396706131) is an individual family medicine provider in Newport, Pennsylvania, licensed in Pennsylvania (MD061440L) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1396706131
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MADHU MENONCredential: MD
Location Address300 BRETZ CT STE 100Newport, PA 17074-8615
Mailing Address300 Bretz Ct Ste 100Newport, PA 17074-8615 · (717) 567-3174 · Fax (717) 703-0018
Fax(717) 703-0018
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateMarch 31, 2006
Last NPPES UpdateJanuary 27, 20215 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2021
NPI 1396706131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD061440L
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.
300 BRETZ CT STE 100, Newport, PA 17074

Other Names 1

Former Name (1)Tekkepatte Madhusudan Md

Other Identifiers 7

Medicaid001692743PA
OtherME967510PA · Highmark Blue Shield
Other1136775PA · First Health
OtherP967510PA · Gateway
Other0228002PA · Keystone
Other080137007PA · Rail Road Medicare
Other860303PA · Aetna

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. Madhu Menon 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 ID5799724811
PECOS Enrollment IDI20050428000408
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 6

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
215 services60 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
172 services67 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
59 services37 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
46 services40 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
40 services23 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
35 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390004
Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County
Emergency services

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17074 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims40 services$6.75 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier17 claims17 services$21.83 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier17 claims17 services$8.36 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier14 claims14 services$58.94 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$20.14 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 4

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

Nurse Practitioner (Family)
300 BRETZ CT STE 100
NEWPORT, PA 17074
Family Medicine
300 BRETZ CT STE 100
NEWPORT, PA 17074
Obstetrics & Gynecology
300 BRETZ CT STE 100
NEWPORT, PA 17074
Obstetrics & Gynecology (Gynecologic Oncology)
300 BRETZ CT STE 100
NEWPORT, PA 17074

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 Madhu Menon's NPI number?

The NPI number for Madhu Menon is 1396706131. It was assigned to this individual provider in the NPPES registry on March 31, 2006. The provider is also known as Tekkepatte Madhusudan MD.

Where is Madhu Menon located?

Madhu Menon practices at 300 Bretz Ct Ste 100, Newport, PA 17074. The listed phone number is (717) 567-3174.

What is Madhu Menon's specialty?

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

Is Madhu Menon enrolled in Medicare?

Yes. Madhu Menon 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 Madhu Menon affiliated with any hospitals?

According to CMS data, Madhu Menon is affiliated with Penn State Health Holy Spirit Medical Center and Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Madhu Menon was last updated on January 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.