DR. MADELINE M MICHALOPULOS M.D.
NPI 1407389091
Hospitalist in Iowa City, IA

Active since April 10, 2017PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
200 HAWKINS DR, IOWA CITY, IA 52242(319) 356-4241(319) 356-3086 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2025, Sep 6, 2024, May 10, 2022 and 3 more (6 updates tracked since 2017).

About Dr. Madeline M Michalopulos M.d. NPPES

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

DR. MADELINE M MICHALOPULOS M.D. (NPI 1407389091) is an individual hospitalist provider in Iowa City, Iowa, licensed in Iowa (MD-52929) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with University Of Iowa Hospital & Clinics, and maintains a secondary practice location in North Liberty.

NPPES Registry Identity

NPI1407389091
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. MADELINE M MICHALOPULOSCredential: M.D.
Location Address200 HAWKINS DRIowa City, IA 52242-1009
Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 356-4241 · Fax (319) 356-3086
Fax(319) 356-3086
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2017
Enumeration DateApril 10, 2017
Last NPPES UpdateApril 9, 20256 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1407389091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in IA · MD-52929✔ Licensed in TX · T0864
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD-52929 (IA), T0864 (TX)
Also ListedPediatricsTaxonomy 208000000X · License MD-52929 (IA)
200 HAWKINS DR, Iowa City, IA 52242

Secondary Practice Location 1

Location 1701 W Forevergreen RdNorth Liberty, IA 52317-9848 · Phone (319) 356-4019 · Fax (319) 356-3949

Accepted 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. Madeline M Michalopulos 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 ID4981092319
PECOS Enrollment IDI20240913003225
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 Madeline Michalopulos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dentist
200 HAWKINS DRIVE, 51300 POMERANTZ FAMILY PAVILION
Iowa City, IA 52242
  • Reassigned Medicare billing, Iowa enrollment
  • 2,190 clinicians in this Medicare group
Obstetrics & Gynecology
7800 PRESTON ROAD, SUITE 300
Plano, TX 75024
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

University Of Iowa Hospital & Clinics

Acute Care Hospitals · Iowa City, IA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number160058
Location200 Hawkins DriveIowa City, IA 52242 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242

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 Madeline Michalopulos's NPI number?

The NPI number for Madeline Michalopulos is 1407389091. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Madeline Michalopulos located?

Madeline Michalopulos practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 356-4241.

What is Madeline Michalopulos's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Madeline Michalopulos enrolled in Medicare?

Yes. Madeline Michalopulos 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 Madeline Michalopulos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madeline Michalopulos reassigns Medicare benefits to 2 organizations: State University Of Iowa (Iowa City, IA) and University Of Texas Southwestern Medical Center At Dallas (Plano, TX). 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 Madeline Michalopulos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madeline Michalopulos accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Madeline Michalopulos 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 Madeline Michalopulos affiliated with any hospitals?

According to CMS data, Madeline Michalopulos is affiliated with University Of Iowa Hospital & Clinics.

When was this NPI record last updated?

The NPPES record for Madeline Michalopulos was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.