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DR. KARTHIK HS MADHAVAN M.D.
NPI 1417197179
Neurological Surgery in Cherry Hill, NJ

Active since February 20, 2009PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
2339 ROUTE 70 W STE 400, CHERRY HILL, NJ 08002(856) 546-8525(856) 968-8222 Get Directions Write a Review

NPPES record last updated: August 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 20, 2023, Aug 31, 2020 (2 updates tracked since 2020).

About Dr. Karthik Hs Madhavan M.d. NPPES

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

DR. KARTHIK HS MADHAVAN M.D. (NPI 1417197179) is an individual neurological surgery provider in Cherry Hill, New Jersey, licensed in New Jersey (25MA11903000) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417197179
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. KARTHIK HS MADHAVANCredential: M.D.
Location Address2339 ROUTE 70 W STE 400Cherry Hill, NJ 08002-3315
Mailing Address1 Federal St Ste 200Camden, NJ 08103-1088 · (848) 288-6935 · Fax (732) 790-0107
Phone(856) 546-8525
Fax(856) 968-8222
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 20, 2009
Last NPPES UpdateAugust 20, 20232 updates tracked since enumeration
NPPES CertifiedAugust 20, 2023
✔ NPI 1417197179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in NJ · 25MA11903000
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
2339 ROUTE 70 W STE 400, Cherry Hill, NJ 08002
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica.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

Dr. Karthik Hs Madhavan 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 ID8729406756
PECOS Enrollment IDI20230923000266
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
111 services86 patients
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.
50 services41 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
27 services13 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.
14 services14 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services13 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Inspira Medical Center Vineland

Acute Care Hospitals · Vineland, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310032
Location1505 W Sherman AveVineland, NJ 08360 · Cumberland County
Emergency services Birthing friendly

Inspira Medical Center Mullica Hill

Acute Care Hospitals · Mullica Hill, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310069
Location700 Mullica Hill RdMullica Hill, NJ 08062 · Gloucester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08002 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

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.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

Referred Medical Equipment & Supplies CMS DME claims

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

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier12 claims12 services$3,760.42 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

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

IAN WALKER
Psychiatry & Neurology (Neurology)
2339 ROUTE 70 W STE 400
CHERRY HILL, NJ 08002
Camden County (856) 546-8525

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 Karthik Madhavan's NPI number?

The NPI number for Karthik Madhavan is 1417197179. It was assigned to this individual provider in the NPPES registry on February 20, 2009.

Where is Karthik Madhavan located?

Karthik Madhavan practices at 2339 Route 70 W Ste 400, Cherry Hill, NJ 08002. The listed phone number is (856) 546-8525.

What is Karthik Madhavan's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Karthik Madhavan enrolled in Medicare?

Yes. Karthik Madhavan 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 Karthik Madhavan accept?

Health plans from Blue Cross Blue Shield of North Dakota and Medica list Karthik Madhavan 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 Karthik Madhavan affiliated with any hospitals?

According to CMS data, Karthik Madhavan is affiliated with Cooper University Hospital, Inspira Medical Center Vineland and Inspira Medical Center Mullica Hill.

When was this NPI record last updated?

The NPPES record for Karthik Madhavan was last updated on August 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.