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MR. MATTHEW THOMAS MADDEN NP
NPI 1417424854
Nurse Practitioner in Plains, MT

Active since October 24, 2018PECOS EnrolledAccepts Medicare Assignment
10 KRUGER ROAD, PLAINS, MT 59859(406) 826-4800 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Matthew Thomas Madden Np NPPES

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

MR. MATTHEW THOMAS MADDEN NP (NPI 1417424854) is an individual nurse practitioner in Plains, Montana, licensed in Montana (NUR-APRN-LIC-132683) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417424854
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. MATTHEW THOMAS MADDENCredential: NP
Location Address10 KRUGER ROADPlains, MT 59859
Mailing Address11 Sully LnPlains, MT 59859-9279 · (406) 214-5454
Phone(406) 826-4800
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 24, 2018
✔ NPI 1417424854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MT · NUR-APRN-LIC-132683
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
10 KRUGER ROAD, Plains, MT 59859
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.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

Mr. Matthew Thomas Madden Np 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 ID5890023808
PECOS Enrollment IDI20221010001911
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 3

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.
162 services82 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.
118 services64 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59859 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

Other Providers at the Same Location NPPES 6

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

CLARK FORK VALLEY HOSPITAL, INC
General Acute Care Hospital (Critical Access)
10 KRUGER ROAD
PLAINS, MT 59859
Sanders County (406) 826-4802
DR. BARBARA STEWARD DO
Family Medicine
10 KRUGER ROAD
PLAINS, MT 59859
Sanders County (406) 826-4800
PLAINS HOSPITAL CORPORATION
General Acute Care Hospital (Critical Access)
10 KRUGER ROAD
PLAINS, MT 59859
Sanders County (406) 826-4813
RANDALL MACK PA-C
Physician Assistant
10 KRUGER ROAD
PLAINS, MT 59859
Sanders County (406) 826-4800
MRS. GWENNA CARIE OLSON CRNA, RN
Nurse Anesthetist, Certified Registered
10 KRUGER ROAD
PLAINS, MT 59859
Sanders County (406) 826-4800
DR. KATHRYN ALICE WHIPPLE-KILMER PSYD
Psychologist (Clinical)
10 KRUGER ROAD
PLAINS, MT 59859
Sanders County (406) 826-4810

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 Matthew Madden's NPI number?

The NPI number for Matthew Madden is 1417424854. It was assigned to this individual provider in the NPPES registry on October 24, 2018.

Where is Matthew Madden located?

Matthew Madden practices at 10 Kruger Road, Plains, MT 59859. The listed phone number is (406) 826-4800.

What is Matthew Madden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Matthew Madden enrolled in Medicare?

Yes. Matthew Madden 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 Matthew Madden accept?

Health plans from Blue Cross and Blue Shield of Montana, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Matthew Madden 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.

When was this NPI record last updated?

The NPPES record for Matthew Madden was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.