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DR. TERRY DOUGLAS MADSEN M.D.
NPI 1518071653
Orthopaedic Surgery in Richardson, TX

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
2460 N CENTRAL EXPY STE 102, RICHARDSON, TX 75080(972) 664-0606(972) 664-0808 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Terry Douglas Madsen M.d. NPPES

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

DR. TERRY DOUGLAS MADSEN M.D. (NPI 1518071653) is an individual orthopaedic surgery provider in Richardson, Texas, licensed in Texas (L8816) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Dallas Medical Center, and is a graduate of University Of Texas Medical School At San Antonio (1999).

NPPES Registry Identity

NPI1518071653
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. TERRY DOUGLAS MADSENCredential: M.D.
Location Address2460 N CENTRAL EXPY STE 102Richardson, TX 75080-2780
Mailing AddressPo Box 670825Dallas, TX 75367-0825 · (972) 664-0606 · Fax (972) 664-0808
Phone(972) 664-0606
Fax(972) 664-0808
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1999
Enumeration DateAugust 18, 2006
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1518071653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TX · L8816
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2460 N CENTRAL EXPY STE 102, Richardson, TX 75080
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Other Identifiers 2

Medicaid171291101TX
Medicaid171293701TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas and more.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. Terry Douglas Madsen 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 ID840250759
PECOS Enrollment IDI20041014001139
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 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.
112 services51 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
42 services22 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
39 services23 patients

Hospital Affiliations CMS Care Compare

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

Dallas Medical Center

Acute Care Hospitals · Dallas, TX
OwnershipProprietary
CMS Certification Number450379
Location7 Medical ParkwayDallas, TX 75234 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75080 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

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 Terry Madsen's NPI number?

The NPI number for Terry Madsen is 1518071653. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Terry Madsen located?

Terry Madsen practices at 2460 N Central Expy Ste 102, Richardson, TX 75080. The listed phone number is (972) 664-0606.

What is Terry Madsen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Terry Madsen enrolled in Medicare?

Yes. Terry Madsen 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 Terry Madsen accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Molina Healthcare and 1 other insurer list Terry Madsen 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 Terry Madsen affiliated with any hospitals?

According to CMS data, Terry Madsen is affiliated with Dallas Medical Center.

When was this NPI record last updated?

The NPPES record for Terry Madsen was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.