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MADISON BILLINGS
NPI 1518653278
Dentist in Buffalo, NY

Active since April 14, 2023PECOS Enrolled
155 LAWN AVE, BUFFALO, NY 14207(716) 875-2904(716) 875-6717 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 2, 2024, Apr 14, 2023 (2 updates tracked since 2023).

About Madison Billings NPPES

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

MADISON BILLINGS (NPI 1518653278) is an individual dentist in Buffalo, New York, licensed in New York (064028) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518653278
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMADISON BILLINGS
Location Address155 LAWN AVEBuffalo, NY 14207-1816
Mailing Address155 Lawn AveBuffalo, NY 14207-1816 · (716) 875-2904 · Fax (716) 875-6717
Phone(716) 875-2904
Fax(716) 875-6717
Sole ProprietorNo
Enumeration DateApril 14, 2023
Last NPPES UpdateAugust 2, 20242 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
✔ NPI 1518653278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 064028
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
155 LAWN AVE, Buffalo, NY 14207
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Billings is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Madison Billings reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Erie County Medical Center Corporation
3.3 mi
Clinic/Center
462 GRIDER ST
Buffalo, NY 14215
  • Reassigned Medicare billing, New York enrollment
  • 302 clinicians in this Medicare group
NPI 1528233616 (716) 898-3000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14207 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

DILMA LEE RODRIGUEZ RN
Registered Nurse
155 LAWN AVE
BUFFALO, NY 14207
Erie County (716) 875-2904
DR. NADIA FUSCO PHARMD
Pharmacist
155 LAWN AVE
BUFFALO, NY 14207
Erie County (716) 875-2904
FIKIRTE ADELLA PA
Physician Assistant
155 LAWN AVE
BUFFALO, NY 14207
Erie County (716) 875-2904
MS. ELSIE MORALES LPN
Licensed Practical Nurse
155 LAWN AVE
BUFFALO, NY 14207
Erie County (716) 875-2904
DR. MAJEED SIDDIQUI M.D; FACRRM; D.C.N;
Family Medicine
155 LAWN AVE
BUFFALO, NY 14207
Erie County (716) 875-2904
DIANNA YOUNG LPN
Licensed Practical Nurse
155 LAWN AVE
BUFFALO, NY 14207
Erie County (716) 875-2904
GABRIELLE BALDERMAN D.D.S.
Dentist
155 LAWN AVE
BUFFALO, NY 14207
Erie County (716) 875-2904
LAURA MYERS
Social Worker
155 LAWN AVE
BUFFALO, NY 14207
Erie County (716) 875-2904

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 Madison Billings's NPI number?

The NPI number for Madison Billings is 1518653278. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Where is Madison Billings located?

Madison Billings practices at 155 Lawn Ave, Buffalo, NY 14207. The listed phone number is (716) 875-2904.

What is Madison Billings's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Madison Billings enrolled in Medicare?

Yes. Madison Billings is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madison Billings's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Billings reassigns Medicare benefits to Erie County Medical Center Corporation (Buffalo, NY). The 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 Madison Billings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madison Billings accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Madison Billings 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 Madison Billings was last updated on August 2, 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.